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Ericks, Candice Date LO CITY OF PARKLAND RECEIVED City Clerk's Office '%' 6600 UNIVERSITY DRIVE PARKLAND FL 33067 OCT 1 2016 (954) 753-5040 FAX (954) 341-5161 Time: syr./" � •� LOBBYIST REGISTRATION STATEMENT Lobbyist Information Lobbyist Name E�� G�G.,Cj c��1 C (Please print) Last Firet Middle Lobbyist Address (Residence) City State Zip Code Business Name(Company/Firm) ERS'C y�,� PzD f Business Address '3 3-3 N Q C /J City: State: Zip Code Telephon Fax Nature of Lobbyist Business, Occupation or Profession: Name of Principal M C,- Last Last First Middle Business Name f5Nt 1 S C,c> tj"X:S EY2,�es Business Address f-0 h (4 le'Lo Nil �, e 32. (c C)q City State Zip Code 1IT Subject matter that Lobbyist seeks to influence (Ordinance/Resolution etc. describe in detail) 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. 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 d 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 day of Q AO 2016 before me,the undersigned Notary Public of the State of Florida,personally appeared sr� S whose name(s) is/are subscribed and acknowledged that he/she executed it. NPublic ot Notary Seal: Personally known to me Produced Identification z�EGAN #FF953g18 CU STAT Page 12 October 1, 2016 To Whom It May Concern: This letter authorizes Candice EEricks of Ericks Advocacy Group to represent San Felasco Nurseries before the City. If you have any questions, please do not hesitate to contact me. Sincerely, EAL DocuSign/e�d by: CC N,"S C.' B40C3B1 BBB03483... Marc Meisel, President San Felasco Nurseries mmeisel @tgsflorida.com PO Box 14986 Gainesville FL 32604 (352) 559-8910