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Mitch Cohen 2022 Lobbyist Fee Expenditure Form CocoSign Envelope IC:4968A443-CC61-4968-881B-2613263F6986` iy uf Miami Beach Lobbyist Fee Expenditure and Compensation Statement RECEIVE City Code Section 2-485 APR 22 2022 Expenditure report for the period of_ `Ian-2021 through Cac_2021 CITY OF MIAMI BEACH A statement shall be filed even If there have been no expenditures or compensation during the repGIVi�gFpef�lofckiE 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 331.39 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_ Lobbyist Mitch Cohen Principal Ben Leahy ISSUie Development Approvals 8.Permitting Issues for Shalboma Hotel Partners WC LP, 1801 Collins Avenue PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received. SO-00 CATEGORIES OF EXPENDITURES Food and Beverage: $0 Entertainment: $0 Research: $0 Communication: $0 Media Advertising: $0 Publications: $0 $0 Travel: Lodging: $O Special Events: $0 CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE a GATE REPRESENTATION EN OEO. OATH gi• State of Florida, LLCounty of Miami-Dade ▪ 1,the undersigned lobbyist do hereby depose under oath and affirm that the information disc19se4daiitrdALiz,arid any attachment hereto are true and correct. oiana Ramos (P Lobbyist Signature a SIGNATURE AND STAMP OF NOTARY: commission u cc 308355 P --/I/) Notary Public-State of Florida PE \J�� f l Icy Commission Expires Apr 10,2023 • _Produced ID Form of identification Signature of Public Notary—State of Florida • X Personally known Sworn to and subscribed before me This zs day of April 20 2z ILILnand pz 8-8769FA612971F Pages l 01l 1H769FA61297•F ■M Ag lM.1 III ,