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Jose A. Villalobos - Annual Lobbyist Registration Form I s V City of Miami Beach 2E5 �i�� y 2 f ti 12: 1700 Convention Center Drive Ob Miami Beach, Florida 33139 CITY www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: JOSE A. VILLALOBOS Business Name: AKERMAN LLP Address: ONE SE THIRD AVENUE, 25TH FLOOR, MIAMI, FLORIDA 33131 Office Telephone Number: 305-982-5625 Cellular Telephone Number: 305-215-1680 Email Address: JOSE.VILLALOBOS @AKERMAN.COM If more than one lobbyist, please list: 1) 2) 3) 4) 5) 6) 7) 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 #: 16t r va Amount paid: 7C/i Date paid: 6/ (�� Processed by: ■ Date: 6/i 2 J c F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx