Jason Long 2022 Fee Expenditure and Compensation Form City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 X RECEIVED
FEB 2 8 2022
Expenditure report for 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.CITY OF MIAMI BEACH
)FFICE OF THE CITY CLERK
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 atcityclerkEDmiamibeachfl.gov.
Lobbyist Jason Long
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: p s Z ( /tic
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CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
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DATE REPRESENTATION ENDED: i 4 Y\ I r 2 0'L1.
OATH
Diu-') v,
State of Flo F„ ,
County ofMias1 ade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclo d her ' any attachment
hereto are true and correct.
Lobbyist Signature
SIGNATURE AND 1d(�STAMP OF NOTARY:
Produced ID nth) VIDA LIctA/Sf
Form of Identification Signatu of Public Notary—State of Florida
Sworn to_ 'and subscribed before me
_Personally known This&s day of ,20
(fir.'. -/
C_:::/----' '
WILLIAM J. PLUCINSKI
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.01PL4617853
Qualified in New York County
• Commission Expires March 30,2023