Orbis Public Affairs - NORESCOLobbyist Form - Registration I Amendment I Notice of Termination
Office of the City Clerk
300 E. Chapman Ave. I Orange, CA 92866
(714) 744-5500
Lobbying Firm Name: Or2-'3,( ,0 aL c A-((-','12-1
Section B - Client Information
(SELECT ONE) This page may be duplicated for additional entries)
ADD Add to Client Registry
ORDELETERemove from Client Registry
MODIFY Update Client Information
Name of Client (Last,First):
Name of Business:
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Business Address:
City:
State
Zip Code:
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Business Phone:
Date of Addition or Removal of Client:
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Describe the legislative or administrative action(s) that the Lobbyist is seeking to influence on behalf of this client.
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Describe any gifts, contributions, or behested payments over $250.00 made in the last 12 months.
Section C - Specific Project Information
City Project Name:
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Project Address: ) /�
Lobbyist Form - Registration I Amendment I Notice of Termination
Office of the City Clerk
300 E. Chapman Ave. I Orange, CA 92866
(714) 744-5500
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Initial Registrtion
Date Qualified as Lobbyist:
Y�l - 2v2 y
Amendment
Effective Date of Amendment:
Termination
Date of Termination:
Section A - Lobbyist Information
Check if Modifying Lobbyist Information
Name of Lobbying Firm:
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Business Email:
Business Phone:
Alternate Phone:
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711-1-606•-i973
Business Address:
City:
Zip Code:
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Name of Lobbyist:
Phone : 7141-4 a G-1-773
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Name of Lobbyist:
Phone :
lContact Email:
Name of Lobbyist:
Phone :
lContact Email:
CATION: By my signature below, I certify that I have reviewed Section 2.13 (Lobbyist Registration and Reporting) of the Orange Municipal Code and
ire under penalty of perjury under the laws of the State of California that the information contained herein is true and accurate. I understand that this
is subject to review and any knowing or intentional errors or omissions may be subject to civil penalties. I futher understand that this form in its
.ty is subject to eh CA Public Recvords Act and as such may be produced to the public upon request.
Signature: >--'' Date: 2 2-
Mail or Email form to:
Mail: Office of the City Clerk
300 E. Chapman Avenue
Orange, CA 92866
Email: Pamela Coleman
clerkinformationCc-�cityoforange.org