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Mathieu Picard Annual Lobbyist Registration Form i� y P ECEIVE MIAMI BEACH NOVN2C is City of Miami Beach CITY OF MIAMI BEACH 1700 Convention Center Drive OFF!CE OF THE CITY CIr. I Miami Beach, Florida 33139 www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-/254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: Mathieu Picard Business Name: Kobi Karp Architecture & Interior Design Address: 571 NW 28th Street, Miami, FL 33127 Office Telephone Number: 305-573-1818 Cellular Telephone Number: Email Address: MPicard@kobikarp.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 $500 for each lobbyist. Please make the check(s) payable to the City of Miami Beach. / For City Clerk's Office Use Only MCR#: 4/3-2._ / OL) Amount paid:/"7,. -2O0 • (-- 6�GG)C J 1 Date paid: v 1 )j -O Processed by:�P/rcI( eA:Nlrn\ Date: F:ICLERI$ALL1aFORMS1LOBBYIST FORMS V NNUAL LOBBYIST REGISTRATION FORM rag.docx 1 Miscellaneous Cash Receipt CITY OF MIAMI BEACH No. 432704 ❑Cash ❑ Credit Card ❑Check # $ 20 Received of Address For M BF Miscellaneous- MCR-2024 006549-0011 Carmen V... 1 111 612023 06:26AM MCR OPEN(MCR) Payment Amount: 4,700.00 Office of Finance Director (THIS INFORMATION MUST BE COMPLETED) By Account number: Preparer: Dept: EXT: • .Camm, Patrick From: Susy Macet <SMacet@shutts.com> Sent: Thursday, November 16, 2023 9:57 AM To: Camm, Patrick; Michael A. Pego Cc: Marquez, David; Mena Caceres, Keila; Susy Macet Subject: RE: Lobbyist Check Short $500 - Miami Beach [THIS MESSAGE COMES FROM AN EXTERNAL EMAIL- USE CAUTION WHEN REPLYING AND OPENING LINKS OR ATTACHMENTS j Hi Patrick, Please apply the $500 towards Anthony O'Brien's Annual Registration; and we will ask Mathieu Picard to pay his $500.00 Annual Registration fee separately and send same to your attention. Thank you, Susy Macet Legal Assistant I Shutts& Bowen LLP Tel: (305)347-7327 200 South Biscayne Blvd.,Ste.4100, Miami, FL 33131 E-Mail I www.shutts.com From: Camm, Patrick<PatrickCamm@miamibeachfl.gov> Sent:Thursday, November 16, 2023 9:47 AM To:Susy Macet<SMacet@shutts.com>; Michael A. Pego<MPego@shutts.com> Cc: Marquez, David<DavidMarquez@miamibeachfl.gov>; Mena Caceres, Keila <KeilaMenaCaceres@miamibeachfl.gov> Subject: Lobbyist Check Short$500- Miami Beach EXTERNAL: This email originated from outside of the SHUTTS email system. Do not respond, click any links or open any attachments unless you trust the sender and know the content is safe. Good morning, Susy and Michael, after further review of the breakdown, I noticed the check that you provided for $4,700 is short $500 of what is owed. I received the following forms: Andrade 2 issues * $350 $700 Kobi 2 issues * $350 $700 Tachmes 2 issues * $350 $700 O'brien 2 issues * $350 $700 Picard 2 issues * $350 $700 Pego 2-issues * $350 $700 Picard 1 annual * $500 $500 O'brien 1 annual * $500 $500 i Total I $5,200 Do you want to submit a check for the missing$500, or should I void the check for$4,700 and you issue a new check for the total amount? Regards, MIAMIBEAC Patrick Camm, USMC Veteran Assistant City Clerk OFFICE OF THE CITY CLERK 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7411 2