HomeMy Public PortalAboutMitzner, Katharine - Registration - Brightline Holdings LLCLOBBYIST 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:
Partnership [ ] Type: __________________ Corporation [ X ]
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
Katharine Mitzner
10705 Jeff Fuqua Boulevard, Suite 4114
Orlando FL 32827
katie.mitzner@gobrightline.com 407-502-3587
Kolleen O.P. Cobb, Executive Vice President
Brightline Holdings LLC
700 NW 1st Avenue, Suite 1620
Miami FL 33136
Katharine (Katie) Mitzner
12-16-20
DocuSign Envelope ID: E61921B9-265E-4589-B301-AC389B5CAA3E