HomeMy Public PortalAboutFernandez, Jose - Registration - Delta DentalCity of Orlando
Lobbyist Registration From
(One Client Per Registration Form)
I. Lobbyist Information:
Name:
Jose Fernandez
Mailing Address: Florida Compass Group PO Box 1813
City Winter Park
State: FL Zip 32790
jose.fernandez@flcompass.com
Email: Phone: 407-843-5390 Fax:
Ii. Client/Principal Information
Name: Delta Dental
Business: Insurance
Business Address: 258 Southhall Lane Suite 350
City: Maitland
Is your client:
Corporation [x]
Association [ ]
State: FL Zip: 32751
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-Decembe
Print Name
June 30, 2016
ature
6)?3,2-
Jose Fernandez
Date