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Ethan Wasserman 2023 Fee Expenditure and Compensation Forms of . 5 ' {£,8 ACi RECEIVED � � FEB 16 2023 .its £<=i"- i.:_k. itt;tv:£F: Micin,i Beach,FIciiidd 33139 CITY OF MIAMI BEACH , "tee 711=1 rAi °13, OFFICE OF THE CITY CLERK , January 12,.2023 ' Ethan Wasserman • 333 SE 2nd Ave. Ste.,4400 Miami, Florida 33131 SUBJECT: Lobbyist Fee Expenditure and Compensation Statement Dear Ethan,Wasserman: ' Pursuant to City'Code Section 2-485, entitled "List of expenditures; fee disclosure; reporting requirements," all lobbyistssub ectto Lobbyists e i trati requirements shall submit to the City Clerk by February 28th of each • year;„a ;sign '1Lobbyi e a Expenditure� and.1 Compensation cStatementt,, under oath,, ilisfinq "olio;lobbying' expendiituresx��aand compensation received for eac,, ssue engaged;for the penod of 01/0112022 through] • 1213'112022;:The Information if t4 l be ptovlde_;d on,tape Sta�teme, t(s attached A Statement shall billed ever ifs there have been no expenditures or compensation during'the reporti'n period. If ou1,are4a1 Inactive lol byista and still,have open issues, please complete the LobybyistaF�ee'Expenditure"andkCo p�ensation..Sta�temerit and withdraw the issue. Please note that If you are inactirte you sare,,not.permitted to ado any4pe'S lobbying activity. Pursuant to Section 2 485 (d), in addition to any other penalties that may be imposed as provided In Section 2- 48511,a'fine;ott50a013,a day,shapfibe essassL0;;Por ail St�a:tements)filed after February'28,;2023. The City Clerk s.hall3c1409.3, ifuii4mi L.41,0(Aunty GOmmi5Skiii2o�FCthies and Public Trust of the failure of a lobbyist(or . prittci"pal)to file the Staterrire t or°tpa tfhe a"ssessed fines after notification Any lobbyist, who fails to file the required Statement by Aprii d 21}23;;shall be automatically suspended from s lobbying until all fines are paid, unless the fine has been appeal.Qd to the Miami-Dade County'Commission on k Ethics and Public Trust. : . If you are no longer engaged on an issue,plea ti) QCtllalete the enclosed Statement(s)and check the box advising i you no longer represent the principal. If you peed ad`ditIonal Information regarding this matter, please do not ,.; hesitate to contact this:office. Sincerely"yours, i':°• Rafael E. Granado City Clerk Ct ": REP:JS 3 Attachment Lobbyist Fee Expenditure and Compensation.Statement(s) [1,1', l`lY s; City of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Statement • City Code Section 2-485 FEB 16 2023 • CITY OF MIAMI BEACH Expenditure report for the period of: 1/1/2022 12/31/2022 OFFICE OF THE CITY CLERK through 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 citvclerk(imiamibeachfl.gov. Lobbyist Ethan Wasserman Stor-All Condo Development LLC Pri Redevelopment of property located at 331 69th St PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: .t kolS -c•CD CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: 0 Research: 0 Communication: 0 Media Advertising: 0 Publications: 0 Travel: 0 Lodging: 0 Special Events: 0 ❑ 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. I i►a ,,• Lobbyist Signature• MARIA JOSE LOPEZ SIGNATURE AND STAMP OF NOTARY: I Notary Public•State of Florida ��;•,�, �•; Commission a HH 081354 o!rti Produced ID y My Comm.Expires Jan 14,2025 Form of Identification Signatu a of Pu:lic Notary—State of Florida personally known _ Sworn to and subscribed before me This 10 day of Feb. ,20 23 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16 City of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Statement City Code Section 2-485 FEB 16 2023 CITY OF MIAMI BEACH 1/1/2022 12/31/2022 OFFICE OF THE CITY CLERK Expenditure report for the period of: through 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 citvclerk@miamibeachfl.gov. Lobbyist a Ethan Wasserman ``��� princlpal3 Rabbi Shmuel Mann(Chabad Lubavith of Venetian Causeway&Surrounding Islands,Inc.) Redevelopment of 14 Farrey Lane,including Parking Code Amendments PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: I ' V CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: 0 Research: 0 Communication: 0 Media Advertising: 0 Publications: 0 Travel: 0 Lodging: 0 Special Events: 0 ❑ 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. +�Y��e�•. MARIA JOSE LOPEZ I Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: I ;g- -74,1*(:1 Notary Public-State of Florida ( 7,.e e:: Commission k NH 081354 _Produced ID I My Comm.Expires Jan 14,2025 Form of Identification Signatu e of Pub'c Notary—State of Florida personally known Sworn to and subscribed before me This 10 day of Feb. 20 23 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16 City of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Statement City Code Section 2-485 FEB 16 2023 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK Expenditure report for the 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 at citvclerk@miamibeachfl.aov. bbyist Ethan Wasserman incI Pumps at 71 LLC(Robert Finvarb) Prtn,cipa S e> Approval of new,mixed use development at 7120 Abbott Avenue;7117 Byron Avenue,and 409 71 Street PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: A --AS :CAD \r,e,.9-\--) CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: 0 Research: 0 Communication: 0 Media Advertising: 0 Publications: 0 Travel: 0 Lodging: 0 Special Events: 0 ❑ 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 ai►�'Y,t MARIA JOSE LOPEZ SIGNATURE AND STAMP OF NOTARY: i _:�a K; Notary Public.-State of Florida Commission A FIN 081354 ". My Comm.Expires Jan 14.2025 _Produced ID � � � �••�:� ,1,,, Form of Identification Signature a Pu lic otary—State of Florida personally known Sworn to and subscribed before me This 10 day of Feb. 20 23 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16 46" City of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Statement City Code Section 2-485 FEB 16 2023 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK Expenditure report for the 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 at citvclerkPmiamibeachfl.gov. nLQ Fbyist Ethan Wasserman $ ' -', Nobe Creek LLC(Mendy Chudaitov DRB review and approval of proposed modification and revised plans under previously approved DRB files �S5Ue a 21-0632 and DRB 20-0505. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 4tf4ciS .Ca"O CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: 0 Research: 0 Communication; 0 Media Advertising: 0 Publications: 0 Travel: 0 Lodging: 0 Special Events: . 0 ❑ 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. .�. MARIA DOSE LOPEZ Lobbyist Signature Notary Public•State of Florida SIGNATURE AND STAMP OF NOTARY: Commission k HH 08f35a My Comm.Expires Jan 1�,2015 _Produced ID Form of Identification Signa re o •ublic Notary—State of Florida personally known Sworn to and subscribed before me This 10 day of .Feb. •20 23 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16 City of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Statement City Code Section 2-485 FEB 16 2023 CITY OF MIAMI BEACH 1/1/2022 12/31/2022 OFFICE OF THE CITY CLERK Expenditure report for the period of: through 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 citvclerk@miamibeachfl.sov. LobbyistEthan Wasserman i (Matis CIpR KGTC LLC( atis Cohen) �ue Redevelopment of properties located in the North Beach Town Center PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: ScAS Ora scare CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: 0 Research: 0 Communication: 0 Media Advertising: 0 Publications: 0 Travel: 0 Lodging: 0 Special Events: 0 ❑ 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. i:1YP�`' MARIA JOSE LOPEZ I Lobbyist Signature ' Nota Public•State of Florida SIGNATURE AND STAMP OF NOTARY: =: rM1®o� Commission/t HH 081354 ..,OF .'• My Comm.Expires Jan 14.2025 Produced ID Form of Identification Signa e of- blic Notary—State of Florida personally known Sworn to and subscribed before me This 10 day of Feb. ,20 23 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16 City of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Statement City Code Section 2-485 FEB 16 2023 CITY OF MIAMI BEACH Expenditure report for the period of: 1/1/2022 12/31/2022 OFFICE OF THE CITY CLERK through 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 citvclerk@miamibeachfl.gov. lobbyist Ethan Wasserman P Incipal KG Normandy LLC(Russell Galbut) Issue Approval of new,mixed use development at 880 71 Street PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: / (=V ,.CFO CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: 0 Research: 0 Communication: 0 Media Advertising: 0 Publications: 0 Travel: 0 Lodging: 0 Special Events: 0 ❑ 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. be Ip�'i1Y0��fi MARIA JOSE LOPEZ i Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: I ?.I•" a Notary Public-State of Florida el Commission#FIN 081354 I OF " My Comm.Expires Jan 14.2025 ( `T Produced ID _. . . 1 Form of Identification Signat = of d. blic Notary—State of Florida Personally known Sworn to and subscribed before me This 10 day of Feb. 20 23 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16 City of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Statement City Code Section 2-485 FEB 16 2023 CITY OF MIAMI BEACH 1/1/2022 12/31/2022 OFFICE or THE CITY CLERK Expenditure report for the period of: through 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 citvclerk@miamibeachfl.gov. ' Lobbyis Ethan Wasserman l Abbott Avenue Partners,LLC(Robert Finvarb) principal Approval of new,mixed use development at 7124,7134,7136,and 7140 Abbott Avenue,7135 Byron I55Ue Avenue,and 430 72 Street PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: AN t& X,O \,-..-,.,AN) CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: 0 Research: 0 Communication; 0 Media Advertising: 0 Publications: 0 Travel: 0 Lodging: 0 Special Events:; 0 ❑ 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. :'o °"' MARIA JOSE LOPEZ Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: I =_.� Notary Public•State of Florida � s,' Commission#HH 081354 °.! • Produced ID My Comm.Expires Jan 14,2025 _ armirgroulruill/millre •�\'nit+ Form of Identification Signatu e .f Pub lic Notary—State of Florida personally known Sworn to and subscribed before me This 10 day of Feb. ,20 23 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMI3 LFEaCS.doc Rev.01/04/16 City of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Statement FEB 16 2023 City Code Section 2-485 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1/1/2022 12/31/2022 Expenditure report for the period of: through 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 citvclerk(5 miamibeachfl.Rov.- L , '" Ethan Wasserman Print n James Hill ii I' A,- : k Redevelopment of property located at 248 W Rivo Alto Dr PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: A S'S' , e \-. ,�-\--) CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: 0 Research: 0 Communication: 0 Media Advertising: 0 Publications: 0 Travel: 0 Lodging: 0 Special Events: 0 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. 'r�s 44, MANIA ioSE LOPEZ ` Lobbyist Signature Notary Public•State of Florida SIGNATURE AND STAMP OF NOTARY: oo-A Commission It HH 0a1354 My Comm.Expires Jan 14.2025 t _Produced ID - - - - ----- Form of Identification Signatu o Pub is Notary-State of Florida .Personally known Sworn to and subscribed before me This 10 day of Feb. 20 23 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16 City of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Statement City Code Section 2-485 FEB 16 2023 CITY OF MIAMI BEACH 1/1/2022 12/31/2022 OFFICE nF THE CITY CLERK Expenditure report for the period of: through 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 citvclerkc miamibeachfl.Rov. Ethan Wasserman �' n Foxman Tilton LLC(Scott Foxman) Issue.4 Belle Isle Overlay Legislation PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: AN A:N S , \-.v-,..-es‘ J CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: 0 ' Research: 0 Communication: 0 Media Advertising: 0 Publications: 0 Travel: 0 Lodging: 0 Special Events: 0 ❑ 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. �1 .�o �;, MARIA JOSE LOPEZ Lobbyist Signature 1:j Notary Public•State of Florida SIGNATURE AND STAMP OF NOTARY: : ilA Commission a HH 081354 ..'oFfl,.•' My Comm.Expires Jan 14,2025 _Produced ID --N1. Form of Identification Signature o P`blic Notary—State of Florida personally known Sworn to and subscribed before me This 10 day of Feb. .20 23 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16 _ am' City of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Statement FEB 16 2023 City Code Section 2-485 CITY OF MIAMI BEACH OFFICE nF THE CITY CLERK Expenditure report for the 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 at citvclerk( miamibeachfl.Rov. tolebr4ri, , Ethan Wasserman Bay Dr.LLC(Matis Cohen) 3 Principal '17-04Ve iApproval of new,mixed use.development at 880 71 Street Ire," PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: t \'a..©O `rvavr�� CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: 0 Research: 0 Communication: 0 Media Advertising: 0 Publications: 0 Travel: 0 Lodging: 0 Special Events: 0 ❑ 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. *A MARIA JOSE LOPEZ I Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: I :o �`` Notary Public•State of Florida $1 '� Commission#HH 081354 o,,,,,' My Comm.Expires Jan 14.2025 _Produced ID I Form of Identification Signatur o Pub Notary—State of Florida Personally known Sworn to and subscribed before me This 10 day of Feb. 20 23 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16 RECEIVED City of Miami Beach Lobbyist Fee Expenditure and Compensation Statement FEB 16 2023 City Code Section 2-485 CITY OF IVIIAMI BEACH OFFICE OP THE CITY CLERK Expenditure report for the 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 at citvclerkftmiamibeachfl.gov. Lob' Ethan Wasserman b ast ^ ice 7433 Collins Avenue Corp.(Robert Finvarb) Principa Approval of new,mixed use development at 7120 Abbott Avenue,7117 Byron Avenue,and 409 71 Street SSUe� PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: A\ LA CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: 0 Research: 0 Communication: 0 Media Advertising: 0 Publications: 0 Travel: 0 Lodging: 0 Special Events: 0 ❑ 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. u° MARIA JOSE LOPEZ ` : ' Notary Public-State of Florida I Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: // Commission#HH 081354 '"' My Comm.Expires Jan 14,2025 orniProduced ID .A, Form of Identification Signature o u lic ol'ary—State of Florida Personally known Sworn to and subscribed before me C ,20 23 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16 1 This 10 day of Feb. City of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Statement City Code Section 2-485 FEB 16 2023 CITY OF MIAMI BEACH Expenditure report for the period of: 1/1/2022 through 12/31/2022 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 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. f ,,," Lo'bb ist^ Ethan Wasserman k ,��}},Princi pal< IC Property Capital Corp. eel Issue 7128 Indian Creek Dr-Hotel CUP and Design Review Approval • PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 'A°o .0Q\.-. wr\v, CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: 0 Research: 0 Communication: 0 Media Advertising: 0 Publications: 0 Travel: 0 Lodging: 0 Specir..7al E ents: 0 CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: \\1\•e.-2s 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. I _ti►AY°ueG• MARIA JOSE LOPEZ I I = `l Notary Public•State of Florida I Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: Commission#HH 081354 0 I OF .. My Comm.Expires Jan 14.2025 I t _Produced IDrli ' 51��4• Form of Identification Signatur- of •ublinNotary—State of Florida 3Personally known Sworn to and subscribed before me This 10 day of Feb. ,20 23 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16