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Jacqueline Gonzalez 2023 Fee Expenditure and Compensation Form hbyist Fee Expenditure and Compensation Form • City Code Section 2-485 ,'"�` 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 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 atcitvclerk@rnlamibeachfl.gov. Lobbyist Jacqueline Gonzalez Principal Urbin Miami Beach Partners, LLC(Rishi Kapoor) Issue Development approvals and permitting issues; 1234 Washington Ave/1260 Washington Ave PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $56,218.13 CATEGORIES OF EXPENDITURES Food and Beverage: N/A Entertainment: N/A Research: N/A -,;C, Communications: N/A -n_ w Media Advertising: N/A ���, ran Publications: N/A Travel: N/A r-, IC 7/ Lodging: N/A rn C Special Events: N/A ! 4° CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist, do hereby depose under oath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 inform ion disclosed herein and any attachment hereto are true and correct. Lobb Sign u SIGNATURE AND STAMP OF NOTARY: _Produced ID Form of Identification 'r` `t% CYNTHIA CUETO Signature ublic Notary—State of Florida 'cc,j EX COMMISSION#HHr 24, 1817 2024 Sworn to and subscribed before me Personally known �� EXPIRES:October 24,2024 This day of7.5-0n,20 21 •