FY 2024/2025 Annual Lobbyist Registration Form . �� EACH RECEIVED
City of Miami Beach $EP 19 2024
' 1700 Convention Center Drive
Miami Beach, Florida 33139 CITY OF MIAMI BEAGk
www.miamibeachfl.gov OFFICE oF Ttie CiTv CLeRK
Ciry Clerk's Office
Tel: 305-673-7411
Fax�. 305-673-7254 office Use only
ANNUAL LOBBYIST REGISTRATION FORM
Name: David Martin (Princbal-Exemot Gom Renewal Feel
Business Name: MB Mixed Ose luvestment,LLC
Address: 3109 Grand Avenoe,#349,Miami,FL 33133
Office Telephone Number: 305-416-4556
Cellular Telephone Number:
Email Address: DMartin(a,.terragroup.wm
//more than one lob6yist, please list:
�� Jeff Sachs — email: jeffsaehsQme.com
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Submit lhis 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 Ciry Clerk's Office Use Only
MCR#:/���7 / L
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2024 Item; MCR . �
1 � $500.OD00
MCR OPEN (MCR) $500.00
5500.00
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Total 5500 AO
CHECK $500,UU .
Check Num6er027256
Chanpe due � $0.00
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