Harold "Hunter" Thompson - Miami Beach Community Church, Inc. MIAMI BEACH
City of Miami Beach 2016 JLII_. 2 6+ 7 47
1700 Convention Center Drive C i r•( ``; i j- i C F
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: Reverend Harold "Hunter" Thompson
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: revhthompson@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#: ( (A1/ � /� //�
Amount paid: V c w L Date paid: " / r`►
Processed by: 10t5u,A )4I Weft, Date: 7,'/ r r
F:\CLER\SALL\aFORMS\LOBBYIST FORMSWNNUAL LOBBYIST REGISTRATION FORM reg.docx