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Toothaker, Stephanie 1'A1 Date 9 �0 RE jf CITY OF PARKLAND C'WED . x 1%3 City Clerk's office q 6600 UNIVERSITY DRIVE PARKLAND, FL 33067 OCT 1A 2016 (954) 753-5040 FAX (954) 341-5161 Time: B"Y LOBBYIST REGISTRATION STATEMEN Lobbyist Information Lobbyist Name� T1 (Please print) Last First Middle Lobbyist Address (Residence) City State Zip Code Business Name(Company/Firm) Business Addresst' S .J 1 , 4'J7C�0 City: d,eCA tate: Zip C I Tele hone x J� Nature of Lobbyist Business, Occupation or Profession:_ R>y Name of Principal Last First Middle Business Name Business Addressr'3 IS- NVQ 12C--PnWe<�A le 3-2(,o53 City State Zip Code 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) Pagel 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 correct and that I have read the City of Parkland Code, Chapter 2.5 or Ordinance No. 2011-02 d that I am aware of the requirements for periodic filing and submission of other stat s Si, nature STATE OF FLORIDA COUNTY OF BROWARD On thisday of (CI"Q-jQ�Z , 201�p before me, the undersigned Notary Public of the State of Florida,personally appearedQ�tgt�l t Ii -�pL)chose name(s) is/are subscribed and acknowledged that hes e executed it. Notary Pu is Notary Seal: Personally known to me Produced Identification MINDY S.HERTZON MY COMMISSION#FF 022109 * EXPIREs:May 28, 5>;••...• -A Bonded Thru Not"p jblic Underv+rders Page 12 )�A�SAHFUSM usedes October 1, 2016 To Whom It May Concern: This letter authorizes Stephanie Toothaker of Tripp Scott to represent San Felasco Nurseries before the City. If you have any questions, please do not hesitate to contact me. Sincerely, EDocuSig'need by: B40C3B1 BBB03483... Marc Meisel, President San Felasco Nurseries mmeisel@tqsflorida.com PO Box 14986 Gainesville FL 32604 (352) 559-8910