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HomeMy Public PortalAboutOwen, Jr., Borron J. - Registration Form - Adventist Health System Sunbelt Healthcare1'IORLANDO LOBBYIST REGISTRATION FORM (One Client Per Registration Form) I. Lobbyist Information Borron J. Owen, Jr. Name: Mailing Address: GrayRobinson, P. A. , PO Box 3068 City: State: Zip: Email: borron.owen@gray-robinson.com 407-843-8880 Phone: 407-244-5690 Fax: Orlando FL 32802 11. Client/Principal Information Adventist Health System Sunbelt Healthcare Corporation Name: Business: hospital Business Address: 900 Hope Way City: Altamonte Springs FL 32714 State: Zip: Is your client: Corporation [xx] 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 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) - Signature Borron J. Owen, Jr. Print Name ZItq/lq Date