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Annual Lobbyist Registration Form f MIAMI BEACH RECEIVED City of Miami Beach NOV 42023 1700 Convention Center Drive CITY OF MIAMI BEACH Miami Beach, Florida 33139 OFFICE OF THE CITY CLERK www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: Anthony O'Brien Business Name: Clevelander Holdings, LP/ Essex House Collins, LP Address: 1020 Ocean Drive, Miami Beach, FL 33139 Office Telephone Number: +1 514 925 5100 Cellular Telephone Number: Email Address: aobrien@jesta.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#: J 7 o 9 Amount paid:79, 7 Oo • (6)-e61-) Date paid:/) / / — c:2 o a_1 Processed by: 1) 1 Date: F\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.tlocx f ... -s Miscellaneous Cash Receipt CITY OF MIAMI BEACH /r No 432704 ❑Cash ❑ Credit Card ❑Check# 7 -"P $ Received of ? x . .. ., ,A4 /� Address For t r + "/-I' ) =t MBF Miscellaneous- MCR-2024 006549-0011 Carmen V... 11/16/2023 06:28AM MCR OPEN(MCR) Payment Amount: 4,700.00 Office of Finance Director (THIS INFORMATION MUST BE COMPLETED) By Account number: Preparer: Dept: EXT: