Genaro "Chip" Iglesias - Annual Lobbyist Registration Form I\ ii\ AAA1 E::
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,corn - r,)
If more than one lobbyist, please list:
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1) Michael I. Abrams (email : mike @ballardfl.com) - 5_
2) Sylvester Lukis (email: syl @ballardfl.cor) r
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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 #: ioL7
Amount paid: L( 5o o ,0 0 Date paid: 0-2)/ �1)5
Processed by: TCA-fiCk, i'►r' Date: o�1I1
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F:\CLER\SALL1aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx
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