Angel Pallin 2022 Fee Expenditure and Compensation Form •
City of Miami Beach
Lobbyist Fee Expenditure and Compensation Statement RE.0 . .D
City Code Section 2-485
MAR —3 2022
Crry
Expenditure report for the period of: 01/01/2021 through 12/31/2021 OFF E O��/'4 BFgC
ti
A statement shall be filed even if there have been no expenditures or compensation during the reporting per o.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 Angel Pallin
Principal Mount Sinai Medical Center
Issue Seawall and Flood Mitigation
PLEASE COMPLETE THE SECTION BELOW
•
Detail Compensation Received: 0
CATEGORIES OF EXPENDITURES
Food and Beverage: 0
Entertainment: 0
Research: 0
Communication: 0
Media Advertising: 0
Publications: 0
Travel: 0
Lodging: 0
Special Events: 0
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
V DATE REPRESENTATION ENDED: 12/30/21
OATH
State of Florida,
County of Miami-Dade
I,the undersigned lobbyist do hereby depose under oath and affirm that the information disclos he in an n tt ment
hereto are true and correct.
b ist ignatur
SIGNATURE AND STAMP OF NOTARY: iN1YP.'••VI
PAULINE LOPEZ
• Notary Public-State of Florida
Commission#HH 132456
Produced IDogF!° My Comm.Expires May 30,2025
Bonded through National Not Assn.
Form of IdentificationSignature of Public Notary—State o lorida
Personally known Sworn to and subscribed before me
This -3 day of Q 202.)
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