HomeMy Public PortalAboutMaladecki, Rich - Registration Form - Central Florida Hotel and Lodging AssociationCity of Orlando
Lobbyist Registration From
(One Client Per Registration Form)
I. Lobbyist Information:
Name:
, 6 7 s � eS4-uood '.�-4, a.l 0
Mailing Address: � � � • Su;
City D c\ o, r\ J a State: L Zip 3a 1
Email: CAS;d k,\k StChK,.,Phone: q67" 111-SoaoFax: L a.7"' I7 - S 0 S
II. Client/Principal Inf ormation
Name: C'LA i-fat 0A-0 A�� -Ojrj •NSSoC&ho^
Business: N a(\"a Ii t,3 1 T r $ 0 6,440,
Business Address: tib7 S Wits+ ood (�I•y a , Sv;-/"R, k 10
City: 0(\NIA o State: F Zip: �� a
(�;(k N o kCki
Is your client:
Corporation [ ]
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 1 s' and August
1st of each calendar year of any lobbying expenditures involving the City during the preceding
six month period (January -June, July -December).
1\1 '4\6
Signature fi 1 cKT'
Print Name
)aJ28 2o1r7
Date