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Mele, Dennis (5) 'A} Date CITY OF PARKLAND 6600 UNIVERSITY DRIVE PARKLAND, FL 33067 (954) 753-5040 FAX (954) 341-5161 LOBBYIST REGISTRATION STATEMENT Lobbyist Information Lobbyist Name me le Dennis D (Please print) Last First Middle Lobbyist Address (Residence) City State Zip Code Business Name (Company/Firm) Greenspoon Marder, P.A. Business Address 200 E. Broward Blvd, Suite 1800 Cites Ft . Laud State: FL Zip Code 33301 Telephone(954)761-2923Fax (954)333-4009 Nature of Lobbyist Business, Occupation or Profession: Attorney Name of Principal DeBock Mike Last First Middle Business Name NVR, Inc. Business Address 2205 Vista Parkway. Suite 102 West Palm Beach, FL 33411 City State Zip Code Subject matter that Lobbyist seeks to influence (Ordinance/Resolution etc. describe in detail) Miscellaneous land use and zoning matters 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 I 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 aware of the requirements for periodic filing and submission of other statements 17. Si nature STATE OF FLORIDA COUNTY OF BROWARD On this ay of JhNK�Al2 , 20L6,before me, the undersigned Notary Public of the State of Florida,personally appeared_I?E11Ltt5 -D. KAe t..e whose name(s) is/are subscribed and acknowledged that he/she executed it. Notary Public Notary Seal: y' Personally nown to me Produced Identification MIRANDA L. SCOTT Commission # FF 936893 My Commission Expires NnnHA ore�°�,�.`' November 17, 2019 Page 12