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Home My Public Portal AboutO'Brien, Helene - Registration Form - SEIU Local 32BJCity of Orlando Lobbyist Registration From (One Client Per Registration Form) I. Lobbyist Information: Name: Helene O'Brien Mailing Address: 1313 NW 36th Street, Suite 501 City Miami State: FL Zip 33142 Email:hobrien©seiu32bj.orphone: 305-672-7071 Fax: 305-672-9501 11. Client/Principal Information Name: David Schmidt Business: SEIU Local 32BJ Business Address: 25 West 18th Street, 5th Floor City: New York State: NY Zip: 10011 Is your client: Corporation [ ] Association [ ] Partnership [ ]Type: 501 (c)(5) Trust [ ] Name: 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 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). Signature Print Name '1- 1'-I Date