Lobbyist Expenditure Report — Florida Crystals, Oct 2010–Sep 2011 Reporting Period (2011)

PALM BEACH COUNTY LOBBYIST EXPENDITURE REPORT OCTOBER 1, 2010 - SEPTEMBER 30, 2011 RECEIVED SEP 30 2011 Palm Beach County Code Article VIII Section 2.353 (d) Please Type or Print in Ink (Please type or print clearly.) Clifford Hertz, 1 N. Clematis St., Ste. 500, West Palm Beach, FL 33401 Lobbyist Name & Address Florida Crystals (Martell, Daniel) 1 N. Clematis St., Ste. 200, West Palm Beach, FL 33401 Principal Name & Address (Please use separate form for each principal.) Please check here if no expenditures have been made during this reporting period. CATEGORIES OF EXPENDITURE Food & Beverage $655.56 Entertainment Research Communications Media/Advertising Publications Travel $162.11 Lodging Special Events Other OATH I do solemnly swear that all the facts contained on this Lobbyist Expenditure Report form are true and correct and that I have read and am familiar with the provisions contained in Section 2.353 (d) of the code of Palm Beach County. Signature of Lobbyist Date Return original completed form to: Todd Bonlarron, Legislative Affairs Director, 301 N. Olive Avenue, Suite 1101, West Palm Beach, FL 33401 (561) 355-3451