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Tuma, Ken (3) a�p�� ,� Date 01/12/16 V CITY OF PARKLAND 6600 UNIVERSITY DRIVE PARKLAND, FL 33067 ST4 (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 BENNETT NELSON Last First Middle Business Name WCI COMMUNITIES,LLC Business Address 24301 WALDEN CENTER DRIVE,BONITA SPRINGS,FL 34134 City State Zip Code Subject matter that Lobbyist seeks to influence (Ordinance/Resolution etc. describe in detail) PARKLAND BAY(f/k/a Bishop Pit) 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 that I am a are of 6e requirements for periodic filing and submission of other statements ture !f STATE OF FLORIDA ( COUNTY OF 290WARD 00, ✓(A 6AAc.Iti On this day of JANUARY , 20L l�, before me, the undersigned Not ar Public of the State of Florida, personally appeared KENNETH G.TUMA whose name(s is are subscribed and acknowledged th;6Pshe executed it. No mry ublic Notary Seal: .� xxx Personally known to me MMI E 849910 Produced Identification ber 20,2016surance 800365-7019 Page 12