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Jeffrey Levine 2022 Lobbyist Fee Expenditure Form City of Miami Beach RECEIVED Lobbyist Fee Expenditure and Compensation Statemen City Code Section 2-485 APR 26 2022 CITY OF MI' BEACH HE C1T CLERK Expenditure report for the period of: 1l1l2021 through 12/31/2021 OFFICE OF 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 at cityclerk@miamibeachfl.gov. Lobbyist Jeffrey Levine Principal Temple Menorah, Inc. Issue Opposition to historical designation of certain properties under the North Shore Historic District. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: N/A CATEGORIES OF EXPENDITURES Food and Beverage: $0 Entertainment: $0 Research: $0 Communication: $0 Media Advertising: $0 Publications: $0 Travel: $0 Lodging: $0 Special Events: $0 X CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: 12/31/2021 OATH State of Florida, County of Miami-Dade I,the undersigned lobbyist do hereby depose under oath and affirm that the information •isclos,.% he •. any attachment hereto are true and correct. ��: r r'illirbbyist Signature SIGNATURE AND STAMP OF NOTARY: PATRICKAO000 / Produced ID NOTARY PUBLIC$TAfEONIVEWYORK . �- - �• ' / /IA .' OUEENSCO NfTY Form of identification L(C Signature of Public Notary—State of Florida Personally known COMM.BP Sworn and subsJf ibed before e This,, 4" day of II, m 20,