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Amandus Derr 2023 Fee Expenditure and Compensation Forms DocuSign Envelope ID:9B875662-4F30-4E83-9BAA-48E036444DC6 ..iLy ufMiami Beach . Lobbyist Fee Expenditure and Compensation Statement RECEIVED City Code Section 2-485 FEB 2 3 2023 CITY OF MIAMI BEACH Expenditure report for the period'of: January 1,2022 through December 31,2022 OFFICE OF THE CITY CLERK A statement shall be filed even if there have been no expenditures or compensation during the reporting period. This statement is tobe 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 citvclerkl'Wmiamibeachfl gov. Lobbyist Amandus Derr Principal Crown.'Castle and its Affiliates. . Issue Issues relatingto the deployment and of communications infrastructure in the City's right-of-way. siting Y g Y• PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: CATEGORIES OF EXPENDITURES Food and Beverage: None. Entertainment: None: Research: None. Communication: None. Media Advertising: None Publications: None. Travel:. None. Lodging: . None Special Events: None, CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED:: OATH State of Texas, County of Harris: I,the undersigned lobbyist do hereby depose under oath and affirm that the information disclosed herein and any attachment hereto are true and correct. � "S�"�br avatiA s Ayr SANDRA E. pY P(, 056958A7AF77489.. RESENDEZ Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: (* * Notary ID Docusignedby: . } . 126188622 { .�' ko My Commission Expires Produced ID iwwwwwwwwwwwwwwwwwwwwwwwwwit2/16/2024 52179920DFOD4Ee... Form of Identification Signature of Public Notary—State of TEXAS x Personally known Sworn to and subscribed before.me This 22nd day of February,2023. F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16 This was an online notarization. DocuSign Envelope ID:9B875662-4F30-4E83-9BAA-48E03B444DC6 ..��y of Miami Beach Lobbyist Fee Expenditure and Compensation Statement RECEIVED City Code Section 2-485 FEB 2 7 2023 • Expenditure report for the period of: January 1, 2022 through December 31, 2022 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 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,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 cityclerkPmiamibeachfl.gov. Lobbyi t Amandus Derr Principal Crown Castle and its Affiliates Issue Issues relating to the deployment and siting of communications infrastructure in the City's right-of-way. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: CATEGORIES OF EXPENDITURES Food and Beverage: None. Entertainment: None. Research: None. Communication: None. Media Advertising: None. Publications: None. Travel: None. Lodging: None. Special Events: None. ❑ CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Texas, County of Harris: I,the undersigned lobbyist do hereby depose under oath and affirm that the information disclosed herein and any attachment hereto are true and correct. OocuS�°ed�9� SANDRA E. • Cm hIS VUelt 1111'9. °�95 74B9 Lobbyist Signature roe''" '�.4 RESENDEZ Y� g SIGNATURE AND STAMP OF NOTARY: e* Notary ID D61arn0 -t ocuSIgnedby: 126188622'P'Fa -' My Commission Expires Produced ID 2/16/2024 2179920DF0D4E8... Form of Identification Signature of Public Notary—State of TEXAS x Personally known Sworn to and subscribed before me This 22nd day of February,2023. F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16 This was an online notarization.