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Alferdo J. Gonzalez Lobbyist Fee Expenditure Form- Jefferon Ave. Holdings, LLC City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form RECEIVED 112022 City Code Section 2-485 FEB Expenditure report for period of:1/1/2021 through 12/31/2021 CITY O mIAMI BEACH A statement shall be filed even if there have been no expenditures or compensation during the reporting pug§FILE 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.sov. Lobbyist ALFREDO GONZALEZ Principal Jefferson Ave.Holdings,LLC Issue 635-635 Jefferson AVe. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: çl (` CATEGORIES OF EXPENDITURES Food and Beverage: • Entertainment: Research: Communications: O Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 disci d h ein d any attachment hereto are true and correct. Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: _Produced ID ( ;=o�;sYO11a(^.� JANET ROSILLO Form of Identification , ,A�. : Notary Public-State of Florida Signature of lic — tate of Florida I v) ': Commission;NH 140357 ^'''''' My Comm.Expires Jun 10,2025 9 Sworn to and sine bed before me _Personally known : This lOday of [, to Z,�i