GREATER ORLANDO AVIATION AUTHORITY LOBBYIST REGISTRATION & RE-REGISTRATION

GREATER ORLANDO AVIATION AUTHORITY LOBBYIST REGISTRATION & RE-REGISTRATION
For Calendar Year 20
Please enter the year
Use one form for each Principal

Instructions:

To begin the lobbyist registration process you must complete and return this form prior to lobbying any Board member or employee of the Greater Orlando Aviation Authority (GOAA) for each calendar year.
First Name
Last Name
Firm/Business Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone
Format: (000) 000-0000.
Email Address
example@example.com
Do you or any of your employees have business, professional, or familial relationship with any member of the Aviation Authority Board or any employee?
Yes No*
If yes, please state with whom and explain the relationship:
Principal's Name
Occupation or Business of Principal
Occupation or Business Mailing Address:
Street
City
Zip Code
Principal's Specific Area(s) of Business Interest
Is the Principal a corporation or limited liability Company?
Yes No*
If yes, please name the chief executive officer or manager(s):
Is the Principal a general partnership or joint venture?
Yes No*
If yes, please list names of all partners:
Is the Principal a limited partnership?
Yes No*
If yes please list the names of all the general partners
Is the Principal a trust?
Yes No*
If yes list the names of all trustees and beneficiaries
By signing this form, I certify that the information above is accurate to the best of my knowledge, and by registering, you acknowledge that you have reviewed GOAA’s Lobbyist Policy (180.01), and the Selection Period Communication Policy (180.03). You agree to abide by the terms of those policies.
Signature
Print Name
Date

MonthDayYear
Date
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