HomeMy Public PortalAboutLoncar, Dana - Registration - Dr. Phillips, IncCity of Orlando
Lobbyist Registration From
(One Client Per Registration Form)
I. Lobbyist Information:
Name:
Set no.
Mailing Address: l FL
City C i'' ll clou o State: Zip 3 gC) 1
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Email: Phone: Lio J (vO8-'»4Fax: 4/o7"60&& -6 -yo
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II. Client/PrincipalInformation
Name: Dr. pi-) Fs )
Business: //0N - PrdT;1--
ye, 95-0
Business Address: / //
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City: C r l / a n X10 State: C` [-
Is your client:
Corporation [-d
Association [ ]
7O 0 Dr. 1>s Bl cI
Zip:
3S2I9
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 expend.. es involving the City during the preceding
six month period (January -June, July-Decemb
Signature -- l
:Dana, L 0 near
Print Name
F/30/17
Date