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Amandus Derr 2022 Fee Expenditure and Compensation Form DocuSign Envelope ID:EAA9D9EC-7064-4902-B6BA-F3FFC8554AA4 a-my of Miami Beach Lobbyist Fee Expenditure and Compensation Statement City Code Section 2-485 (•/ RAC .iVE January 1,2021 December 31, 2021 F Q Expenditure report for the period of: through Ee 2 8 A statement shall be filed even if there have been no expenditures or compensation during the repoctiftg period: ?0?? This statement is to be signed, notarized and returned to the City of Miami Beach,City Clerk's Office, 1706 ainV, ►:°4y, r Drive, Miami Beach, FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statemengs' i'-�e6., the due date. If you require any assistance, please contact this office at 305.673.7411 or at cityclerk@miamibeachfl.gov. A._ Lobbyist Amandus J.M. Derr Principal Crown Castle and its Affiliates Issue Issues relating to the deployment and siting of communications infrastructure in the City's right-of-way. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: None CATEGORIES OF EXPENDITURES Food and Beverage: None Entertainment: None Research: None Communication: None Media Advertising: None Publications: None Travel: None None Lodging: Special Events: None ❑ CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Texas, County of Harris I,the undersigned lobbyist do hereby depose under oath and affirm that the information disclosed herein and any cDocuSIgned by: attachment hereto are true and correct.This was an online notarization. QmaS •-]u or.01111R641 Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: SANDRA E. ,-DocuSigned by: 2ofPa"...., RESENDEZ '�)yAd� _Produced ID : ��.1,1 Notary ID / ° Sandra E. Resendez s /\ j '5917QO7nnFnndFA 1_,,.r•.... 126188622 Form of Identification ;) • My Commission Expires Signature of Public Notary—State of Florida X Personally known 2/16/2024 Sworn to and subscribed before me This 28 day of 2 .20 22