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HomeMy Public PortalAboutCohen, Kelly - Registration - IFM 360c:I1Yvr ORLANDO 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 II. Client/Principal lnformation Name: Business: l '1 3U 1-6111/117103/ Business Address: (C u -Ft 1 1 ,a O / jO lido r S41 City: O Y CA Vt 0 State: P1 Zip: 3 �0 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 Kelly Cohen Print Name