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Ian Bacheikov 2022 Lobbyist Fee Expenditure Form City Of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 FEB 15 2022 CITY OF MIAMI BEACH Expenditure report for period of:1/1/2021 through 12/31/2021 OFFICE OE 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. Lobbyist Ian Bacheikov Principal PT OPCO, LLC d/b/a Pink Taco(Edward"Ned"Algeo) Issue Application of CUP at 1200 Ocean Drive to add outdoor/open-air entertainment to existing restaurant/bar/entertainment establishment. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $610 p/h CATEGORIES OF EXPENDITURES Food and Beverage: n/a Entertainment: n/a Research: n/a Communications: n/a Media Advertising: n/a Publications: n/a Travel: n/a Lodging: n/a Special Events: n/a CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 SIGNATURE AND STAMP OF NOTARY: 1 Produced ID Pom,of Identification Signature of F ublic Notary—State of Florida Sworn to and subscribed before me X Personally known This 14 day of Fe4 20 22 . . Corrjr s&lon 100 3464Q2 E totes Oti3Di'22,2223 City Of Miami Beach RE Lobbyist Fee Expenditure and Compensation Form CEIVED City Code Section 2-485 FEB 15 2022 Expenditure report for period of:1/1/2021 through 12/31/2021 FFIC OI— WFWI BEACH A statement shall be filed even if there have been no expenditures or compensation during the reporting period. HE 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 atcitvcierk@miamibeacnfl.gov. Lobbyist Ian Bacheikov Principal MME Florida,LLC(Daniel Edwards) Issue Medical Cannabis/Marijuana Treatment Centers and Pharmacy Store Amended Land Use Regulations PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $610.00 p/h CATEGORIES OF EXPENDITURES Food and Beverage: n/a Entertainment: n/a Research: n/a Communications: n/a Media Advertising: n/a Publications: n/a Travel: n/a Lodging: n/a Special Events: n/a 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 SIGNATURE AND STAMP OF NOTARY: ofa• MASA G,ONLu.EZ Produced ID "" — c,R,r,aror r GO s�e�n Form of Identification , NAM 22.. 2127 � �gnature of Public Notary-State of Florida Nrn AI,Law'rut hrons Sworn to and subscribed before me x Personally known This 14 day of Fea.zo 22