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HomeMy Public PortalAboutCohen, Kelly - Registration - WheelsORLANDO LOBBYIST REGISTRATION FORM (One Client Per Registration Form) I. Lobbyist Information Name: Kelly Cohen Mailing Address: 28 W Central Blvd Suite 260 City: Orlando State: FL Zip: 32801 cohen@ thesoutherngroup.com 407-650-5052 407-650-2069 Email: Phone: Fax 11. Client/Principal lnformation Name: Business: UJ1'ltt(S Business Address: -7 St) s a ►() v► vd s oo City: (Nil+ fh 1 kf tAIc0&lstate: C/1 Zip: q 00 i Is your client: Corporation [ J Partnership [ 1 Type: Association [ 1 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 Kelly Cohen Print Name 1 9/99/9flMfl