Michael Havener 2023 Fee Expenditure and Compensation Form it uIy ail mldrlll DCdt 1➢
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 RECEIVED
FEB, 8 2023
Expenditure report for period of:1/1/2022 through 12/31/2022
A statement shall be filed even if there have been no expenditures or compensation during the reporting peri9 OF MWAMI BEACH
OF THE CITY 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 atcityclerkPmlamibeachfl.goov.
,Lobbyist Michael Havener
Principal Golden Palms,LLC(Robert Springer) •
issue Land use,zoning,design,and development approvals;4041 Collins Ave
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received:
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
nCHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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 dis s herein and any attachment
hereto are true and•correct.
Lobbyist Signature
SIGNATURE AND STAMP OF NOTARY:
Produced ID
Form of Identification
Signature o lorida
wo n a ed before me
_Personally known h ay of ,20
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RECEIVED
FEB.. 8 2023
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CO � WN
IAMi BEACH'
THE CITY CLERK
)See Attached Document(Notary to cross out lines 1-6 below)
G See Statement Below(Lines 1-6 to be completed only by document slgner[s],not Notary)
•
Signature of Document Signer No. 1 Signature of Document Signer No. 2(if any)
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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 Orange on this ) �V day of (y,zyp , 20'2 3,
by Date U Year
(1) { U
s LYNNh balb NELSEN
,�,rt:. Notary Public-California and 2 )
.tip-te. Orange
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r�., • Camelssion N 2374675 Name(s)1of Signer(s),
my Comm,Expires Sep 11,2025
proved to me on the basis of satisfactory evidence
to be the persona-who appeared before me.
Signatu
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02014 National Notary Association•www.NationalNotary.org•1-800-US NOTARY(1-800-876-6827) Item#5910