Sylverster Lukis - Annual Lobbyist Registration Form ArLj
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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@ballardfl.com -- -
If more than one lobbyist, please list
1) Michael I. Abrams (email: mike @ballardfl.com)
2) Sylvester Lukis (email: syl @ballardfl.corn) w'
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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 #: 10'U/
Amount paid: (r 500 .00 Date paid: 02)/ ).5/)
Processed by: cpq -ick Cet t^A i"'‘• Date: 07/0/15-j�//
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