Sheila Small 2022 Lobbyist Fee Expenditure and Compensation Form RECEIVED
City of Miami Beach
Lobbyist Fee Expenditure and Compensation Statement APR 29 2022
City Code Section 2-485
CITY OF MIAIVII gEACH
OFFICE OF THE CITY CLERK
Expenditure report for the 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.
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 cityclerkPmiamibeach.gov.
Lobbyist Sheila Small
Principal Live Nation Worldwide, Inc.
Issue Filmore Theater Operating Agreement
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received:
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-
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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 disclosed herein and any attachment
hereto are true and correct. mS"I\IVQ40
Lobbyist Signature
SIGNATURE AND STAMP OF-NOTARY: ( . ,, ZZ
Produced ID
Form of Identification Signature of Public Notary—State of Florida
_Personally known Sworn to and subscribed before me
This day of ,20
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CALIFORNIA JURAT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed
the document,to which this certificate is attached, and not the truthfulness, accuracy, or validity of that
document.
STATE OF CALIFORNIA }
COUNTY OF A N,,-. E L r }
Subscribed and sworn to (or affirmed) before me on this ` day of t / L , a 0 a oZ
Date Month Year
by ,C E l I- _ /1 4 L
Name of Signers
proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
/�/J 1\ Notary Public California
Signature: t( / i kty• Los Angeles County
s Cornmisslon p 2394401
Signatu�e of No ary Public - My Comm-Expire%Mar 4,2026
Seal
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent
attachment of this form to an unintended document.
Description of Attached Document _
Title or Type of Document: G A, /' 1 S 1 X r E ti,() / r �( � l ( (/ tirzA/J4,77 /1,
Document Date: II s /4 rz/i/EtiT
Number of Pages: ( t cL - / --
Signer(s)Other Than Named Above: