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City of \Vilton Manors. Lobbyist Registration Statement

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City of \Vilton Manors Lobbyist Registration Statement Lobh1 ist means am person is emplmnf and recein's Jlunncnt or 1rho conlroctsjih economic consideration for the purpose of /ohh1 ing. or u JICrson
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City of \Vilton Manors Lobbyist Registration Statement Lobh1 ist means am person is emplmnf and recein's Jlunncnt or 1rho conlroctsjih economic consideration for the purpose of /ohh1 ing. or u JICrson is principollr employedfor governme111ul ajf(tirs hy another person or gon mmen!ol entit1 to lohh1 on behalf of that other person or gm cm111ental entin.. -Jm person 1rho. in his or her indin'dual capacity. mereh comnnmicates 1rith the ( 'il1 ( 'onnni.11io11. a ( 'onnnis.1ioncr. u decision-making hod1 under the Jurisdiction of the ( 'itl C 'ommis1ion. or ony citr cmp/m ee. for the purpose of selrrepresentation. 1ritlwut comjh'/1.\olion or reimbursements. to express support ojor opposition to cm1 item 1rhich mu1 he presented for a vote hej( re the ( 'ity ( 'ommis.1io11. am/1rho shall so declare to the person or hod1 1rith 1rhom he or she discussn wn such item. shall not he required to re,'!)ller as a /ohh1 ist. Additiona/h. am indh iduul 1rho engages in /ohln'ing as a mlzmtca. 1rithmrt payment ofany compensation or reimhunement ofnpemes. either directh or indirect/\'. shall not he required to register as u loh!n'ist. Minnis Catherine A Name of Lobbyist (Last) (First) (1\1.1.) Republic Services, Inc. 751 NW 31 Street Lauderhill, FL Business Name and :\ddress (1\.iumher and Street) (Cit;) (State) (Zip Code) 7511 Kismet Street Miramar, FL Residence Address (Number and Street) (Cit;) (State) (/ip Code) com Telephone Number: Fax \iumher: I. Lobbyist Retained by: Name of Principal/Client: Republic Services, Inc. 751 NW 31 Avenue FL Business Name and Address (Number and Street) (City) (State) (Zip Code) Telephone Number: Fax Number: [mail: Republic Services, Inc. Nature of Business Fill out this section. if principal is a Corporation. Partnership. or Trust *Name of Chief Officer. Partner. or Bendician: *I dent it~ all persons holding. directly or indirectly. a 5 /o or more 0\\ nership interest in such corporation. pa11nership or trust: II. General and specific subject matter of Lobby Issue(s). Solid Waste: Recycling; Collection & Disposal III. Specify the extent of any direct business association by the lobbyist with any current elected or appointed official or employee of the City of Wilton Manors. For the purposes of this Article, the term direct business association shall mean any mutual endeavor undertaken for profit or compensation. Information gathering IV. A lobbyist representing a group, association, or organization shall, prior to engaging in lobbying, receive appropriate authorization from said group, association, or organization to lobby on its behalf upon a particular subject matter. Please provide a copy of the applicable minutes, motion, or other documentation of action. See Attached R Lnhh~ ht 1 nbb~ 1\l Rt:ghtratldll \\\I 1.::1 ~..hk V. City Agencies/Individuals to he lobbied: A. Full Name of Individual/Title: All Elected Officials/Public Works B. Any Financial. Familial or Professional Relationship: None VI. Disclosure of terms and amounts of lobbyist compensation (disclose whether hourly, flat rate contingency or other): A. Contingency fee means a fee. bonus. commission. or nonmonetar: benefit as compensation. \\hich is dependent. or in any \\a: contingent on the enactment. defeat. modification. or other outcome of an: spec i tic action ofthe Cit) Commission. None VII. Signature L nder Oath. On or before October 15th each year. each lobb: ist shall submit to the Cit: C Jerk a signed statement under oath. listing lobbying expenditures. as \\ell as compensation received. in the Cit) of Wilton Manors for the preceding calendar year. A statement shall be tiled even if there ha\e been no expenditures or compen tioi} during the reporting period. /J / J/ I do solemnly S\\ear that all of the foregoing facts are true and correct and that 1 ~ -' VIII. Lobb) ist Identification: I./ I Produced I D Driver's License Form of ID 0Personally kncmn( Lobbyist) Principal Identification: 0Produced ID 0Personally knm\ n( Principal) IX. Signature and Stamp of Notary: State of Florida. Count: of Brm\ard S\\ orn to and subscribed before me This 18:_ day ofw. 20 t(p Notarization of Lobbyist signature Signature and Stamp of Notary State of Florida. County of Brm\ ard Sworn to and subscribed before me This day of 20 Notarization of Principal's signature A LOBBYIST REGISTRATION FEE OF 5150 IS DUE AT TL4fE OF REGISTRATION. THIS FEE IS DVE EACH YEAR JFHEN REGISTRA T/Ol\i IS RENEWED. (ONE FEE PER LOBBYIST, NOT PER PRI,VCIPALICLIEST.) FOR CLERKS lise O'IL \ Annual Registration fee of S 1. 0.00: (~l YES 1 l '\~ /.'1.... ''ir )Uumnt t Lob b) ist Registration Form recei\ ed and verified b): tl-v} f.',aarici js Q Date Paid --3D~.:-t \1 l_p CERTIFICATE The undersigned certifies that (i) she is the duly elected, qualified and acting Secretary of REPUBLIC SERVICES OF FLORIDA GP, INC., a Delaware corporation, the general partner (the General Partner ) of REPUBLIC SERVICES OF FLORIDA, LIMITED PARTNERSHIP, a Delaware limited partnership (the Partnership ); (ii) attached hereto as Schedule A is a true and correct copy of resolutions duly adopted by written consent of the General Partner; and (iii) such resolutions have not been amended, rescinded, modified or revoked, and are in full force and effect on the date hereof. Dated: December 18, Secretary STATE OF ARIZONA ) ) ss. County of Maricopa ) On this, the 18 1 h day of December, 2015, before me, the undersigned Notary Public, personally appeared EILEEN B. SCHULER, who acknowledged that she executed the foregoing instrument in her capacity as Secretary of REPUBLIC SERVICES OF FLORIDA GP, INC., a Delaware corporation, in its capacity as general partner of REPUBLIC SERVICES OF FLORIDA, LIMITED PARTNERSHIP, a Delaware limited partnership, for the purposes therein contained. c~~ NOtary Public My Commission Expires: \\-\\-\ 'i; CERTIFICATE The undersigned certifies that she is the duly elected, qualified and acting Secretary of ENVIROCYCLE, INC., a Florida corporation (the Corporation ) and that attached hereto as Schedule A is a true and correct copy of resolutions duly adopted by the Board of Directors of the Corporation, and that such resolutions have not been amended or rescinded and are in full force and effect on the date hereof. Dated: December 18,2015. Ei Secretary STATE OF ARIZONA ) ) ss. COUNTY OF MARICOPA ) On tllis, the 18th day of December, 2015, before me, the undersigned Notary Public, personally appeared EILEEN B. SCHULER, who acknowledged that she executed the foregoing instrument in her capacity as Secretary of ENVIROCYCLE, INC., a Florida corporation, for the purposes therein contained. My Commission Expires: _CJZ~ N~;;, Public SCHEDULE A RESOLVED, that CATHERINE MINNIS, in her capacity as Mllilicipal Services Manager, is hereby authorized and directed to register and serve as a lobbyist on behalf of the Partnership, in connection with lobbying activities vvith all of the cities located in the Counties of Broward and Dade, in the State of Florida, all of which actions to be taken or previously taken are hereby ratified and confirmed in all respects; and FURTHER RESOLVED, that the Secretary, or any other officer of the General Partner, is hereby authorized to certify to the adoption of the foregoing resolutions as may be required.
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