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Keith Williams 2023 Fee Expenditure and Compensation Form IVImnu vcaaaI Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 Expenditure report for period of:1/1/2022 through 12/31/2022 / ��0,6 A statement shall be filed even if there have been no expenditures or compensation during the reporting period. *7 20?3 This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office, 1700 Corbp@ rQaykr Drive, Miami Beach, FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements file a F101.441 date. If you require any assistance, please contact this office at 305.673.7411 or atcityclerk@miamibeachfl.gov. C/ry'I CN k 'Lobbyist Keith Williams Principal North Bay Owner,LLC issue` Development of property located at 2318-2340 Collins Avenue. PLEASE C PLETE THE SECTION BELOW Detail Compensation Received: CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: r t - Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida • County of Fiami-Bade?Q;irI l lC,Z�► - I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclose erein and any attachme hereto are true and correct. • Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: _Produced ID , r�4. THOMASMWELLY —kp, Form of Identification itranNt, Notary Public-State of Florida : Commission k HH 230574 I Signaf re of Public Notary— tate of Florida ( ' oin. My Comm.Expires Apr 7,2026 Sworn o and supsscribed before me Personally known •`Bo nded through National Notary A I ssn., This (day of ler,20 vZ3