Carla Grimm 2023 Fee Expenditure and Compensation Forms Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
RECEIVED
MAR 12023
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 reportin�}�r{o6F MIAMI BEACH
OFFICE 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 fined$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 atcitvclerk(camiamibeachfl.eov.
Lobf gist Carly Grimm
Sunset Aqua 1736,LLC
q
Land use/permit matters regarding property located at 1736 W 28 St,Miami Beach, FL
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: 0
•
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications:
Media Advertising: NONE
Publications:
Travel:
Lodging:
Special Events: • -
X CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH
tate of Florida
unty of Miami-Dade
he undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
eto are true and correct. -
L y; t gnature
ATURE AND STAMP OF NOTARY:
oduced ID
Form of Identification ,,,�����„ Angela Verseane Signature of Pu otary—State of Florida
;," '"V 43 Sworn to and subscribed before me
Comm.:NH 3292
sonally known , Expires:November 3,2026 This g day of F�•20 a3
Noiary Public-Stale of Florida
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
RECEIVED
Expenditure report for period of:1/1/2022 through 12/31/2022• MAR 2023
A statement shall be filed even if there have been no expenditures or compensation during the report ,1�'pe r dMIAMI BEAC OFi=1CF n� THE CITy H
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office, 1700 Convention CenterK
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 atcitvclerk@miamibeachfl.gov.
Lobbyist Carly Grimm
Principal David Salmanson
•
Issue Assist with notice of violation#US 2019-03-082&DRB approval for 6626 Roxbury Lane
• i
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $C
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
— I
Communications: NONE
Media Advertising:
Publications:
Travel:
— I
Lodging:
Special Events:
X 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 her in and any attachment
hereto are true and correct
- I
L bb, ' t gnature
SIGNATURE AND STAMP OF NOTARY:
_Produced ID
Form of Identification Signature o - tary-State of Florida
dtlitx Angela Verseano Sworn t and subscribed before me
✓Personally known =_°' Comm.:HH 329243 This..day of. 20 a3
V `Expires:November 3,2026
Notary Public-
� Slate of Florida
H i