FY 2024/2025 Annual Lobbyist Registration Form MIAMI BEACH �F,;�,U��
City of Miami Beach OCT OL 2024
1700 Convention Center Drive
Miami Beach, Florida 33139 i;ITY UF MIAMI BEACN
wv✓w.miamibeachfl.gov
City Clerk's Office �FF'�F�F-'}F�;'n'GLERk
Tel: 305-673-7411
Fax: 305-673-7254 Offce Use only
ANNUAL LOBBYIST REGISTRATION FORM
Name: ��SE K. FUENTES
Business Name: Becker& Poliakoff, P.A.
Address: 2525 Ponce de Leon Blvd., Suite 825, Coral Gables, FL 33134
Office Telephone Number: 305-260-1018
Cellular Telephone Number: 305-299-4900
Email Address: Ifuentes@beckerlawyers.com
If more than one lobbyis[, please list:
�-�� Max Losner- Off: 305-260-1049 Cell: 305-878-2090 - mlosner@beckerlawyers.com
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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[he City of Miami Beach.
For City Clerk's Office Use Only
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