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Tuma, Ken VA# - Date 01/12/16. V d CITY OF PARKLAND 6600 UNIVERSITY DRIVE PARKLAND, FL 33067 �� xTAUU� (954) 753-5040 FAX (954) 341-5161 LOBBYIST REGISTRATION STATEMENT Lobbyist Information Lobbyist Name TUMA KENNETH G. (Please print) Last First Middle Lobbyist Address (Residence)6641 140TH LANE NORTH,PALM BEACH GARDENS,FL 33418 City State Zip Code Business Name(Company/Firm) URBAN DESIGN KILDAY STUDIOS Business Address 610 CLEMATIS STREET,SUITE#CU-02 City:WEST PALM BEACH State:FL Zip Code 33401 Telephone 561-366-1100 Fax 561-366-1111 Nature of Lobbyist Business, Occupation or Profession: LAND PLANNING/LANDSCAPE ARCHITECTURE Name of Principal TUTTLE BRIAN Last First Middle Business Name BNEM LLC/TUTTLE LAND DEVELOPMENT Business Address 961 HILLSBORO MILE,HILLSBORO BEACH,FL 33062 City State Zip Code Subject matter that Lobbyist seeks to influence (Ordinance/Resolution etc. describe in detail) PARKLAND ROYALE PHASE II(a/k/a Sabra Parcel) Please state the extent of any business association by the lobbyist with any current elected or appointed official or employee of the City of Parkland. For the purposes of this article, the term "direct business association" shall mean any mutual endeavor undertaken for profit or compensation. NONE Note: Appropriate authorization from the group, association, or organization that the lobbyist is representing must be attached. (Applicable minutes, motion, or other documentation of action) Page l 1 I understand that I am required to file, on an annual basis, a registration statement for each employer on whose behalf he or she lobbies before the city commission, board or city employee or official and to notify the City of any changes to the information contained herein. Further, I understand that each person who withdraws as a lobbyist for a particular person shall file a notice of withdrawal as a lobbyist with the city clerk. Annual Registration Fee of$150.00 to be included CERTIFICATION I do solemnly swear or affirm that all the foregoing facts are true and correct and that I have read the City of Parkland Code, Chapter 2.5 or Ordinance No. 2011-02, and hat I am aware of the requirements for periodic filing and submission of other statements gn ure STATE OF FLORIDA _ COUNTY OF-Q On this oZ day of JANUARY , 2017?before me, the undersigned Notar - ublic of the State of Florida, personaW appeared KENNETH G.TUMA whose name( ire subscribed and acknowledged tht h he executed it. No ubIic Notary Seal: •; r'al COr.iE E.RA NKIN xxx personally known to me �:= Commission#EE 849910 Produced Identification Expires November 20,2016 Bonded Thru Troy Far.Insurance 800-385-7019 Page 12