Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
David Horowitz 2023 Fee Expenditure and Compensation Form
11.111 an mrdma DCdcrr RECEIVED Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 FEB 8 2023 OFFICECITy OF M►AMI BEACH Expenditure report for period of:1/1/2022 through 12/314022 OF THE CITY CLER 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,shad be assessed for statements filed after the due date.if you require any assistance,please contact this office at 305.673.7411 or atcitvclerkOmiamibeachfl.Rov. Lobbyist David Horowitz Principal Golden Palms,LLC(Robert Springer) issue , Land use,zoning,design,and development approvals;4041 Collins Ave PLEASE COMP E 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Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE [7 DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under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 losed herei any attachment hereto are true and correct. obbyist Signature SIGNATURE AND STAMP OF NOTARY: _Produced ID / Form of identification Sig ur c ota yry—State of Florida scribed before me ___Personally known i day of ,20_� RECEIVED FEB: 8 2023 MCALIFORNIA JURAT WITH AFF1ANT STATEMENT GOVERNMEN'p{Q L4.! BEACH CITY CLERK See Attached Document(Notary to cross out lines 1-6 below) ❑See Statement Below(Lines 1-6 to be completed only by document signer[s],not Notary) Signature of Document Signer No. 1 Signature of Document Signer No.2(if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California Subscribed and sworn to (or affirmed) before me County of b(a/f` // v on this h` day of fV142/nrycT , 20Z3 by Date Monti' Year (1) jL-J't() -U C ('A"A 7 (and (2) ), LYNNAE STOENR NELSEN Name(s)of Sign } ' Notify o Public.California i w 4 Orange County to me on the basis of satisfactoryevidence r Commission N 2374675 proved z>fils My Comm.Expires Sep rs,2025 to be the person(s)-who appeared before me. Signatu Signature of Notary Public Seal Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: - - - - -- -_ Number of Pages: Signer(s)Other Than Named Above: :5�.�.L.4.V:V1✓,:,✓:V.,..?. .\'Y:V:i✓:\✓i.�:,1.:,,✓G\✓:\J:\_-;_%-&.:V:L \Ji.�:-�%:=�::=�.:\✓.,aii.,,,,,,:\.„.....V.;t„:`.....„:„..„=�_•J,:�J%- ©2014 National Notary Association•www.NationalNotary.org•1-800-US NOTARY(1-800-876-6827) Item#5910