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HomeMy Public PortalAboutGrossman, Scott - Registration Form - Lake Nona Research I, LLCCity 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 IL Client/PrincipalInforination Name: Business: Lake Nona Research I, LLC Business Address: 6900 Tavistock Lakes Blvd., #200 City: Orlando Is your client: State: FL Zip: 32827 Corporation [X ] Partnership [ ] Type: Association [ ] 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 my Ivin the City during the preceding six month period (January -June, July -December). Sign Scott Grossman, PSM Print Name December 6, 2017 Date