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Scott, Tripp PA j Date 1D 1 (Q RECEIVED CITY OF PARKLAND City Clerk's Office ' ' 6600 UNIVERSITY DRIVE . .Q�°�� AUG 15 2016 IVWT PARKLAND, FL 33067 �`� (954) 753-5040 FAX (954) 341-5161 Bye. LOBBYIST REGISTRATION STATEMENT Lobbyist Information, �— Lobbyist Name (Please print) Last First Middle Lobbyist Address (Residence) ` -`� City State Zip Code Business Name (Company/Firm��t.p S Cwt Business Address �`--� -41-1,50c) City.5Z Avt X- State: r-1- Zip Code 333 ) Telephone 6-IJ. Fax 41V Nature of Lobbyist Business, Occupation or Profession:��j�c�.1$ '-Wek f 5 i' of i#:74V f 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) vlSE 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.&D iAC-, LAMeIVE)R=S 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 11 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 aware of the requirements for periodic filing and submission of other statements Signature STATE OF FLORIDA COUNTY OF�BROWARD On this �� day of 44` 20 b, before me,the undersigned Notary Public of the State of Florida, personally-c d b8&1V-II-W SLS' whose name(s) is/are subscribed and acknowledged that he/she executed it. N=ersona"lown c Notary Seal: to me Produced Identification MINDY S.HERTION ' MY COMMISSION 4 FF 022109 EXPIRES:May 28 2017 Bonded Thru NOW Pubs Underwriters !Tf `` Page 12 h_ EFZ-CD t,4 BAY- August -August 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, EL 33076 - 954-575-2200