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Carter McDowell - Dominion Partners, L.P. 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 •• 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 cityclerkPmiamibeach.gov. Lobbyist Carter McDowell Principal Dominion Partners, L.P.(c/o The Trump Group, Mark Todes) Issue Ordinance related to alcoholic beverage establishment and neighborhood impact establishment for property at 404 Collins Avenue PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: S oo oc CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the information discloses •-r:' and an at .c ent hereto are true and correct. Lobbyist Signato re SIGNATURE AND STAMP OF NOTARY: `Aa":No IBIS DIAZ MY COMMISSION#FF 111262 EXPIRES:May 24,2018 Produced I D IFOF-4 FLT i.�� Bonded Thru Budget Notary Services Form of Identification Signature of P • •- .tary—State of Florida Sworn to and subscribed before me 1/Personally known This 12-day ofa,20 I iio