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HomeMy Public PortalAboutFarrell, Michael K. - Registration Form - Florida HospitalCity of Orlando Lobbyist Registration From (One Client Per Registration Form) I. Lobbyist Information: Name: Michael K. Farrell, P.E. — Donald W. McIntosh Associates, Inc. Mailing Address: 2200 Park Avenue North City Winter Park State: FL Zip 32789 Email: mfarrell dwma.com Phone: (407) 644-4068 Fax: (407) 644-8318 II. Client/Principal Information Name: Business: Florida Hospital Business Address: 550 East Rollins Street, 7th Floor City: Orlando Is your client: Corporation [X ] Association [ ] Trust [ ] Name: State: FL Zip: 32803 Partnership [ ] Type: To the best of my knowledge, the above information is correct. I understand that p suant to City Code sec. 2.191(4), I am required to file an expenditure report on February t and August 1st of each calendar year of any lobbying expenditures involving)] City durin the preceding six month period (January -June, July -December). Signature Michael K. Farrell, P.E. Print Name December 10, 2018 Date