Lobbyist Registration — Clifford L. Hertz, Palm Beach County Registration (2009)

PALM BEACH COUNTY Board of County Commissioners 2009 Paid Lobbyist Registration Form Instructions: Fill out information requested and return completed form to the address below. Attach additional names of principles or organizations if necessary. It is the duty of each lobbyist to continually update and file this information. Registration automatically expires on December 31st of each year. Name of Lobbyist: Clifford L. Hertz Business Phone: (rc) 832-3300 Firm Name (if applicable) Blond and Camel Business Address (Street/P.O. Box, City, Zip Code) 1 N. Clematis St. #500 W.P.B. 33401 Description of nature and extent of any direct business association or partnership with any current Palm Beach County Commissioner, Advisory Board member or County employee: None Principal (s) Represented Name: Florida Cyclery Name: Address: 1 N. Clematis St Address: W.P.B. FL 33401 Legislative Interest of Principal Legislative Interest of Principal L-Club PWT L-Club F-11 Additional Principals Should be Disclosed on Additional Pages In compliance with Palm Beach County Ordinance 2003-018, I hereby submit this registration form, and state that the information contained herein is true and correct. Signature of Registrant 1/6/09 Date of Registration Return original completed form(s) to: Todd Bonlarron, Legislative Affairs Director 301 N. Olive Avenue, Suite 1101 West Palm Beach, FL 33401 (561) 355-3451