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Alferdo J. Gonzalez Lobbyist Fee Expenditure Form- Park Hotel LLC (Marcelo Tenenbaum) 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 CITYFOF MIAMI BEACH 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 at citvclerk@miamibeachfl.gov. Lobbyist ALFREDO GONZALEZ • Principal Park Hotel LLC(Marcelo Tenenbaum) Issue Approvals for hotel at 355 19th Street; HPB 18-0252 PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 'ROM CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: I V Media Advertising: Publications: Travel: Lodging: Special Events: • _ CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 di ose he and any atta hment hereto are true and correct. • L byist Si a SIGNATURE AND STAMP OF NOTARY: tisY°..e JANET ROSILLO Produced ID 'o o. 1 1 Notary Public-State of FioriCa 0 Form of Identification ; �Q• Commission q HH 140357 I Signature of Pub• o e of Florida °Ff`•' My Comm.Expires Jun 10.2025 ) Sworn to and subscribed before me Personally known This IP day of 20