HomeMy Public PortalAboutBruce, Derek - Registration Form - Mt. Olive A.M.E. ChurchCity of Orlando
Lobbyist Registration From
(One Client Per Registration Form)
Lobbyist Information:
Name: Derek Bruce
Mailing Address: 200 South Orange Avenue, Suite 1400
City Orlando State: FL Zip 32801
Email: dbruce@gunstcr.com Phone: (407) 648-5077 Fax: (407) 849-1233
1.1. Client/l'rincipalInformation
Name: Mt. Olive A.M.E. Church
Business: Non -Profit
Business Address: 2525 W. Church Street
City: Orlando
Is your client:
State: FL Zip: 32805
Corporation [ ] Partnership [ ] Type:
Association [ ] Trust [ ] Name:
Other [X] Non -Profit Organization
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 1 st and August
1st of each calendar year of any lobbying expenditures involving the City during the preceding
six month period (January -June, July -December).
Sign ure
Derek Bruce
Print Name
December 8, 2017
Date