HomeMy Public PortalAboutField, Katharyn - Registration - Costa Nursery Farms, LLC dba Modern Health ConceptsCity of Orlando
Lobbyist Registration From
(One Client Per Registration Form)
I. Lobbyist Information:
Name: Katharyn Field
Mailing Address: 19000 SW 192nd St
City Miami State: FL Zip33187
kfield@modernhealfhconcepls.com 202.498.7917
Email: Phone: Fax:
I1, Client/Principal information
Name: Costa Nursery Farms, LLC dba Modern Health Concepts
Business:
Business Address: 21800 SW 162nd St
Miami zip: 33170
City: State: FL
Is your client:
Corporation
Association
Partnership Type:
Trust I lame:
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).
/y'
igtlature
Katharyn Field
Print Name
10/28/16
Date