Matthew Lewis 2022 Lobbyist Fee Expenditure Form DocuSign Envelope ID:5CA74454-7902-4E07-A903-8E5EB7757432
‘..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 CITY OF MIAMI
A statement shall be filed even if there have been no expenditures or compensation during the repo g(jer pdFFHE CI BEACH
CI CLERK
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 Matthew Lewis
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: $250 Per Hour
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
0
❑ CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH
N State of Florida,
• County of Miami-Dade
I,the undersigned lobbyist do hereby depose under oath and affirm that the information disclostedbaggbmAnd any attachment
hereto are true and correct. . ,'I
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Lobbyist Signature
5• SIGNATURE AND STAMP OF NOTARY:
'<, 1 Diana Ramos
w Commission#GG 308355
LL Produced ID
— 4 Notary Public-State of Florida
Form of Identification 4 My Commission Expires Apr 10,2023 ► Signature of Public Notary—State of Florida
X Personally known / Sworn to and subscribed before me
,@.ry,a,.""°'""'°":,PSI "a" T'" This day of .20
02/04/2022
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