Martin Van Daalen 2022 Lobbyist Fee Expenditure and Compensation Form City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form C01/
City Code Section 2-485
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Opp OE41 Z�2Z
Expenditure report for period of:1/1/2021 through 12/31/2021 Op TyAMI e
A statement shall be filed even if there have been no expenditures or compensation during the reporting period. .0/n,C Cy
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This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerks 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 atcitvclerkPmiamibeachfl.gov.
Lobbyist Martin Van Daalen
Principal Van Daalen Tennis,LLC(Martin Van Daalen)
Issue VCA Grant-Special Tennis Event
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: 0 N 01c-L4'l.G C E.LE if 17
CATEGORIES OF EXPENDITURES
Food and Beverage: /
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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-heffin and any a tachment
hereto are true and correct.
o Ist Signature
SIGNATURE AND STAMP OF NOTARY:
V Produced ID �L b L
Form of Identification Si ure of Public Notary—State of Florida
wor o and sypribed before me
Personally known This"l day o ,2022
,s!. JASON SALVATORE
• •A ;; MY COMMISSION#I HH 000062
•o EXPIRES:September 14,2024
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Bonded'Mu Notary Public L1fldefMRlle(S