Rai Fernandez 2022 Lobbyist Fee Expenditure Form DocuSign Envelope ID:23BE759C-B76D-4E46-AABE-C1566DDA3273 l
‘ILy of Miami Beach
Lobbyist Fee Expenditure and Compensation Statement
City Code Section 2-485 RECEIVED
FEB 2 8 2022
Expenditure report for the period of: Jan.2021 through Dec.2021 ��N OF IUIIAMI BEACH
A statement shall be filed even if there have been no expenditures or compensation duringithe�repolteAMg fib 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 at cityclerk@miamibeachfl.gov.
Lobbyist Rai Fernandez
Principal Ben Leahy
Issue Development Approvals&Permitting Issues for Shelborne Hotel Partners WC LP, 1801 Collins Avenue
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $350 Per Hour
CATEGORIES OF EXPENDITURES
Food and Beverage: $0
Entertainment: $0
Research: $0
Communication: $0
Media Advertising: $0
Publications: $0
$0
Travel:
Lodging: $0
Special Events: $0
0
0
❑ CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
0
0
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
1.-DocuSigned by:
hereto are true and correct.
KaiiikbUA-66t V1A Abt _
`Diana Ramos ► ----1Dirfj41S-f'S"gi nature
SIGNATURE AND STAMP OF NOTARY: Commission#GG 308355 ►
Lu Notary Public-State of Florida
My Commission Expires Apr 10,2023
_Produced ID 4 ► �s�T...`n..,,,„
Form of Identification . op",,.,°"„', Signature of Public Notary—State of Florida
X Personally known Sworn to and subscribed before me
This day of ,20
02/04/2022
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