Adrian Dabkowski 2022 Lobbyist Fee Expenditure Forms .
City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form
City code Section 2-4as Aar
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Expenditure report for period of:1/1/10Z,through 17/41/2021 (—FEB 2 8 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 Clerics Office,170C/gg f'(gSMI CBIVr�E.Zak i"i
Miami Beach,FL 33139 by February 28th.A.R..of$50.00 per day,per issue,shall be assessed for statements l e e-F[le uifr-&-Y CLERK
date.If you require any assistance,please contact this office at 30S.S73.7411 or at cityclerlcrdmiamibeachfL¢ov_
Lobbyist Adrian oabkowski
Principal North Bay Owner,LLC
ISSUO Development of property located at 2318-234.0 Collins Avenue
�q` r�PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: �` ` �S .. � ciLr, vlo J.e.--
CATEGORIES OF EXPENDITURES
Food and Beverage: n
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
'Travel:
Lodging:
Sp. - 1 Events:
CNECK BOX IF VOL!NO LONGER REQRESEN`'T��E PR1311PAL;OG THE ABOVE ISSUE
DATE REPRESENTATION ENDED:--J r.4 !!�
OATM
State of Florida
County of Miami-Made
1,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
hereto are true and correct.
J Lobbyistgnature
BIGNATURE AND STAMP OF NOTARY:
Produced IC/ .. A /,
Ni
-4Petgonally know
ram or ra.nmrrauon Signa Ore of Pub" otary—State of Florida
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MY COMMISSI G 203.93
_`ems--. �= EXPIRES:April 4,2022
o'dsCo' Bonded Thm Notary Public Und¢rvnil¢ra
City Of Miami Beach 3 ( ( d W
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 RECEIVED
FEB 2 8 2022
Expenditure report for period of:1/1/2021 through 12/31/2021
A statement shall be filed even if there have been no expenditures or compensation during the reporting peeidry
OF MIAMI BEACH
OFFICE nF 71 TY CLERK
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerks Office,1700 Convention L.e ter I
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 Adrian Dabkowski
Principal Sunset Land Associates,LLC/SH Owner,LLC
Issue Development approvals&permitting issues;1752 Bay Rd,1738 Bay Rd,1759 Purdy Ave,1747 Purdy Ave,1743
Purdy Ave,1733 Purdy Ave,1724 Bay Rd,1730 Bay Rd
.} PLEASE COMPLETE THE SECTION� y BELOW
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Detail Compensation Received: 2 2.0 r NJre"
�} r� CATEGORIES OF EXPENDITURES
Food and Beverage: 1 ' `I•
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
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 a attachment
hereto are true and correct.
L% (2__________
Lobbyist Signature
SIGNATURE AND STAMP OF NOTARY:
_Produced ID IFonn of Identification gnature of Public Notary-State of Florida
Swor nd s cOel d rie
Personally known This day oM. 1 0
City Of Miami Beach U-1-4 00/0I t,OD 3
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
Expenditure report for period of:1/1/2021 through 12/31/2021
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 atcityclerk@miamibeachfl.gov.
Lobbyist Adrian Dabkowski
Principal M-4000 Alton Owner,LLC(Camilo Miguel)
Issue Development approvals&planning issues;4000 Alton Road
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: 4 Z 3S ,44 Ari N i vrt.
1(� CATEGORIES OF EXPENDITURES
Food and Beverage: 1 / .
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
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.
�G�
Lobbyist nature ..._
SIGNATURE AND STAMP OF NOTARY:
roduced ID
Form of Identification gnature of Public otary-Mate of Florida
4isti:k. SHANDA SUTTON LAYNE
p savor nd s abed q ojelne
Nr. MY COMMISSION# L 203858 o di
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Personal) known ', % $7/ EXPIRES:April 4,2022 This day o .,. ,i7t
-4:-. '• 8906_1 Thru Nalnry Pole icgm tere
City Of Miami Beach 1n 44 OA�• o/
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
Expenditure report for period of:1/1/2021 through 12/31/2021
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 atcitvclerk@miamibeachfl.xov.
Lobbyist Adrian Dabkowski
Principal MCZ/Centrum Flamingo II,LLC&MCZ/Centrum Flamingo III,LLC
Issue Development approvals and permitting issues for property located at 1420&1508 Bay Road
t. PLEI�SE COMPLETE THE SECTION BELOW
Detail Compensation Received: '1i Z 35%" of) r u
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
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 disclo rein d any tachm
hereto are true and correct. y
Lobbyist Signature
SIGNATURE AND STAMP OF NOTARY: LIIIA
_Produced ID
Form of Identification -gnature of Public Notary—State of Florida
t / wor d s i ed re` me
✓Personally known This_day o 0
01; SHANDASUTTON LAYNE
. ,I" :,, MY COMMISSION#GG 203858
' =i,•�``-o= EXPIRES:April 4,2022
t_
P:
'%F ov e�°,.� Bonded The Notary Public Undenvrilers
City Of Miami Beach , 01 3q?q o,lU O/O�
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
Expenditure report for period of:1/1/2021 through 12/31/2021
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 atcityclerkPmiamibeachfl,gov.
Lobbyist Adrian Dabkowski
Principal ocean terrace holdings,Ilc.
Issue 6080 Collins Avenue,Miami Beach,FL
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received:
CATEGORIES OF EXPENDITURES
Food and Beverage: 11
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
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 disclos erein and any attachment
hereto are true and correct.
G1 L
Lobbyist Signature
SIGNATURE AND STAMP OF NOTARY:
Produced ID
Form of Identification _ Signa re of Publ'- otary-State of Florida
< Ye •. SHANDASUTTON LAYNE Swo nd sdo{e me
Personally known : s
r. 'n: MY COMMISSION#GG 203858 Thi day o
; >, :,_
EXPIRES:April 4,2022
.FOF F°c Bonded Thru Notary Public Underwriters