HomeMy Public PortalAboutCohen, Kelly - Registration - Orlando Regional Realtor AssociationCAN
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 Phone: 407-650-5052 Fax: 40%-650-2069
Email:
II. Client/Principal Information p
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Business: 1AI ill
Business Address: t✓ 2 0 L t t Q
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City:
State:
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Zip:
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Is your client:
Corporation [ Partnership [ ] Type:
Association [ ] Trust [ I 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