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Carter McDowell - Bath Club Condominium Association City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 Expenditure report for period of:1/1/2015 through 12/31/2015 0 A statement shall be filed even if there have been no expenditures or compensation during the reporting period. This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office, 1700 Convention Center Drive, Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due date.If you require any assistance,please contact this office at 305.673.7411 or at cityclerk @miamibeach.gov. Lobbyist Carter McDowell Principal Bath Club Condominium Association/Maintenance Association, Inc.c/o Tom Ireland Issue Issues related to the use and operation of the Bath Club building and surrounding facilities and the pending appeal of the BOA decision denial to Bath Club Entertainment, LLC and Collins Avenue Associates, LLC PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 4 s oc . - CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: IACHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade -A-r I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disc) d =rein an•./:; . .chment hereto are true and correct. u% ot,,'a::"� IBIS DIAZ Lobbyist S :nature SIGNATURE AND STAMP OF NOTARY: z '• `' MY COMMISSION#FF111282 Hi!, :,_ EXPIRES:May 24,2018 Produced ID (P'4oFFto, Bonded Thru Budget Notary Services `\ "Form of Identification Signature of Pub is 'otary—State of Florida Sworn to and subscribed before me /Personally known This!Z day of l„20\4,.. ...),.e,