HomeMy Public PortalAboutPasamba III, Rico - Registration Form - Central Florida Hotel & Lodging AssociationAssociation [vr
City of Orlando
Lobbyist Registration Form
(One Client Per Registration Form)
I. Lobbyist Information:
Name: ( IC ,,O9GSC, ,7-
Mailing Address: 763 I5 J ho)cA 1vd.
City 0ctenck) State: FL Zip 3282
Email: ubliC 51igifsCFhIu Phone: a01 -g04-14066 Fax:
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II. Client/Principal Information
Name:CP/1 (C Ronde_ 44-ci r [)Cif Ins ASS.xrd--)df3
Business:
Business Address: A'67 S-iwwcJ &Aid,
City: C}f ILe1ALD
Is your client:
State:
FL
Zip: 32Z2
Corporation [ ] 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
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Print Name
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Date