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HomeMy Public PortalAboutCohen, Kelly - Registration Form - Foxtail CoffeeCity of Orlando Lobbyist Registration Form (One Client Per Registration Form) Name: 1 11 Co n Mailing Address: Z t V Cp, \k `� \ B \ ) d . City 0\ and 0 State: EL Zip 2:10 0 I_ CGV1.Qh Email: 0 X01"WSo-Fax: L0 (- C0` S � [£ Phone:e: � CC SOSZ ZQu`1 Name: V-O y * Q \ Business: Business Address: `llCA \ , �(1 e d �f t� ` V d ry d e IZip: 0 v ck 0 State: F Zip: 2 la 1 0 Is your client: Corporation {Xi Association [ ] 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). Signal -4 (Drink AI, --- I,�� colLo/