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2013/2014 Collier County Clerk of Courts Expires 3299 Tamiami Trail E. (Cle s office on! Suite 401,Bldg.F,4th Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Steve J. Adamczyk Date 04/17/2014 Business Name Goede, Adamczyk&DeBoest, PLLC Business Address 8950 Fontana Del Sol Way Suite#100 City Naples State Florida Zip Code 34109 Business Telephone 239-331-5100 Contact Person Steve Adamczyk Lobbyist E-mail sadamczyk@gad-law.com Notice for Lobbyists;, The annual registration fee is X25.00 per Lobbyist,per Collier County Ordinance No.2003-53,and amended by Ordinance 2004-05 and Ordinance 2007-24. Payments made out to: Collier County Clerk of Courts or Dwight E.Brock,Clerk of Courts (ADDRESS LISTED ABOVE) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: The Club at La Peninsula, Inc., 1.Name a Florida not for profit corporation 2.Name Address4851 Tamiami Trail North,Suite 400 Address City Naples Zip Code 34103 City Zip Code 3.Name 4.Name Address Address City Zip Code City Zip Code (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of€ollter H A-?,,t r -l�A�i✓ .is ►!.�."`,r L .. ist Signature This registration as sworn(or affirmed)and subscribe before me this day of, 20 )1,by S-rte I. 1'`b +4ersonally Known • Produced ID °°` Deputy Clerk/Notary Public Type of ID Produced oz's`:.°°"i, J.CAMILO BELALCAZAR Revered:0812011 • * , ,, * MY COMMISSION I FF 090790 ` EXPIRES:February 9,2018 I "44^i„ct Bonded They ays2e NoteySe view I Receipt# 007440910 4/22/2014 9:51:37 AM "`", ;, Dwight E. Brock v. . Clerk of the Circuit Court )'1'W Ciii 0 gif Ei ,T:;,--, ,=_, c, g c, -i9 IiR 0 Customer Deputy Clerk Clerk Office Location STEVE J. ADAMCZYK BMR CASHIER Collier County Govt. Center GOEDE, ADAMCZYK & MinutesandRecords @CollierClerk.co Building F, 4th Floor DEBOEST, PLLC m 3299 Tamiami Trail East, Suite 8950 FONTANA DEL SOL 239-252-2646 401 WAY STE 100 P.O. Box 413044 NAPLES, FL 34109-4420 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# 9089 ($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. ©DD111UG'gbG'aK❑@Oli'u Page 1 of 1 Upda - s Martha S. Vergara From: Candi Steadman <csteadman @GAD-Law.com> Sent: Friday, August 29, 2014 2:15 PM To: Martha S. Vergara Cc: Steve Adamczyk, Esq.; Christopher J.Thornton, Esq. Subject: Lobbyist Renewal Forms - Steve Adamczyk and Christopher Thornton Attachments: Lobbyist Registration Forms - Adamczyk and Thornton.pdf Martha, Thank you for your help this morning. The attached checks will be sent to you via courier on Tuesday, September 2, 2014. Please acknowledge receipt of this email and the attached document. We will also need confirmation that Crestview Park II, LTD is registered as quickly as possible. Thank you. Very truly yours, Candi CANDI STEADMAN,LEGAL ASSISTANT TO EMAIL: csteadman(&,GAD-Law.com STEVE ADAMCZYK&KYLA THOMSON GOEDE,ADAMCZYK&DEBOEST,PLLC 8950 FONTANA DEL SOL WAY, SUITE 100 NAPLES,FL 34109 MAIN PHONE: 239-331-5100 or 1 (855)331-5100 FAX: 239-431-7317 W W W.GAD-LAW.COM Offices in Naples,Fort Myers & Miami rinii wpm Goedc Ada,nnCztik ► a 1 FA& DeBoest, l'CIAC FEDERAL FAIR DEBT COLLECTIONS PRACTICES ACT NOTICE.To the extent that this message is an effort to collect a consumer debt,you are hereby notified that this is a communication from a debt collector and that all information provided in response to this message may be used for debt collection purposes. Evidentiary Privilege. To the extent that this message is a communication to settle a claim,all evidentiary limitations on its use are hereby expressly made applicable to its contents. Uniform Electronic Transactions Act Notice. If this communication concerns negotiation of a contract or agreement,unless otherwise 1