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Daniel Smith 2022 Fee Expenditure and Compensation Form City Of Miami Beach x Lobbyist Fee Expenditure and Compensation Form ��VE® City Code Section 2-485 FEB 23 2022 ary op:plcOF MiAMI Expenditure report for period of:1/1/2021 through 12/31/2021 OFz 77i-fe Eig(; A statement shall be filed even if there have been no expenditures or compensation during the reporting period: N4Rng 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 Daniel Smith Principal Bryan Goldberg Issue Impacts of Indian Creek Improvement Plan on residence at 2575 Flamingo Drive as well as other projects and issues that may impact the residence PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 4 S1 6 U S,u U CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: /71 Publications: Travel: Lodging: / Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 disclosed herein and any attachment hereto are true and correct. Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: Produced ID FL bl ITV r Lke e Form of Identification Signature of u lic Notary—State of Florida Sworn t an b ribed before me _Personally known This L1 b ay of Fd',20 L — jpRYq GARY L.FOGAL pr " s��S;NOTARY PUBLIC �''"r 'STATE OF FLORIDA ,yy c Comm#GG218519 �ri.r.ar= •S/NCE 1910 Expires 6/3/2022