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HomeMy Public PortalAboutCohen, Kelly - Registration - Orlando City SoccerORCANDO LOBBYIST REGISTRATION FORM (One Client Per Registration Form) I. Lobbyist Information Name: Kelly Cohen Mailing Address: 28 W Central Blvd Suite 260 City: State: F L Or Zip: 32801 cohen@ thesoutherngroup.com 407-650-5052 407-650-2069 Email: Phone: Fax II. Client/Principal lnformation Name: Business: Business Address: City: 01114 lido &i soUcer spa �a ass— (A, CAn bt,��1n �1- pVIHVIQo State: Pt Zip: 3 2-YOS 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) C6 cy Signature Kelly Cohen Print Name