2015/2016 Collier County Clerk of Courts Expires 0611( l l
3299 Tamiami Trail E. (Clerk's of ce only)
Suite 401,Bldg. F, 4th Floor
Naples,Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name 16VA \ . - _ j CUll Date 77/1 I 5
Business Name t" �O Q,I.)- \__ Vjcfl
e_ A se('`1�� CC •
Business Address BQOytrnd ;
City 4 c)\ f S State 'F L., Zip Code ) i9
Business Telephon ai 357_I., c,'4 Contact Person .*.
Lobbyist E-mail k C e Ct rL S(.1, A(a e U a re /4-)- cik(voc- (1c vl'1
Notice for Lobbyists: The annual registration fee is $25.00 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:
1. Name � , v� e �2�. Name
1 UOC: 6cj.Wc)(-C-tS S
Address (�,s 6 'r-c-{-e_ - pig: y , Address
5
City ern s n Zip Code j 3323 City Zip Code
/./_, -'
3.Name l,//f j 4.Name
Address Address
City Zip Code City Zip Code
(ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY)
State of Florida .
County of Collier 1 ,
Lobbyist Signature
is -gistration was sworn (or affirmed) and subscribed before me this /Q day of,
:, ), !, 20 /S-, by
Personally Known BY:
Produced ID puty Clerk/No y Public
Type of ID Produced , .r GEMMA NOGUES
...cili: NOTARY PUBLIC
_STATE OF FLORIDA Revised:08/2011
. Comrn#FF154423
Expires 8/25/2018
RCbCIF.lbt vv l J.7'Ulu
9/16/2015 11:16:23 AM
,r Dwight E. Brock
Clerk of the Circuit Court
Customer Deputy Clerk Clerk Office Location
ROBERT L. DUANE BMR CASHIER Collier County Govt. Center
ROBERT L. DUANE & MinutesandRecords @CollierClerk.co Building F, 4th Floor
ASSOCIATES m 3299 Tamiami Trail East, Suite
4880 TAMARIND RIDGE DR 239-252-2646 401
NAPLES, FL 34119-2826 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# 3180 ($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.
g0000g ll® gOn Page 1 of 1
9 , ,,,
:.
, , /
A ,,4•Be„,,,,s----
,, ,, i
PUDA- PL 20150002280. Tollgate
ATTACHMENT "A" Commercial Center PUD
DISCLOSURE OF INTEREST
Name of Owner Percentage of Ownership
Sky Angel Center, LLC 100%
1300 Goodlette Road N
Naples, FL 34102
(Sky Angel Center, LLC Owned By):
- Sky Angel Holdings, Inc. 100%
(Sky Angel Holdings Inc. Owned By):
- Robert W. Johnson Jr. &
Kenneth D. Krier Trustees of
the trust for Sky Angel Holdings, Inc.
Under article V of the Jeanine Johnson
Revocable Trust
UAD 08/17/2010 .
(Beneficiaries of the above mentioned Trust):
- Robert W. Johnson, Jr. 25%
Kathleen L. Johnson 25%
Nancy B. Christopher 25%
Jennifer A. Jarvis 25%
PUDA- PL 20150002280.
EXHIBIT "A" Tollgate Commercial Center PUD
DISCLOSURE OF INTEREST
Name of Owner Percentage of Interest
Toll Gate Naples, LLC 100%
3845 Beck Blvd., Suite 807
Naples, FL 34114
(Toll Gate Naples, LLC Owned By):
Realty Two, LLC 86%
815 Wernsing Rd.
PO Box 650
Jasper, IN 47547
Robert Paul Hardy as Trustee 14%
of the Hardy Family Trust dated 1/3/2005
(Beneficiaries of the above mentioned Trust):
Jennifer Hardy Mercer 25%
Catherine Pisano 25%
Robert J. Hardy 25%
Paul Michael Hardy 25%
(Realty Two, LLC Owned By):
Douglas Bawel 11.11%
Zachary Bawel 11.11%
Jeffrey Bawel 11.11%
Bradley Bawel 11.11%
Luke Bawel 11.11%
Michael Schwenk 11.11%
Ralph Schwenk 11.11%
Rita Uebelhor 11.11%
Raymond Schwenk 11.11%