2014/2015 Clerk to the Board, Minutes &Records Dept. Expires Ns--
3299 Tamiami Trail East, Suite #401 (Staff use only)
Building F,4th Floor
Naples, FL 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name Terrence R. Holihen Date 01/29/2015
Business Address4500 PGA Boulevard, Suite 400
Palm Beach Gardens, FL 33418
Business Telephone 561 -624-4000 E-Mail tholihen @kitsonpartners.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). KE Talis Park Properties, LLC
16990 Livingston Road
Naples, FL 34110
2) Talis Park Community Development District
do Governmental Management Services-South Florida, LLC
5385 North Nob Hill Road, Sunrise, FL 33351
(PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY)
Lobbyist Signature
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this
day of January ,by Terrence R.Holihen ,who is personally known to
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who did take an oath.
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Deputy Clerk/Notary Public \`�00.1E R e......
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The annual registration fee is$25.00 per Lobbyist,according to Collier County i yo�y �o
Ordinance No.2003-53, as amended by Ordinance 2004-05, Ordinance 2007-24= : cn
and Ordinance 2013-39. — ��
Please make payment to: Collier County Clerk of Courts or SW. 4FF056031 Q
Dwight E. Brock, Clerk of Courts and mail to the address listed at the top of the ean .� :
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2/6/2015 2:27:12 PM
y ; ;r �; <<;1 Dwight E. Brock
Clerk of the Circuit Court
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Customer Deputy Clerk Clerk Office Location
KITSON EVERGREEN LLC BMR CASHIER Collier County Govt. Center
4500 PGA BLVD STE 400 MinutesandRecords @CollierClerk.co Building F, 4th Floor
PALM BEACH GARDENS, FL m 3299 Tamiami Trail East, Suite
33418-3995 239-252-2646 401
P.O. Box 413044
Naples, Florida 34101-3044
1 Product
QUANTITY DESCRIPTION UNIT COST AMOUNT
2 BMR Lobbyist Registration $25.00 $50.00
TOTAL AMOUNT DUE $50.00
Check# 12938 ($50.00)
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.
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