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2014/2015 _— _ _ THE SCHOOL BOARD OF BROWARD COUNTY, FLORIDA tivv 600 SOUTHEAST THIRD AVENUE•FORT LAUDERDALE,FLORIDA 33301-3125•TEL 754-321-2300•FAX 754-321-2318 NOTICE OF CANCELLATION OF LOBBYIST REGISTRATION Please Type or Print in Ink Lobbyist Name: Loret De Mola, Henry Last Name First Name M.I. Novartis Vaccines Business/Firm Name do 2350 Kerner Blvd., Ste. 250 Address San Rafael, CA 94901 City State Zip jskelton @nmgovlaw.com E-mail Address Principal Represented: Novartis Vaccines Business/Firm Name c/o 2350 Kerner Blvd., Ste. 250 Address San Rafael, CA 94901 City State Zip Date Representation Ended: 06/11/2015 a---- --- Signature of Lobbyist Date v / 3 0 / /S Broward County Public Schools, Public Relations&Governmental Affairs Department Kathleen C.Wright Building,600 SE Third Avenue, 7th floor, Fort Lauderdale, FL 33301 Office:754-321-2300—Fax: 754-321-2318 ETA:ds 12/4/09 NIELSEN MERKSAMER PARRINELLO GROSS & LEONI LLP ATTORNEYS AT LAW 2350 KERNER BOULEVARD,SUITE 250 SAN RAFAEL,CALIFORNIA 94901 TELEPHONE (415) 389-6800 FAX (415) 388-6874 July 1, 2015 Clerk to the Board, Minutes & Records Department 3299 Tamiami Trail East, Suite 401 Building F, 4th Floor Naples, Florida 34112 Dear Filing Official: Enclosed please find the original and a copy of the following for: Henry Loret De Mola Board of County Commissioners Lobbyist Withdrawal Fcm r-- Fl Sent via Federal Express o N -c a Z Other: rU ( w � -) co c� Please endorse this transmittal letter as acknowledgment of receipt of the form and return it in the stamped envelope provided. #8193.01 Collier County SACRAMENTO OFFICE • 1415 L STREET,SUITE 1200, SACRAMENTO,CALIFORNIA 95814 • (916)446-6752 WWW.NMGOVLAW.COM kiii, , 110) \,, ab s,__ Clerk to the Board, Minutes&Records Dept. Expires 01-0!S 3299 Tamiami Trail East, Suite#401 (Staff use onl Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Henry Loret De Mola Date E a° Business Address C/o Nielsen Merksamer, et al. 2350 Kerner Blvd., Ste. 250, San Rafael, CA 94901 Business Telephone 415-389-6800 E-Mailjskelton @nmgovlaw.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Novartis Vaccines C/o Nielsen Merksamer, et al. 2350 Kerner Blvd., Ste. 250, San Rafael, CA 94901 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) Lobbyist Signature State of Florida County of Collier The fore IU /Yr oing registration was sworn to and subscribed before me on this 6'+h day of ( , by \krw 1.6ye-1 \D'AnaCe , who isiSe-rsonally kno to me or has produced as identification and who did take an oath — — 4 .tear p4'B, DIONNE SIMMONS 4 2°»�«`1 Notary Public-State of Florida 1 My Comm.Expires May 19,201 o-; Commission#FF 7503,F° Bonded Through National Notary A ssn. Deputy Clerk/Nota ry Public The annual registration fee is $25.00 per Lobbyist,accordin to Collier County Ordinance No.2003-53,as amended by Ordinance 2004-05, Ordinance 2007-24 and Ordinance 2013-39. Please make payment to: Collier County Clerk of Courts or Dwight E.Brock, Clerk of Courts and mail to the address listed at the top of the form. Receipt# 007476896 8/13/2014 1:24:07 PM �;,;,K<;, . Dwight E. Brock `% ` Clerk of the Circuit Court ii7ii ciii.i:•' 0 ffift=ig 0 L=p,a(--c-Thc n pR Customer Deputy Clerk Clerk Office Location HENRY LORET DEMOLA BMR CASHIER Collier County Govt. Center NIELSEN MERKSAMER MinutesandRecords @CollierClerk.co Building F, 4th Floor 2350 KERNER BLVD STE 250 m 3299 Tamiami Trail East, Suite SAN RAFAEL, CA 94901-5596 239-252-2646 401 P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 1 BMR Lobbyist Registration $25.00 $25.00 TOTAL AMOUNT DUE $25.00 Check#7064 ($25.00) BALANCE DUE $0.00 Note: Disclaimer: All transactions are subject to review/verification. The Clerk reserves the right to correct for clerical errors and to assess or refund charges as needed. ©di FUTglkgiTlhoggriThi Page 1 of 1 kiii, , 110) \,, ab s,__ Martha S. Vergara From: Tyler Kleinman <TKleinman @nmgovlaw.com> Sent: Wednesday, April 22, 2015 1:23 PM To: Tom Howard Subject: FW: Novartis Vaccines - Collier County, Florida Lobby Activity for Henry Loret de Mola From: Tyler Kleinman Sent: Monday, March 30, 2015 2:58 PM To: 'Timothy Durham' Cc: Jennie Skelton; National Compliance SPRSs Subject: Novartis Vaccines - Collier County, Florida Lobby Activity for Henry Loret de Mola Dear Mr. Durham, Henry Loret de Mola, a registered lobbyist for Collier County, Florida will continue to lobby on behalf of Novartis Vaccines in Collier County for the period April 1, 2015 through June 3o, 2015. If you have any questions, please do not hesitate to contact Jennie Skelton or me at (415) 389- 680o. Sincerely, Tyler Tyler Kleinman, National Compliance Political Reports Specialist NIELSEN MERKSAMER PARRINELLO GROSS &LEONI LLP 2350 Kerner Boulevard,Suite 250 San Rafael,Califo nia 94901 t:415.389.6800 I f:415.388.6874 Please visit www.nmgovlaw.com for more information about our firm. NOTICE TO RECIPIENT: THIS E-MAIL,INCLUDING ANY ATTACHED FILES,IS CONFIDENTIAL AND IS MEANT FOR ONLY THE INTENDED RECIPIENT OF THE TRANSMISSION,AND MAY BE A COMMUNICATION PRIVILEGED BY LAW. IF YOU RECEIVED THIS E-MAIL IN ERROR,ANY REVIEW,USE, DISSEMINATION, DISTRIBUTION,OR COPYING OF THIS E-MAIL IS STRICTLY PROHIBITED. PLEASE NOTIFY US IMMEDIATELY OF THE ERROR BY RETURN E-MAIL AND PLEASE DELETE THIS MESSAGE FROM YOUR SYSTEM. THANK YOU IN ADVANCE FOR YOUR COOPERATION. 1