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Kent Robbins 2022 Fee Expenditure and Compensation Form (Setai Hotel Acquisition, LLC) City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 Expenditure report for period of:1/1/2021 through 12/31/2021 A statement shall be filed even if there have been no expenditures or compensation during the reporting period. 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 atcityclerkPmiamibeachfl.gov. Lobbyist Kent Robbins' • Principal' Setai Hotel Acquisition,LLC(Salem Mounayyer) Issue CUP approvals for Jaya at the Setai and the ocean grill;2001 Collins Ave • PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $18,000.00 CATEGORIES OF EXPENDITURES Food and Beverage: $0 Entertainment: $0 Research: $0 Communications: $0 Media Advertising: $0 Publications: $0 Travel: $0 Lodging: $0 Special Events: $0 CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE • DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the informati dis sed here' d any a ac e t hereto are true and correct. Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: • W Pik, Notary Public State of Florida • Produced ID :� MyC mmssionNH119173 Form of Identification ' a Expires 06IP2024 ignature f Public Notary-State of Florida Sworn t and subscribed before me Personally known Thigh day of 20Z2i