HomeMy Public PortalAboutLong, Jr., Clifford - Registration Form - Orlando Regional Realtor AssociationCity of Orlando
Lobbyist Registration From
(One Client Per Registration Form)
1. Lobbyist Information:
Name: Q, 1 t-%fb2Ol LDnll3- , J .
Mailing Address: 1330 Lte R./Mot
City Of.leurot7 State: Ft, Zip g ) 0
Email: CI I ff e Phone: '513• - lP l Fax: 4n• • a93 • Co380
OR.Ianc1oteac oRs.02
II. Client/Principal Informaon
Name: Cltf 01201 LOr , JR.
Business: ()Enn✓ ° e.ecki3Ylc1 L I -ecu*oe. AMT.,tO t-l)Y\
Business Address: 130 Lee 12 0,0(
City: OR.lO-flCt° State: F L Zip: 3,1310
Is your client:
Corporation [ ]
Association [X]
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).
Print Name
law III -
Date