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Alferdo J. Gonzalez Lobbyist Fee Expenditure Form- Blue Road LLC ( Marcelo Tenebaum)1 City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 RECEIVED • FEB 11 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 report)( r�cE MIAMI BEACH �r E 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 atcityclerk@miamibeachfl.gov. Lobbyist ALFREDO GONZALEZ Principal Blue Road LLC(Marcelo Tenebaum) I Issue Collins Park Text Amendment for Room size&parking requirements PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: AN. doi) CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: \16 Communications: Media Advertising: cf1)1 Publications: Travel: Lodging: 1 pecial Events: VCHECK BOX IF YOU NO LONGER REPRESEN THE P �ICIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: r OATH State of Florida / County of Miami-Dade / I,the undersigned lobbyist,do hereby depose under oath and affirm that the informs .= • =se. 'erein�,•/y :.•achment hereto are true and correct. i _y�o••Iv_.gnatu,11111111111111111110 SIGNATURE AND STAMP OF NOTARY: 1 «yv'v"is.,: JArIET ROSILLO I, _Produced ID _° `�°: Notary Public•State of Florida ' Form of Identification '•'a,. . Ae Commission#NH 140357 ,9 , My Comm.Expires Jun 10,2025 Signature of Pu: ' Nota tate of Florida Sworn to ands s ribed before me _Personally known This day ofL20 ZZ