HomeMy Public PortalAboutWilliams, Rawn - Registration - JefferiesLLCCity of Orlando
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