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Steven M. Ebner (Annual Lobbyist Registration Form)
MIAMI BEACH RECEIVED JAN 02 2024 City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 CITY OF MIAMI BEACH OFFrF�r, _, rITY CLERK www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: Steven M. Ebner Business Name: Shutts& Bowen LLP Address: 200 S. Biscayne Blvd., Suite 4100, Miami, FL 33131 Office Telephone Number: 305-358-6300 Cellular Telephone Number: Email Address: sebner©shutts.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#:4.3a73r 00 Amount paid: 5• Date paid: — m Processed by: bM Date: F.\CLER\$ALLtaFORMS\LOBBYIST FORMSLANNUAL LOBBYIST REGISTRATION FORM reg.docx Reorder PRI.92G•305 597:'YIB o,pr;nIe i c SHUTTS&BOWEN,LLP Vendor Name: City of Miami Beach 00637424 Suite200 South10Biscayne Boulevard Net Amount: 12/29/2023 4100 ""'°"'$500.00 Miami,Florida 33131 Requested By: Macet,Susan C. r r — i Invoice No. Invoice Dated Description Amount Discount Net Amount I49Q,7 0039 1229-1 1 12/29/2023 S. Ebner City of Miami Beach 500.00 500.00 Annual Lobbyist Reg Totals 500.00 0.00 500.00 DETACH&RETAIN THIS STATEMENT THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED ABOVE.IF NOT CORRECT.PLEASE NOTIFY US PROMPTLY.NO RECEIPT DESIRED — THIS DOCUMENT CONTAINS A BLUE TO GREEN BACKGROUND ON THE FACE-SEE REVERSE SIDE FOR OTHER SECURITY FEATURES.1. TRUIST BANK MIAMI,N.A. 63-215/631 00637424 FLORIDA 200 South Biscayne Boulevard Suite 4100 12/29/2023 �S Miami,Florida 33131 12292023_152421 2358e' * * * * * * * $ S O O 0 0 CT.. :PAY: FIVE HUNDRED DOLLARS AND NO CENTS VOID AFTER 90 DAYS SHUTTS&BOWEN,LLP OPERATING ACCOUNT Francis E Rodnguez PAY City of Miami Beach . TO Office of the City Clerk .( ------ THE 1700 Convention Center Drive Jack McElroy ORDER Miami Beach, FL 33139 USA VOID OVER S500.00 OF SIGNATURE E,S,A,;OLORED BACKGROUND•BORDER CONTAINS MICROPRINTING r III 00637424II. 1:063LO2L521: L000041,620LL91I'