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2014/2015
Clerk to the Board, Minutes &Records Dept. Expires s 3299 Tamiami Trail East, Suite #401 (Staff use onl(Q01 ) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name (-1(c9ori L. llrlancic t Esc' Date 1 NIS-- Business Address Coicsma0 /c ano'lch kocSfer) Ta If, k.) Su►lt 300 , l�lavlts, FL Min O 3 �IU01 n�tlam� n Business Telephone ON 4 35- 3535 E-Mail q 1f r bone t c 0 ey kl ra t-i Fi rN).ccvVt NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). T, 0 . Development I , LLC-, a Wisconsin lien0ea 1+abi1�J company IOi Tt'rrore Dr. Lake C1eneia. ) l{L 5 3P-17 2). &114-I,0-iesf flc iAa✓ Wart arce De rlopmeni i3cioret Inc 9536 IY1ortddf lace J Lite 164 4 YYlyers t'L 53912 (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 I ST day of TTtily 201S- 01 ,by GrceioN L. Uriunc►c ,who is personally known to me or has produced as identification and who did take an oath. _' `y�",.�:�*�•: MY ti C®QMA Ua y EXPIRES April 09,201 6 BY: , R_./1 '73%` H#NEES 1O87N 85 (40; 1015 FlofideNotariSetvIce.com D4plity Clerk/Notar; 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. ADDITIONAL ENTITIES REPRESENTED Economic Incubators,Inc. a Florida limited liability company 9530 Marketplace Rd. Suite 104 Ft.Myers,FL 33912 COLE MAN COUNSELORS AND ATTORNEYS AT LAW Kevin G.Colemanl Richard D.Yovanovichl Edmond E.Koester YOVAN OV I C H William M.BurkelGregory L.UrbanciclMatthew L.GrabinskilCraig D.Grider Matthew M.Jackson I Harold J.Webrel G.Helen AthanI Caroline M.Magliolo KOE ST E R Charles A.B.Thomson I David Kereml Michael D.Gentzlel Of counsel:Kenneth R.Johnson Writer's Email: mjohnson@cvklawfirm.com July 2, 2015 Clerk to the Board, Minutes &Records Dept. 3299 Tamiami Trail E, Ste. 401 Building F,4th Floor Naples, FL 34112-5324 Re: Lobbyist Registration Form Dear Clerk: In connection with the above-referenced matter, enclosed please find the original registration form for Attorney, Gregory L. Urbancic along with our firm's check in the amount of $25.00 for the annual registration fee. Should you have any questions or need any additional information, please do not hesitate to contact me. Best regards, 10'LC.c°' Monica Johnson Paralegal :maj enclosure Northern Trust Bank Building 14001 Tamiami Trail North,Suite 300,Naples,Florida 341031239.435.35351fax 239.435.12181 www.cyklawfirm.com RG1•C1N1. • VV I J►ULVJ 7/6/2015 2:10:56 PM «<_; Dwight E. Brock \'. Clerk of the Circuit Court ... II�II� L/�11 l Customer Deputy Clerk Clerk Office Location GREGORY L. URBANCIC, BMR CASHIER Collier County Govt. Center ESQ. MinutesandRecords @CollierClerk.co Building F, 4th Floor COLEMAN, YOVANOVICH & m 3299 Tamiami Trail East, Suite KOESTER, P.A. 239-252-2646 401 4001 TAMIAMI TRL N STE 300 P.O. Box 413044 NAPLES, FL 34103-3591 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# 26286 ($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. ©0[1[I0@algggEf0 Page 1 of 1