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Tadao Shimizu 2022 Lobbyist Fee Expenditure and Compensation Form City Of Miami Beach (Q Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 RE.GEf lics n' FEE 2 8 24�2 Expenditure report for period of:1/1/2021 through 12/31/2021 C,;r, Op A statement shall be filed even if there have been no expenditures or compensation during the reporting$Oto H'IAN BFE. ,gG,H This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention CenterLDriJ�, 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 atcitvclerk@miamibeachfl.gov. Lobbyist Tadao Shimizu Principal 4540 NBR LLC(Barry Bloom) Issue Development approvals and Planning issues;4540 North Bay Rd PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 14erc /c t L I.Air t,:;' CATEGORIES OF EXPENDITURES Food and Beverage: 1...)//\--- Entertainment: tJ/A Research: WA Communications: }.'A Media Advertising: {./A Publications: Old Travel: IJ/A Lodging: FJ/a Special Events: 1`VA CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami•Dade - 9_Csj\yt}QJ I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment hereto are true and correct. v 1 ik Lobb-yist Signatur SIGNATURE AND STAMP OF NOTARY: VICKI itE s `� Produced ID ,z :... MYCOMMISSI g 1�2 I��� :. 1" EXPIRES:Oct ",,iin 1�,�` 0 1,� Form of Identification "•'.;for is°�'. Bonded Thru Notary Public ' ',14Iriai of Publ c Notary—Sta of Florida 'Sworn to and subscribed before me Personally known This245 day of L,20 2-2- 0 M I AM I BEACH Office of the City Clerk . 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeochfl.gov (305) 673-741 1 January 27, 2022 Tadao Shimizu 2432 Hollywood Blvd Hollywood, FL 33020 SUBJECT: Lobbyist Fee Expenditure and Compensation Statement Dear Tadao Shimizu: Pursuant to City Code Section 2-485, entitled "List of expenditures; fee disclosure; reporting requirements," all lobbyists subject to lobbyists registration requirements shall submit to the City Clerk by February 28th of each year, a signed Lobbyist Fee Expenditure and Compensation Statement, under oath, listing all lobbying expenditures and compensation received for each issue engaged for the period of 01/01/2021 through 12/31/2021. The information shall be provided on the Statement(s) attached. A Statement shall be filed even if there have been no expenditures or compensation during the reporting period. If you are an inactive lobbyist and still have open issues, please complete the Lobbyist Fee Expenditure and Compensation Statement and withdraw the issue. Please note that if you are inactive you are not permitted to do any type of lobbying activity. Pursuant to Section 2-485 (d), in addition to any other penalties that may be imposed as provided in Section 2- 485.1, a fine of$50.00 a day shall be assessed for all Statement(s) filed after February 28, 2022. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal)to file the Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30, 2022, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed to the Miami-Dade County Commission on Ethics and Public Trust. If you are no longer engaged on an issue, please complete the enclosed Statement(s) and check the box advising you no longer represent the principal. If you need additional information regarding this matter, please do not hesitate to contact this office. Sincerely yours, Rafael E. Granado City Clerk REP: JS Attachment: Lobbyist Fee Expenditure and Compensation Statement(s)