HomeMy Public PortalAboutPollock, Dan - Registration Form - AT&T, Inc.ORLANDO
LOBBYIST REGISTRATION FORM
(One Client Per Registration Form)
I. Lobbyist Information
Name:
Mailing Address:
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City: T) r (C,t (15/0 State: Zip: 32 82-C
Email: U' P 10 co e - C . Phone:
11. Client/Principal lnformation
T ill, -
Business:
Name:
Business Address:
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Fax:
City: State: Zip:
Is your client:
Corporation [L47 Partnership [ ] Type:
Association 1 I Trust [ 1 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
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Date