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Tripp, Scott Date 8 J 0 j U RECEIVED t CITY OF PARKLAND City Clerk's Office 6600 UNIVERSITY DRIVE PARKLAND, FL 33067 AUG 15 2016 (954) 753-5040 FAX (954) 341-5161 Tim t7'���- LOBBYIST REGISTRATION STATEMENT Lobbyist Information Lobbyist Name t (Please print) Last First Middle Lobbyist Address (Residence) City State Zip Code Business Name (Company/Firm) S Business Address I( nse lO ST• 15�Q SK Cit 'GkI DE State: Zin Code 33 Telephone $1S- PoFax I -;t� Nature of Lobbyist Business, Occupation or Profession.Q� �O(Y�Ep�1C-{� `�l�j SNC, Name of Principal Last First Middle Business Name Business Address City State Zip Code Subject matter that Lobbyist seeks to influence (Ordinance/Resolution etc. describe in detail) ViRD A� MA' ZP1r 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. L&c,,evWTTu�-Rs 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 Signatur STATE OF FLORIDA COUNTY OF BROWARD On this I _day of /�u a ,, , 2010 before me,the undersigned Notary Public of the State of Florida, personallyapp d ry\,4 { yqj ; n p„ whose name(s) is/are subscribed and acknowledged that he/she executed it. Notar�y l '"1 Public Notary Seal: ./Personally known to me Produced Identification •M••Illry K4M KR 1&4M Aly COM ASSION*EE 867128 EXPIRES May 22,2017 Page 12 9E1k BAY- August i.1 .WAugust 10,2016 City Clerk's Office City of Parkland 6600 University Drive Parkland, FL 33067 Re: Authorization Letter To Whom it May Concern: Please accept this letter of authorization permitting Matthew H. Scott, Esq., Stephanie J. Toothaker, Esq. and Matthew Zifrony, Esq. to represent the interests of HERON BAY HOMEOWNER'S ASSOCIATION,INC. in connection with land use issues in the City of Parkland. Sincerely, mes A.Weiss esident 11575 Osprey Trail, Parkland, FL 33076 - 954-575-2200