HomeMy Public PortalAboutCohen, Kelly - Registration - Verra Mobility,1a1ORLANDO
LOBBYIST REGISTRATION FORM
(One Client Per Registration Form)
I. Lobbyist Information
Name.
Kelly Cohen
28 W Central Blvd Suite 26
Mailing Address:
City:
Orlando
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cohen@ thesoutherngroup.com Phone:
Email:
II. Client/Principallnformation
Name: \i t 1 r
Business:
s�o
State: F L
407-650-5052
Zip: 32801
Fax: 407-650-2069
Ore/
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Business Address: A�2
Zip'.
City:
Is your client:
CorporationN1(1
Association [ I pursuant to City
knowledge, the above information is correct. I understand that t and August t each
To the sec.c of my sixg month of each
Code 2.191(4), I am required to file an expenditure report on February receding
calendar year of any
riod
lobbying expenditures involving the City during the p
(January -June, July -December)
Partnership [ 1 Type:
Trust [ 1 Name:.—
( )..
Signature
Kelly Cohen
Print Name
19/22/2020