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Robin Jacobs 2022 Lobyist Fee Expenditure Forms City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form RECEIVED City Code Section 2-485 FEB 11 2022 Expenditure report for period of:1/1/2021 through 12/31/2021 CITY OF MIAMI BEACH OFlIcE^F'''F 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 atcityclerkc miamibeachfl.gov. Lobbyist Robin Jacobs Principal Miami Beach Chamber of Commerce(Enid Rodriguez) Issue Request for Commission approval of Bvlgari Hotel height&setback relief PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 0 CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: i Communications: Media Advertising: / Publications: Travel: Lodging: Special Events: XCHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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. Lobbyi Signature SIGNATURE AND STAMP OF NOTARY: `/Produced ID FL. TL-- 1lI/Jltllil/�/j z' l�yylyy� Form of Identification Gloria Galeas NOTARY PUBLIC-STATE OF FLORIDA S' ign.11 e of Public Notary—State of Florida MY COMMISSION EXPIRES SEPT.1e,2023 Sworn to and subscribed before me Personally known COMMISSION NO.GG 913555 This day of 2 ,20�� I City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form RECEIVED City Code Section 2-485 FEB 11 2022 Expenditure report for period of:1/1/2021 through 12/31/2021 CITY oF I�AIA�►91 B CH CLERK A statement shall be filed even if there have been no expenditures or compensation during the reporting period. �F. � 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 atcityclerkna miamibeachfl.gov. Lobbyist Robin Jacobs Principal BHI Miami Limited,Corp.(Wayne Landing) Issue HPB Approval for Seagull Hotel at 100 21st St PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: - C, 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 i(. 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. ".-------- , (e- el------- L.a..yist Signature SIGNATURE AND STAMP OF NOTARY: Produced ID -1v •D l \-l✓.l,/✓,/,/`/l!^✓1lill,/✓J w... /!✓' Form of Identification S Gloria Galeas Signa ur of Public Notary—State of Florida NOTARY PUBUC-STATE OF FLORIDA Sworn o and subscribed before me _Personally known MY COMMISSION EXPIRES SEPT.18,2023 This 1 1 day of 2- 2027- COMMISSION NO.GG 913555 (,