HomeMy Public PortalAboutCohen, Kelly - Expenditure Report - Costa Nursery Farms, LLC dba Modern Health ConceptsIV. Signature Verification
I hereby certify that the above expenditure information has been reported in a complete
and accurate manner.
Signature of Lobbyist
State of Florida County of Orange
02/01/2017
Date
Sworn to and subscribed before me this 1St day of February , 201 _% by
Kelly Cohen (Lobbyist), who is personally known to me[ Dr
as identification.produced
rNIA MARIA PRINCIPE -DEL ARC,
fotary Public - Stale of Florida
4y Comm. Expires Mar 4, 2018
Commission # FF 098267
02/01/2017
Name (Printed)
My Commission Expires:
City of Orlando
Lobbyist Expenditure Report
Due February 1st and August 1st of each calendar year)
I. Lobbyist Information:
Name: Kelly Cohen
Mailing Address: 28 W. Central Blvd. Suite 260., Orlando, FL 32801
Email: cohen@sostrategy.com phone: (407) 650-5052
II. Client/PrincipalInformation
Expenditure on behalf of client: (one client per report)
Costa Nursery Farms, LLC dba Modem Health Concepts
Fax: (407) 650-2069
21800 SW 162nd Ave.
Miami, FL 33170
Expenditure for the following official as prescribed in the City Ordinance:
III. Expenditure Report
Ex • enditure T
Travel
Lodging
Special Events
Food & Beverage
Communications
Other
Amount
0
0
0
0
0
Total: $0
Date