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Yusef Dennis 2022 Lobbyist Fee Expenditure and Compensation Form City Of Miami Beach X�ECEIVEC) Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 FEB 2 8 2022 CITY OF MIAMI BEACH Expenditure report for period of:1/1/2021 through 12/31/2021 OFPCF OF THE CITY CLERK 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 atcitvclerk@miamibeachfl.gov. Lobbyist Yusef Dennis . Principal 5333 Collins Acquisitions, LP(Jordan Kornberg) Issue Land use and zoning approvals for 5333 Collins Ave PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 3 0 0 /kr CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: IICHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: J c,vn I l 3-07-7-• OATH/. State of Hackie ,Ja id y.k County of Miami-Bede 46 I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment hereto are true and correct. 1/1/1 Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: t/Produced ID N ���c�K IVPR i ictdf�Form of Identification Signblic Notary—State of Florida Swj)ta_4/;0441 ubscribed before me _ fevtyPersonally known This:Ls day of d ,20:41— 41/ WILLIAM J.PLUCINSKI NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 PL4617853 Qualified in New York County Commission Expires March 30,2023