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Guy Champin 2022 Lobbyist Fee Expenditure Form City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 RECEIVED FEB 2 3 2022 Expenditure report for period of:1/1/2021 through 12/31/2021 Cry p,j�/j A statement shall be filed even if there have been no expenditures or compensation during the repuJ ip�RefI 41IAMI BEACH r-IF CITY CLERK This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerks 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.xov. Lobbyist Guy Champin Principal 228 Dilido Drive VG LLC(Zachary Vella) Issue Development approvals&planning issues;228 W Dilido Dr PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 0 CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: CI Research: b Communications:0 Media Advertising: 0 Publications: a Travel: 0 Lodging: 0 Special Events: 0 CHECK BOX IF YOU NO LONGER REPRESENT TIE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: Z./14 /10 LL OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclose r n and any attachment hereto are true and correct. Lobbyist Sign e SIGNATURE AND STAMP OF NOTARY: ' • _Produced ID ,,,r,y,i,,,,, FERNANDO PORPHIRIO � Form of Identification ,; Notary Public-State of Florida nature of Pub o y-State of Florida °1_-**1 Commission# GG 359233 Sworn to and subscribed before me = i' , My Commission Expires ka Personally known Y%i,nua N",,c August 2, 2023 This/ day off,20 j�• 4 V