HomeMy Public PortalAboutCohen, Kelly - Registration - Ashbritt EnvironmentalLOBBYIST REGISTRATION FORM
(One Client Per Registration Form)
I. Lobbyist Information
Name.
Kelly Cohen
28 W Central Blvd Suite 26 32801
Mailing Address:
citv Zip.
Or State:F 407-650-2069
cohenC� thesoutherngroup.com Phone'.
407-650-5052 Fax'.
Email:
II, Client/Principal Information
0)1
Name:
Business.
0
Business Address: I
� / _Zip'.
Vl State: l
City'.
Is your client:
Partnership [ ] Type:
Corporation [ Trust [ ]Name:
Association [ ] pursuant to City
1st and ursuat 1st of each
the above information is correct.n February 1st
that p
To the best of my knowledge, enditure repo six month period
I am required to file an expenditure the City during the preceding
Code sec. tar of4a lobbying expenditures involving
calendar year any
(January -June, July -December)
Signature
Kelly Cohen
Print Name
12/22/2020