HomeMy Public PortalAboutHansen, Nick - Registration Form - MM Enterprises USA, LLCCity of Orlando
Lobbyist Registration Form
(One Client Per Registration Form)
I. Lobbyist Information:
Name:
Nick Hansen
Mailing Address: 9800 4th St., N., Ste. zoo
City St. Petersburg State:
nick.hansen@medmen.com
Email:
FL
33702
Zip
727 418-4760
Phone:
II. Client/PrincipalInformation
Name:
Nick Hansen
Fax:
MM Enterprises USA, LLC
Business:
Business Address: 10115 Jefferson Blvd.
City: Culver City State: CA
Is your client:
Corporation [x]
Association [ ]
Zip:
90232
D LCI s YCLLRKDO
MAR 9.9 :Ol d
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).
Signature
Nick Hansen
Print Name
3/5/2019
Date