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Lewis, Alicia (5) Date 1/15/16 1'A CITY OF PARKLAND 4 n , 6600 UNIVERSITY DRIVE PARKLAND, FL 33067 (954) 753-5040 FAX (954) 341-5161 LOBBYIST REGISTRATION STATEMENT Lobbyist Information Lobbyist Name: LEWIS ALICIA JANELLE (Please print) Last First Middle Lobbyist Address (Residence) Business Name(Company/Firm) GREENSPOON MARDER P.A. Business Address: 200 E. Broward Boulevard, Suite 1800 City: Fort Lauderdale State: FL Zip Code: 33301 Telephone: 954-527-6276 Fax 954-333-4176 Nature of Lobbyist Business,Occupation or Profession: Attorney Name of Principal: Donner Kenneth Last First Middle Business Name Toll Brothers Inc. Business Address 808 Forest Glen Lane West Palm Beach Florida 33414 City State Zip Code Subject matter that Lobbyist seeks to influence(Ordinance/Resolution, etc., describe in detail) Land use, zoning and permitting 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 1 25146670v1 37035.0001 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 Signature STATE OF FLORIDA COUNTY OF BROWARD On this cV day of Januar2016, before me,the undersigned Notary Public of the State of Florida, personally appeared Alicia J. Lewis whose name(s) is/are subscribed and acknowledged that he/she executed it. Notary bli Notary Seal Person y known to me Produced Identification t„y P.., ► ANEAN SOUSA fAY CQMMISSION k EE 840712 EXPIRES:December 4,2016 Bonded Ther Notan/public underwriters Page 2 25146670v1 37035.0001 C&Btoth-ers 'T611 .Fi�xte`x:tc::�'� �>rz:�tz.t-yr,i3t�.rr.ce 3:3�p�tc�e�•" ! i I I� R January 13,2016 i To Whom It May Concern: We hereby authorize Greenspoon Marder,P.A. to act as agents in connection obtaining governmental permits and approvals necessary for the property located in Parkland,Florida. s Sincerely, Toll B s,In i By: nRTGD DDN STATE OF ) )ss COUNTY OF ) I HEREBY CERTIFY that on this day,before me,an officer duly authorized in the State aforesaid and in the County aoresal to take acknowledgments,the foregoing instrument was acknowledged before me by fu."t 6 ,who is personally known to me or who has produced -- as identification. WITNESS my hand and official seal in the County and State last aforesaid this day of--Fr!An----"-+l'�--.,2016. "'�{•L C:fi.);tt;ts,:,r�t)4: U1� Notary Public Typed,printed or stamped name of Notary Public My Commission Expires: New York Stock.E;xcliant e. SymbolTOL JUPITER COUNTRY CLUB 3970 NVest I tdiantown Road,JLIpiter, FL 3347£3 B (561) 741.5730 rax(561) 741 -571) tollbrothers.corn