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HomeMy Public PortalAboutCohen, Kelly - Registration Form - HNTBCity of Orlando Lobbyist Registration Form (One Client Per Registration Form) Lubbylsi uri?1ai:iw : Name: Mailing Address: 2 Name: C'oun N. Co.n--10l Rl\)d City oA la rid 0 State: FL Zip ,3Z150. — C ' @ r` Email: Phone: 1- O CO J Fax: Li Q 1- CO ED- -co sos2 2ou g Clie Ii/Ftiii ipaI i_111:U1' "ilatlUil \-\ h1 \ Business: Business Address: rltS h Dr. City: C 4 Q rj s Q S 1 \--1 State: I Is your client: Corporation f7(] Association [ ] 0 Zip: Log .1 OS r ►a Partnership [ ] Type: 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). cci S:igna .'<)?1,r fLQ» Print ki ,i-i,n •