John K. Shubin 2022 Fee Expenditure and Compensation Form •
City of Miami Beach
Lobbyist Fee Expenditure and Compensation Statement
City Code Section:2-485 RECEIVED
FEB 25 2022
01/01/21 . 12/31/2021
Expenditure report for the period of: .. through
CITY F ' r l BEACH
A statement:shall be filed even if there have been no expenditures or compensation during the rq�r
TY 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 cityclerk@miamibeachfl:gov.
Lobbyist. ' John K Shubin
Principal 93 Palm Residence,LLC.(Toni Alam)
Issue: Permit Applications for 93 Palm Ave.
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received:
Hourly Rate
CATEGORIES OF EXPENDITURES
Food and Beverage:
NA
Entertainment:
NA
Research:
NA
Communication:
NA . . .
Media Advertising:
NA
Publications:
NA
Travel:
NA --
In
NA
Lodging:
g: .
Special Events:
NA
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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 disclosed herein and any attachment
hereto are true and correct.
Lo ist Signature
SIGNATURE AND STAMP OF NOTARY:
Produced ID .',---.,e`G•• JASON GREGORY HEDGES
_�% �' r`: Notary Public-State of Florida
Form of Identification Commission#GG 250894 p Signature lc Notary—State of Florida
Personally:known My Comm.Expires Aug 20,2022 I Sworn to and subscribed before me
This ,1 day of 2- ,20(1/1/
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev,01/04/16