HomeMy Public PortalAboutGrossman, Scott - Registration Form - Publix Super Markets, Inc.City 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(a dwma.com Phone: (407) 644-4068 Fax: (407) 644-8318
II. Client/PrincipalInformation
Name:
Business: Publix Super Markets, Inc.
Business Address: 1936 George Jenkins Boulevard
City: Lakeland
Is your client:
State: FL Zip: 33815
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 expendi ure eport on February 1st and August
1st of each calendar year of any lobbying expenditures jv.'ing the City during the preceding
six month period (January -June, July -December).
Si. ature
Scott Grossman, PSM
Print Name
December 6, 2017
Date