HomeMy Public PortalAboutHoumann, Cameron D. - Registration Form - Adventist Health System/Sunbelt, Inc.City of Orlando
Lobbyist Registration From
(One Client Per Registration Form)
I. 1.,obbyist Information:
Name: Cameron D. Houmann, P.E. — Donald W. McIntosh Associates, Inc.
Mailing Address: 2200 Park Avenue North
City Winter Park State: FL Zip 32789
Email: choumann(c�dwma.com Phone: (407) 644-4068 Fax: (407) 644-8318
11. C.'lient/l'rincipallnformation
Name:
Business: Adventist Health System/Sunbelt, Inc.
Business Address: 900 Hope Way
City: Altamonte Springs
Is your client:
State: FL Zip: 32714
Corporation [X ] Partnership [ ] Type:
Association [ ] 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 1" and August
1' of each calendar year of any lobbying expenditures involving the City during the preceding
six month period (January -June, July -December).
�.�
Signature
Cameron D. Houmann, P.E.
Print Name
December 11, 2019
Date