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LOBBYIST REGISTRATION FORM
(One Client Per Registration Form)
I. Lobbyist Information
Name:
Kelly Cohen
28 W Central Blvd Suite 26 32801
Mailing Address: Zip:
Orlando state:FL _ 052 407-650-2069
city:Orlando
407-650 Fax 5
Cohen®thesoutherngroup. Phone:
Email:
II. Client/Principal Information
Name:
Business: '7 4
Business Address:
O `/ Zip.
� ____State: 0
City.
Is your client.
Partnership [. 1 Type:
Corporation [� �
Name:
Association [ � Trust [
the above information is correct. I understand that pursuant to City
knowledge, 1st and August 1st of each
To the best 2.191(4), my on February
Code sec. of I am required to file an expenditure report during the preceding six month period
calendar year of any lobbying expenditures involving the City
(January -June, July -December) ch
Signature
Kelly Cohen
Print Name
12/22/2020
110