HomeMy Public PortalAboutOwen, Jr., Barron J. - Registration - Adventist Health System/Sunbelt, Inc.LOBBYIST REGISTRATION FORM
(One Client Per Registration Form)
I. Lobbyist Information
Name: ___________________________________________________________________________________________
Mailing Address: _________________________________________________________________________________
City: ________________________________ State: _________________________Zip: _________________________
Email: ______________________________ Phone: _______________________Fax: _________________________
II. Client/Principal Information
Name: ___________________________________________________________________________________________
Business: ________________________________________________________________________________________
Business Address:________________________________________________________________________________
City: _______________________________State: ________________________Zip: ___________________________
Is your client:
Corporation [ ] Partnership [ ] Type: __________________
Association [ ] Trust [ ] Name: _________________
To the best of my knowledge, the above information is correct. I understand that pursuant to City
Code sec. 2.191(4), I am required to file an expenditure report on February 1st and August 1st of each
calendar year of any lobbying expenditures involving the City during the preceding six month period
(January-June, July-December)
Signature
Print Name
Date
xx
Borron J.Owen,Jr.
GrayRobinson,P.A.,PO Box 3068
Orlando FL 32802
borron.owen@gray-robinson.com 407-843-8880 407-244-5690
Adventist Health System/Sunbelt,Inc.d/b/a Advent Health
hospital
900 Hope Way
Altamonte Springs FL 32714
Borron J.Owen,Jr.