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HomeMy Public PortalAboutBruce, Derek E. - Registration Form - Mt. Olive A.M.E. ChurchCity of Orlando Lobbyist Registration Form (One Client Per Registration Form) I. Lobbyist Information: Name: Derek E. Bruce Mailing Address: 200 S. Orange Ave., Suite 1400 City Orlando State: FL Zip 32801 Emall:dbruce@gunster.com Phone: 407-648-5077 1 1 . Client/Principal Information Name: Mt. Olive A.M.E. Church Business: Non -Profit Business Address: 2525 W. Church Street Fax: 407-849-1233 City: Orlando State: FL Zip: 32805 Is your client: Corporation [ ] Partnership [ ] Type: Association [ ] Trust [ ] Name: Other [X]: Non -Profit 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). atait,L" Suture Derek E. Bruce Prin N me IZio(I15 Da