HomeMy Public PortalAboutShea, Dylan R. - Registration Form - CAN Community Health, Inc.City of Orlando
Lobbyist Registration Form
(One Client Per Registration Form)
I. Lobbyist Information:
Name: Dylan R. Shea, Esq., Greenberg Traurig, P.A.
Mailing Address: 450 South Orange Avenue, Suite 650
City Orlando
State: FL Zip 32801
Email: shead(gtlaw.com Phone: 407-420-1000 Fax: 407-420-5909
II. Client/Principal Information
Name: Matthew Jensen
Business: CAN Community Health, Inc.
Business Address: 4440 Fruitville Road
City: Sarasota
Is your client:
Corporation [ X ]
Association [ ]
State: FL
Zip: 34232
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 ty during the preceding
six month period (January -June, July -December).
Sign
Dylan R. Shea
Print Name
July 17, 2019
Date