Ernesto Medina 2022 Lobbyist Fee Expenditure & Compensation Form City Of Miami Beach RECEIVE®
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 FEB 2 g 2022
CITY OF MIAMI BEACH
Expenditure report for period of:1/1/2021 through 12/31/2021 OFFICE 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 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 atcitvclerk@miamibeachfLgov.
Lobbyist Ernesto Medina
Principal IAA Design Associates PA(Ismael Allendes)
Issue HPB 20-0447;4101 Collins Ave
•
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received:
• CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications: r.
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CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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 A/d CH /9t ?.O a
('^ OATH
State of Florida
County of Miami-Dade .
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information di losed herein and any attachment
hereto are true and correct.
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Lobbyist Signature
SIGNATURE AND STAMP OF NOTARY:
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Produced ID
Form of Identification Signature of Public Notary—State of Florida
Sworn v and subscribed before me
Personally known This day of��h,zo
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='••�^�'�`. EXPIRES:June 10 2025 �9/%
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