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Chad Horrell 2023 Fee Expenditure and Compensation Form City of Miami Beach Lobbyist Fee Expenditure and Compensation Statement RECEIVED City Code Section 2-485 FEB 2 8 2023 Expenditure report for the period of: 01/01/2022 through 12/31/2022 CITY OF MIAMI BEACH A statement shall be filed even if there have been no expenditures or compensation during the reporting pernoa.CJTY 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 at citvclerk@miamibeachfl.gov. Lobby;st f Chad Hornell Principal: DoorDash,Inc. ty } Matters affecting app based delivery services PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $0.00 CATEGORIES OF EXPENDITURES Food and Beverage: $0.00 Entertainment: $0.00 Research: $0.00 Communication: $0.00 Media Advertising: $0.00 - Publications: $0.00 Travel: $0.00 Lodging: $0.00 Special Events: $0.00 CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida, County of Miami-Dade I,the undersigned lobbyist do hereby depose under oath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 disclosed herein and any attachment hereto are true and correct. `✓[`/ Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: JACOB GARFIELD GRAY '�.. ���`� Notary Public I, Commonwealth of Virginia I_ ry Produced ID Ps4ve�! " ��` :.t 4 My Comm,Expires11/30/2026 2 CAro'vtts Reg.08011618 Form of Identification wn-+-r am Signature of Public Notary—State of Florida _Personally known Sworn to and subscribed before me This `4-6 day of •o 6 .20 2 7 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16