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Zauder, Stephanie Grutman Date CITY OF PARKLAND £ 6600 UNIVERSITY DRIVE PARKLAND, FL 33067 (954) 753-5040 FAX (954) 341-5161 LOBBYIST REGISTRATION STATEMENT Lobbyist Information Lobbyist Name L�le,� tr , y' %i-*�cuut � (Please print) Last First Middle Lobbyist Address (Residence) 46 �-7 "Vis ty State Zip Code �Business Name(Company/Firm) R, 1, ��+yu Business Address � 0 Lm 0 �a S BW 4 ('o Q , V ✓ t l �Q� ,fid, J0 1� _City: State: Zip Code 22-,301 Telephone Fax N/A- Nature of Lobbyist Business, Occupation or Profession: 0to\/e.y yn yy yct- Le,�a t) C Name of Principal io CA Last First Middle Business Name VQN 17 1)n Business Address GM DaL n l/rlL 31 Z I City State Zip Code Subject matter that Lobbyist seeks to influence (Ordinance/Resolution etc. d scribe in detail) YwairdiAq SS S 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. fto e-" 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 1 � F Sig ature STATE OF FLORIDA COUNTY OF BROWARD On this 2 day of , 20 before me,the undersigned N ry Pub 'c of the State of Florida, personally a4eared gA' r whose nam )is/ e subscribed and acknowledged that he/she executed it. Notary Public Notary Seal: ersonally known to me Produced Identification i�e" ,,. CAROLE ANN HAUSMAN : Notary Public-State of Florida Commission#FF 182361 My Comm.Expires Dec 10,2018 Page 12 Verl nwireless June 21,2016 City of Parkland 6600 University Drive Parkland, FL 33067 RE; Lobbying Authorization Letter for Stephanie Grutman Zander To Whom It May Concern: On behalf of Verizon Wireless,I am writing to confirm to The City of Parkland that our company has authorized Stephanie Grutman Zauder of Ballard Partners to lobby on its behalf. Please let me know if you have any questions. Sincerely, Karen Knapp Director,Business Sales