HomeMy Public PortalAboutLong, Jr., Clifford - Registration Form - Orlando Regional Realtor AssociationCity of Orlando
Lobbyist Registration Form
(One Client Per Registration Form)
I. Lobbyist Information:
Name: n1 ED LDrK ) .
Mailing Address: ! D Let. &DQO
City .?`/E1411010 State: GL Zip WID
Ntpfie d210 '
Email: Phone: 4.11.5 VSlab' Fax: t -15R aag c o
II. Client/Principal Information
Name: (:1( JEC1 lsT i )P .
Business: K1 k�zj`SJCI-��v
Business Address: HBO Lee elkm
City: 0121(1M0 State: Zip: ,2 Q'
Is your client:
Corporation [ ]
Association [ ]
'OPL_CI`°CL Es f
JA01719 ,6_:20
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 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).
Sign ture/
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Print Name