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Alferdo J. Gonzalez Lobbyist Fee Expenditure Form- Laurie F. Golub Shore Club Property Owner LLC City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form RECEIVED City Code Section 2-485 FEB 11 2022 Expenditure report for period of:1/1/2021 through 12/31/2021 CITYOMIAMI BEACH OF FICE A statement shall be filed even if there have been no expenditures or compensation during the reporting period. 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 Laurie F.Golub Shore Club Property Owner LLC ISSue Redevelopment and licensing as applicable of the Shore Club 1901 Collins Avenue. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 1-1O07 14 CATEGORIES OF EXPENDITURES Food and Beverage: ' Entertainment: , Research: Communications: %� Media Advertising: 0 Publications: Travel: Lodging: S ecial Events: CHECK BOX IF YOU NO LONGER REPRESE THE P NCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: i 2 5 7/ OATH State of Florida County of Miami-Dade • I,the undersigned lobbyist,do hereby depose under oath and affirm that the infor.-ation disclo:f. / and any attachment hereto are true and correct. . "or' Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: _ _ 1 :.o 0 roeG, JANET R051LL0 ' /p _Produced ID I =' ^' Notary Form of Idenhficalion i � a�; Public••State of Florida Signature of Pub 1 o a ,—State of Florida cei Commission H,rill 140357 My Comm,Expires Jun 10,2025 Sworn to and sup�c ibed before me _Personally known This1Qday of Ci bo . •