HomeMy Public PortalAboutGrossman, Scott - Registration Form - Boggy Creek Improvement DistrictCity of Orlando
Lobbyist Registration From
(One Client Per Registration Form)
I. Lobbyist Information:
Name: Scott Grossman, PSM — Donald W. McIntosh Associates, Inc.
Mailing Address: 2200 Park Avenue North
City Winter Park State: FL Zip 32789
Email: sgrossman dwma.com Phone: (407) 644-4068 Fax: (407) 644-8318
II. Client/PrincipalInformation
Name:
Business: Boggy Creek Improvement District
Business Address: 12051 Corporate Boulevard
City: Orlando
Is your client:
Corporation [ ]
Association [ ]
State: FL Zip: 32817
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 expenditur: eport on February 1St and August
1st of each calendar year of any lobbying expenditure lying the City during the preceding
six month period (January -June, July -December).
Si_. ature
Scott Grossman, PSM
Print Name
December 6, 2017
Date