George Macropulos - The Mimosa, LLC 1/ \/\/\I
City of Miami Beach � ; a. 1 2
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: Cho R-G& PA-C9-0YULL-03
Business Name: t405,Ar 'i O LDS C,t,Kyco As5c,c. /yvc.✓ 1 h& /"i' , L�C
Address: GS&S Avelokc, ice\ �A Cif �� 33 I Li '
Office Telephone Number: ®5 35 `614 ti
Cellular Telephone Number:
Email Address: yor3Q eli o v‘4.0,; , Cv�l
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 $500 for each
lobbyist. Please make the check(s) payable to the City of Miami Beach.
For City Clerk's Office Use Only
MCR#: /1 0$ GS°I
500.00 oa °2 - l6
Amount paid: Date paid:
Processed by:-,-) (9-K) ScLUA le Date: Da"
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx
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