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HomeMy Public PortalAboutSullivan, Thomas R. - Registration Form - Racetrac Petroleum, Inc.City of Orlando Lobbyist Registration From (One Client Per Registration Form) I. Lobbyist Information: Name: Thomas R. Sullivan Mailing Address: GrayRobinson, P.A., P.O. Box 3068 City Orlando State: FL Zip 32802-3068 thomas.sullivan@gray-robinson.com Email: Phone: 407-843-8880 II. Client/Principal Information Name: Racetrac Petroleum, Inc. Business: developer Fax: 407-244-5690 Business Address: 3225 Cumberland Road, Suite 100 City: Atlanta Is your client: Corporation [x] Association [ ] State: GA Zip: 30339 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 Ovolving the City during the preceding six month period (January -June, July -December). Signature Thomas R. Sullivan Print Name l j, Date