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David Martin 2022 Expenditure & Compensation Forms r'"••Of Miami Beach DocuSign Envelope ID:7EE6D4B2-3AFF-4580-BBEA-23AE9CB9B788 Lobbyist i-ee txpenaiture and Compensation Form RECEIVED City Code Section 2-485 MAR 31 2023 Expenditure report for period of:1/1/2022 through 12/31/2022 OFF,C O r"1 MI BEACH A statement shall be filed even if there have been no expenditures or compensation during the reporting period. NE 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 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 atcityclerk@miamibeachfl.gov. Lobbyist David Martin Principal Alton Mixed Use Investments Holdings, LLC(David Martin) Issue Lease amendment and extension and related matters regarding 300-344 Alton Road PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $0 CATEGORIES OF EXPENDITURES Food and Beverage: $0 Entertainment: $0 Research: $0 Communications: $0 Media Advertising: $0 Publications: $0 Travel: $0 Lodging: $0 Special Events: $0 CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade 0 oc I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed Meruisgned by:and any attachment n I hereto are true and correct. [71/, •(\' 43C93roSo7r5444... Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: -„ Produced ID �sMM s Form of Identification Diana Ramos 1 Signature of Public Notary—State of Florida 1 Commission#GG 308355 1 Sworn to and subscribed before me x Personally known 1 Notary Public-State of Florida / This 30 day of March,2023 1 My Commission Expires Apr 10,2023 1 1 '1A20-34FA-4984-8B0A-3492C2A3B7C7 ,III �rs'I III Page 1 of 5 13492C2A3B7C7 'if Miami Beach DocuSign Envelope ID:7EE6D4B2-3AFF-4580-BBEA-23AE9CB9B788 Lobbyist Fee txpenaiture and Compensation Form RECEIVED City Code Section 2-485 MAR 312023 Expenditure report for period of:1/1/2022 through 12/31/2022 F1 IF E OF,IEI BEACH A statement shall be filed even if there have been no expenditures or compensation during the reporting period. 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 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 atcityclerk@miamibeachfl.gov. Lobbyist David Martin Principal Marina Park, LLC(David Martin) Issue Lease amendment,extension,and related matters regarding Miami Beach Marina located at 300-344 Alton Road PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $0 CATEGORIES OF EXPENDITURES Food and Beverage: $0 Entertainment: $0 Research: $0 Communications: $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: O OATH c':2 State of Florida M County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment c—DocuSigned by: hereto are true and correct. cc, �va�aorvouirOway.. Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: Produced ID Form of Identification Signature of Public Notary—State of Florida Diana Ramos Sworn to and subscribed before me a X Personally known 1 Commission#GG 308355 1 This 30 day of March,2023 1 Notary Public-State of Florida 1 My Commission Expires Apr 10,2023 / 1 ' DocVerwww.doity C19CA2034FA-4964-860A3492C2A387C7 ,III 'I III ' Page 2 of 5 23492C2A3B7C7 ri+”'If Miami Beach DocuSign Envelope ID:7EE6D4B2-3AFF-4580-BBEA-23AE9CB9B788 Lobbyist fee expenditure and Compensation Form City Code Section 2-485 RECEIVED MAR 31 2023 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 pe OF MIAMI BEACH ICE 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 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 atcityclerk@miamibeachfl.gov. Lobbyist David Martin Principal MB Mixed Use Investment,LLC(David Martin) Issue Development approvals and permitting issues; 1901 Convention Center Drive PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $0 CATEGORIES OF EXPENDITURES Food and Beverage: $0 Entertainment: $0 Research: $0 Communications: $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 ,-DocuSigned by: hereto are true and correct. /J� /)� - // m �na�aaruoviranan... Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: Produced ID _ �s -wdn IJ Form of Idennflcano Diana Ramos Signature of Public Notary—State of Florida LL 1 Commission#GG 308355 1 Sworn to and subscribed before me a x Personally known 1 Notary Public-State of Florida 1 This 30 day of March,2023 4 My Commission Expires Apr 10,2023 cam. DocVerify ID:3C19CA2034FA-4964-BBOA-3492C2A387C7 Page 3 of 5 33492C2A387C7 ,IIIII 1I II I www.docvenfy.com r;s,,'lf Miami Beach DocuSign Envelope ID:7EE6D4B2-3AFF-4580-BBEA-23AE9CB9B788 Lobbyist fee txpenaiture and Compensation Form City Code Section 2-485 RECEIVED CI MAR 31 2023 Expenditure report for period of:1/1/2022 through 12/31/2022 i�CF MIA► ►BEAC H A statement shall be filed even if there have been no expenditures or compensation during the reporting period. CE OF THE CITY CLER K 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@miamibeachfl.gov. Lobbyist David Martin Principal TCH 500 Alton, LLC(David Martin) Issue Development approvals and permitting issues;500-700 Alton Road PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $0 CATEGORIES OF EXPENDITURES Food and Beverage: $0 Entertainment: $0 Research: $0 Communications: $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: S OATH - State of Florida • County of Miami-Dade g I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment o —DocuSrgned by: I hereto are true and correct. U m —n9i,a�ru�vrr�wwa... Lobbyist Signature a• SIGNATURE AND STAMP OF NOTARY: Produced ID I Diana Ramos 1 a Form of Identfication 4 Commission#GG 308355 t Signature of Public Notary—State of Florida Notary Public-State of Florida 4 My Commission Expires Apr 10,2023 Sworn to and subscribed before me • x Personally known This 30 day of March,2023 I w e Dww.docY ID. nfy com CA20-34FA-4984-8B0A-3492C2A3B7C7 ,III I e1I II I Page 4 of 5 43492C2A3B7C7 of Miami Beach DocuSign Envelope ID:7EE6D4B2-3AFF-4580-BBEA-23AE9CB9B788 p Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 CC�VE� T' MAR 312023 Expenditure report for period of:1/1/2022 through 12/31/2022 OFF M/qM/ E A statement shall be filed even if there have been no expenditures or compensation during the reporting period. Cl7y CAE H RK 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 atcityclerk@miamibeachfl.gov. Lobbyist David Martin Principal Terra Group(David Martin) Issue Development Approvals&Permitting Issues;1901 Convention Center Drive PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $0 CATEGORIES OF EXPENDITURES Food and Beverage: $0 Entertainment: $0 Research: $0 Communications: $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 0 State of Florida County of Miami-Dade p, I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein gned an�y:any attachment N ocu hereto are true and correct. 1') •:\•-• 49C9:re:;D715444... Lobbyist Signature sl SIGNATURE AND STAMP OF NOTARY: _ProducedlD �s� d� sdu Form of Identification Signature of Public Notary—State of Florida I Diana Ramos 1 Sworn to and subscribed before me 1 Commission#GG 308355 1 This 30 day of March,2023 x Personally known 1 Notary Public-State of Florida My Commission Expires Apr 10,2023 I DocVerify ID:3C19CA20-34FA-4984-8B0A-3492C2A3B7C7 ,III ig,I III . ri fy.com Page 5 of 5 www docve 53492C2A3B7C7