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Hugh Johnson 2022 Lobbyist Fee Expenditure Form City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 RECEIVED FEB 14 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 period. CITY OF MIAMI BEACH S�F InE.1 T�FCITY CLERK This statement is to be signed,notarized and returned to the City of Miami Beach,City ClerKs Office, 1700 Con l enter rive, 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 Hugh Johnson Principal 5333 Collins Acquisitions, LP(Jordan Kornberg) Issue Land use and zoning approvals for 5333 Collins Ave PLEASE COMPLETE THE SECTION BELOW - y Detail Compensation Received: ,#419Ct7� �hPf / L061Su 614 l/1 VO '-"- I(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Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 disclose. • -rei and any attachment hereto are true and correct. by ignature SIGNATURE AND STAMP OF NOTARY. ie Notary Public State of Florida Camille Cheever • _Produced ID _ MCiremm6292nG 347662 60-A7\ a I'. Form of Identification • Signature of Public Notary—State of Florida Sworn to and subscribed before me Personally known This 1 day of.. /))