Michael I. Abrams -Annual Lobbyist Registration Form MAMt B
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
City Clerk's Office
Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: GENARO "CHIP" IGLESIAS
Business Name: BALLARD PARTNERS
Address: 403 EAST PARK AVENUE, TALLAHASSEE, FL 32301
Office Telephone Number: 850-577-0444
Cellular Telephone Number:
Email Address: chip @ballardf1.com --a +
If more than one lobbyist,please list:
1) Michael I. Abrams (email: mike@ballardfl.com)
2) Sylvester Lukis (email: syl @ballardfl.com) co - ,
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Submit this form to the Office of the City Clerk, along with a check for $500 for each
lobbyist. Please make the check(s) payable to the City of Miami Beach.
For City Clerk's Office Use Only
MCR#: bO Lc/ L�
Amount paid: (( 500 .0 0 Date paid: 0.2)/1 V)5
Processed by: TC A-fEck Ca PI r-■ Date: 01111,//5-
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