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Richard Sammons 2022 Lobbyist Fee Expenditure & Compensation Form City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 X REc'E1VED FEB 2 8 2022 Expenditure report for period of:1/1/2021 through 12/31/2021 CITY OF MIAMI B H A statement shall be filed even if there have been no expenditures or compensation during the reporting pegb�dE 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 atcitvclerk@miamibeachfl.gov. Lobbyist Richard Sammons Principal Lucia Penrod Issue Development approvals&planning issues;317 N.Coconut Lane PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: s. 0 T 2�12.0 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Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida ' County of Miami-Dade I,the undersigned lobbyist,do hereby depose under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 o--: • .nd any attachment hereto are true and correct. gibrommirasioraimmiahaubwohaimabo 1 ;ggi i�'t\ GEORGETTE QUICK I - vdl a Si Notary Public•State of Florida 411111111. ,� ' " Commission#NH 068694 I TL• Signature SIGN E AND STAMP OF NOTARY: '''Et' •"' My Comm.Expires Dec 3,2024 ( ameirmorerigerommumwerieworwwwria 41-2_ ll _ _Produced ID"�Ots 0 C44 r Form of Identification Signature of Public Notary-State of Florida Swor td and suJa�c{ibed before me _Personally known This91dayof '-�,j(120