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Oscar Braynon 2023 Fee Expenditure and Compensation Form Lobbyist Fee Expenditure and Compensation Form RECEIVED City Code Section 2-485 JAN 2 6 2023 ciTY OF Expenditure report for period of:1/1/2022 through 12/31/2022 OFFICE OF IF HE ciM BEAC►-! A statement shall be filed even if there have been no expenditures-or compensation during the reporting period.. 7Y CLERK 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 atcityclerk@miamibeachfl.eov. Lobbyist Oscar Braynon Principal GoPuff(Doug Bailey) Issue Convenience Store Permitting Approvals PLEASE COMPLETE THE SECTION.BELOW Detail Compensation Received: 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Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 di o -d herein and any atta •••-• hereto are true a id correct. Lobbyist Signatu e SIGNATURE AND STAMP OF NOTARY: Notary Public State of Florida Produced.ID - Lourdes Lurigados My Commission Form of Identification IIII HH 224883 Signature of Public Notary—State of Florida Exp. 2/6/2026 Sworn to and su,bs, cribed before me t/Personally known Thisin day of,•/WI,20 L. L