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2017/2018 Clerk to the Board, Minutes & Records Dept. Expires 3299 Tamiami Trail East, Suite#401 (Staff use only) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Mike Antheil Date Business Address c/o 2350 Kerner Blvd., Ste. 250 San Rafael, CA 94901 E-Mail renovateamerica@nmgovlaw.com Business Telephone (415) 389-6800 NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Renovate America, Inc. c/o 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 foregoing reg atio as sworn to and subscribed before me on this day of , who is personally known to me or has produce — as identification and who did take an oath. BY: Deputy Clerk/Notary Public The annual registration fee is $25.00 per Lobbyist, according 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. 1A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Cali rnia County of / ,n 74 Subscribe and sworn to (or affirmed)More me on is day of , 20 /I by 1 / proved to me on the basis of satisfactory evidence to be the person(s)who appeared before me. LORI RAE LYMAN Commission #2091851 z;r a Notary Public -CaliforniaD (T..4, San Diego County 3 • My Comm.Expires Nov 28,2018 (Seal) Signa �/.-e, ie.A.40 r , /' POLITICAL& LAW NIELSEN MERKSAMER GOVERNMENT ADVOCACY LITIGATION NIELSEN MERKSAMER PARRINELLO GROSS & LEONI LLP September 29, 2017 Clerk to the Board, Minutes & Records Dept. 3299 Tamiami Trail East, Ste. #401 Building F, 4th Floor Naples, FL 34112 Dear Filing Official: Enclosed please find the original of the following for: Mike Antheil Z2018 Lobbyist Registration Form ni Lobbyist Issue Application J Sent via Federal Express Z Other: $25.00 Registration Fees; Check #8o6o Please endorse this transmittal letter as acknowledgment of receipt of the enclosed form and return it in the stamped envelope provided. 8333.01 Collier County, FL SAN FRANCISCO BAY AREA SACRAMENTO 2350 KERNER BLVD,SUITE 250 1415 L STREET,SUITE 1200 SAN RAFAEL,CA 94901 SACRAMENTO,CA 95814 T 415.389.6800 F 415.388.6874 T 916 446 6752 F 916.446.6106 NMGOVLAW.COM https://www.fedex.com/shipping/html/en/PrintlFrame.html _ —I 0 Co, iv Z5 7 NN.) 7i - CQ) cwi>Z00 - a ZC/) C4MC-) mA ;(mG �.� = m D C to r .-n mZnZ y _ r-0 .I CO Z T --in z wo m -1W w -_•_-_. _ O M (n —I Cm Cqy MINIIIIMI > CD T 0 `nit Pe _ r n 93 —I o m C, _ W = c� a -4-1 m T mn w -n W N O CC' cr (0 m rvco O -I -0 li 71 m on u) 70 - � nox C ��- p m . m _ Z o0� simmimiiii - 0 m.m Wer w i_'o N) -n 0 0 = mWo milmilimm N o v � ;Emmommil CAI 0w m -I n N® J172117091301,, 549J31P89911040 After printing this label: 1. Use the'Print button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges,along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide,available on fedex.com.FedEx will not be responsible for any claim in excess of$100 per package,whether the result of loss,damage,delay, non- delivery,misdelivery,or misinformation, unless you declare a higher value,pay an additional charge,document your actual loss and file a timely claim.Limitations found in the current FedEx Service Guide apply.Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit,attorney's fees,costs,and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of$100 or the authorized declared value. Recovery cannot exceed actual documented loss.Maximum for items of extraordinary value is$1,000,e.g.jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide.Written claims must be filed within strict time limits,see current FedEx Service Guide. .. :; A ` 't ! :6 iciV C— :i3OLUIZ t .tii ii 'A1Ni,; ,} i ... 4 G E11 a 1 of 1 10/2/2017, 3:08 PM Receipt# 007837415 10/4/2017 9:31:23 AM Dwight E. Brock -\\ Clerk of the Circuit Court ) r- ° 1 ECR o aa- c l a c�c aD a Customer Deputy Clerk Clerk Office Location MIKE ANTHEIL BMR CASHIER Collier County Govt. Center NIELSEN, MERKSAMER, MinutesandRecords@CollierClerk.co Building F, 4th Floor PARRINELLO, GROSS & m 3299 Tamiami Trail East, Suite LEONI, LLP 239-252-2646 401 2350 KERNER BLVD STE 250 P.O. Box 413044 SAN RAFAEL, CA 94901-5596 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# 8060 ($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. ©QQ 000@0® ❑@CDS Page 1 of 1 Lobbyist Registration Quarterly Update POLITICAL& LAW NIELSEN MERKSAMER GOVERNMENT ADVOCACY LITIGATION NIELSEN MERKSAMER PARRINELLO GROSS & LEONI LLP January 12, 2018 Clerk to the Board, Minutes & Records Dept. 3299 Tamiami Trail East, Ste. #401 Building F, 4th Floor Naples, FL 34112 Dear Filing Official: Enclosed please find the original of the following for: Mike Antheil 2018 Lobbyist Registration Form Lobbyist Issue Application Z Sent via Federal Express Other: Please endorse this transmittal letter as acknowledgment of receipt of the enclosed form and return it in the stamped envelope provided. 8333.01 Collier County, FL SAN FRANCISCO BAY AREA SACRAMENTO 2350 KERNER BLVD,SUITE 250 1415 L STREET,SUITE 1200 SAN RAFAEL,CA 94901 SACRAMENTO,CA 95814 T 415.389.6800 F 415.388.6874 T 916.446.6752 F 916.446.6106 NMGOVLAW.COM Clerk to the Board, Minutes & Records Dept. Expires 3299 Tamiami Trail East, Suite#401 (Staff use only) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Mike Antheil Date 1/10/2018 Business Address c/o 2350 Kerner Blvd., Ste. 250 San Rafael, CA 94901 Business Telephone (415) 389-6800 renovateamerica@nmgovlaw.com E-Mail NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1> Renovate America, Inc. c/o 2350 Kerner Blvd., Ste. 250 San Rafael, CA 94901 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) 4/A, .byist Signature State of.FieriEix b* S• 4e4 County of€elfin The foregoing registration was sworn to and subscribed before me on this day of , by , who is personally known to me or has produced as identification and who did take an oath. BY: ert646e1 C+4.4 Deputy Clerk/Notary Public The annual registration fee is $25.00 per Lobbyist, according 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. CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202 ••7 • V7 . Nk.See Attached Document (Notary to cross out lines 1-6 below) Ii See Statement Below(Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California Subscribed and sworn to (or affirmed) before me County of Meet 4 on this III day of OttiV.AV , 20 by Date Month Year (1) 43eX CSA64, cdttpd. .6ttArk „A m_EklitAl\I'l dtart1-(2) INLER VaLlt"' 2A37003 rft; ion# Name{0 of Signerie) Ccitn-oispstitfic Ca‘it n%a 'ma.Countic A 5,2in 9 proved to me on the basis of satisfactory evidence to be the persont* who appeared before me. tA Conlin E"“es De Signature Signature of Notary Public Seal Place Notary Seal Above OPTIONAL Though this section is op al, completing this information can deter alteratio of the document or fraudulent re. .chment of this form to an unintende. • iment. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) ipther Than Named Ab. ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5910 Lobbyist Registration Quarterly Update 1 Martha S. Vergara From:Daniel Hinman <DHinman@nmgovlaw.com> Sent:Monday, April 02, 2018 2:19 PM To:Martha S. Vergara Cc:Joel Aurora; National Compliance SPRSs Subject:Renovate America - Mike Antheil Client List Hi Martha, This email is to confirm that Mike Antheil did not have any changes to his client list in the previous quarter. Please confirm receipt by replying to this email. Thank you for your assistance, Daniel Daniel Hinman, National Compliance Political Reports Specialist NIELSEN MERKSAMER PARRINELLO GROSS & LEONI LLP 2350 Kerner Boulevard, Suite 250 San Rafael, California 94901 t: 415.389.6800 • f: 415.388.6874 e: dhinman@nmgovlaw.com NIELSEN MERKSAMER Please visit www.nmgovlaw.com for more information about our firm Join Us on LinkedIn • Join Us on Facebook CONFIDENTIAL COMMUNICATION: 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. Lobbyist Registration Quarterly Update 1 Martha S. Vergara From:Daniel Hinman <DHinman@nmgovlaw.com> Sent:Monday, July 2, 2018 6:17 PM To:Martha S. Vergara Cc:Elli Abdoli; Joel Aurora; National Compliance SPRSs Subject:Renovate America - Mike Antheil Client List Hi Martha, This email is to confirm that Mike Antheil did not have any changes to his client list in the previous quarter. Please confirm receipt by replying to this email. Thank you for your assistance, Daniel Daniel Hinman, National Compliance Political Reports Specialist NIELSEN MERKSAMER PARRINELLO GROSS & LEONI LLP 2350 Kerner Boulevard, Suite 250 San Rafael, California 94901 t: 415.389.6800 • f: 415.388.6874 e: dhinman@nmgovlaw.com NIELSEN MERKSAMER Please visit www.nmgovlaw.com for more information about our firm Join Us on LinkedIn • Join Us on Facebook CONFIDENTIAL COMMUNICATION: 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.