2014/2015 Collier County Clerk of Courts Expires (1 20
3299 Tamiami Trail E. (Clerk's fiee only)
Suite 401, Bldg. F, 4th Floor
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name D l0 41, O n-T�'7 Date // 7 /7
Business Name--D,Al.p•c-p A • )? -' ?i�
Business Address be-4)Z) 7-1190//0// 7G Al 're 70._
City /0/1-P State " Zip Code 3 L/
Business Telephone °2 63-3660
Contact Person' O N ( ( '( Ix)
Lobbyist E-mail / �-(� � caJ eq. r irk i< me- i
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 2. Name
Address Address
City ip C't Zip Code
oeplrogircies00
3. Name 4. Name
Address Address
City Zip Code City Zip Code
(ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY)
State of Florida
County Collier //r/ '/ /i /' 411
t3' �i �
Lobbyist S gn.ture
This registration was sworn(or affirmed) and subscribed before me this �v day of,
NOra),Qfe, 20/' , by DOA)PrL-t Pr. QK-K 3O ( .
Personally Known BY:
Produced ID D„Y. y Clerk/Notary Public
Type of ID Produced .41104,„� Commis on#FF NS
:e. Commission#FF 049606
Expires December 29,2017
%ARf" Bonded Tlvu Troy Fain Hwurenoe8OD3&F70+e Revised:08/2011
Clients represented by Donald A. Pickworth, PA
1. Housing Finance Authority of Collier County
c/o Donald A. Pickworth, General Counsel
5100 Tamiami Trail N
STE 103
Naples, FL 34103
2. Collier County Health Facilities Authority
c/o Donald A. Pickworth, General Counsel
5100 Tamiami Trail N
STE 103
Naples, FL 34103
3. Collier County Educational Facilities Authority
c/o Donald A. Pickworth, General Counsel
5100 Tamiami Trail N
STE 103
Naples, FL 34103
4. Collier County Industrial Development Authority
c/o Donald A. Pickworth, General Counsel
5100 Tamiami Trail N
STE 103
Naples, FL 34103
5. City Gate Community Development District
c/o Donald A. Pickworth, District Counsel
5100 Tamiami Trail N
STE 103
Naples, FL 34103
r�cs.ciprirr vv I.wLU.�L
11/13/2014 12:32:17 PM
,,,;;�1��< rl Dwight E. Brock
� Clerk of the Circuit Court
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Customer Deputy Clerk Clerk Office Location
DON PICKWORTH BMR CASHIER Collier County Govt. Center
5100 TAMIAMI TRL N STE 103 MinutesandRecords @CollierClerk.co Building F, 4th Floor
NAPLES, FL 34103-2810 m 3299 Tamiami Trail East, Suite
239-252-2646 401
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# 6120 ($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.
00[1D11®Dvag gOGu�i Page 1 of 1
4 :
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Martha S. Vergara
From: Don Pickworth <picklaw @qm.net>
Sent: Wednesday, April 22, 2015 1:11 PM
To: Martha S. Vergara
Subject: Lobbyist update
This firm represents the following entities, which we believe were the same entities that were listed in the October 2014
registration. However, if they are not the same, please consider the following the current list:
Housing Finance Authority of Collier County
Collier County Health Facilities Authority
Collier County Industrial Development Authority
Collier County Educational Facilities Authority
Thank you for your reminder emails. Please let us know if you need further information.
Donald A. Pickworth
Donald A. Pickworth PA
5100 Tamiami Trail North #103
Naples, Florida 34103
239.263.8060
I.
ida-ks
Martha S. Vergara
From: Don Pickworth <Picklaw @sds.net>
Sent: Tuesday, June 16, 2015 12:55 PM
To: Martha S. Vergara
Subject: Re: Lobbyist Update
This firm represents the following entities, which we believe were the same entities that were listed in the first quarter
update. However, if they are not the same, please consider the following the current list:
Housing Finance Authority of Collier County
Collier County Health Facilities Authority
Collier County Industrial Development Authority
Collier County Educational Facilities Authority
Thank you for your reminder emails. Please let us know if you need further information.
Donald A. Pickworth
Donald A. Pickworth PA
5100 Tamiami Trail North #103
Naples, Florida 34103
239.263.8060
Donald A. Pickworth
Donald A. Pickworth PA
5100 Tamiami Trail North #103
Naples, Florida 34103
239.263 .8060
On 6/16/2015 11:06 AM, Martha S. Vergara wrote:
Morning All,
If you haven't updated the Lobbyists/clients please do so prior to the end of this month.
Attached below is a sample of an update:
1