Kenneth Stenicky - Miami Beach Community Church, Inc. /\/\ A BEACH
City of Miami Beach IG JUL 12 1-11-1 1:-1
1700 Convention Center Drive
Miami Beach, Florida 33139 - ' 1,,
www.miamibeachfl.gov
City Clerk's Office
Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: Kenneth Stenicky
Business Name: Miami Beach Community Church, Inc .
Address: 1620 Drexel Avenue , Miami Beach, FL
Office Telephone Number: ( 305 ) 538-4511
Cellular Telephone Number:
Email address: kenstenicky@gmail . 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#: v �--
Amount paid: M-V1 Date paid: k)OJVC/
Processed by: J tcAv G1 tn1 c Date: 71 \L( (O
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx
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