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Tuma, Ken (2) Date 01/12/16 v CITY OF PARKLAND 6600 UNIVERSITY DRIVE �Q�°� PARKLAND, FL 33067 """''� (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 FENECH (SE FL Div.Pres.) DEREK Last First Middle Business Name K. HOVNANIAN HOMES Business Address 3601 QUANTUM BOULEVARD,BOYNTON BEACH,FL 33426 City State Zip Code Subject matter that Lobbyist seeks to influence (Ordinance/Resolution etc. describe in detail) FOUR SEASONS AT PARKLAND(f/k/a Parkland Royale Phase 1) 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 I 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$150.00 to be included CERTIFICATION I do solemnly swear or affirm that all the foregoing facts are true and correct an 9.,At I have read the City of Parkland Code, Chapter 2.5 or Ordinance No. 2011-01222, a that I a a, re of the requirements for periodic filing and submission of other statements Si e STATE OF FLORIDA /� COUNTY OF lR$W =PAc.n 1�taC On this L� day of JANUARY , 20t(p before me, the undersigned Notary Public of the State of Florida, personally appeared KENNETH G.TUMA whose name i are subscribed and acknowledged th he she executed it. No u lic Notary Seal: xxx Personally known to me ;tiai{?Yg COTTIE E.RANKIN Produced Identification Commission#EE 849910 Expires November 20,2016 Balled Thru Troy Fan Insurance 800-385-7019 Page 2