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Liana Kozlowski 2022 Lobbyist Fee Expenditure Form City Of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Form 1,/ City Code Section 2-485 APRTHE 2 8 2022 CITY OF MIAMI BEACH OFFICE OF CITY Expenditure report for period of:1/1/2021 through 12/31/2021 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 atcitycierk(a miamibeachfl.gov. Lobbyist Liana Kozlowski Principal Venice Holdings ILC/Ramex Management LLC(Simon Wachsberg) Issue Approvals and resolution of conflict in sidewalk construction resulting in unacceptable condition of sidewalk in front of single family residences. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: NONE CATEGORIES OF EXPENDITURES Food and Beverage:NONE Entertainment: NONE Research:NONE Communications:NONE Media Advertising:NONE Publications: NONE Travel: NONE Lodging:NONE Special Events:NONE CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE X DATE REPRESENTATION ENDED:4/1512021 OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed erein and an attachment hereto are true and correct. • Lo ist ure SIGNATURE AND STAMP OF NOTARY: �._ ,1 , t Produced ID ELOiSA ErriER 80RR01 O t 0PEZ '/ -C• Form of identAjcation a�; •�c "`�- A g Commission#GG 227874 Signature of Public Notary-State of Florida • i, 6. Expires July 23,2022 Sworn to nd sub cribed/be�refe Personally known ��EorF>•oP Bonded IlvuBuiptNary Mre6 Thi,-,./%fdayof, / fib!