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2020/2021 Collier County Clerk of Courts Expires 01 3299 Tamiami Trail E. (Clerk's fce only) Suite 401,Bldg.F,4th Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Donald R. Schrotenboer Date 4.1 .2021 Business Name LifeScapes Development, LLC Business Address 13 Catalpa Court City Fort Myers State FL Zip Code 33919 Business Telephone (239) 908-1107 Contact Person Donald Schrotenboer Lobbyist E-mail donaldschrotenboer@comcast.net 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,Ordinance 2007-24 and Ordinance 2013-39.Please make payment(s)to: Collier Clerk of Court. (Mail to the address listed at the top of the form) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1. Name 27th Pico Blvd. Ltd. Partnership 2. Name Metro Development Group, LLC Address 95 North County Road Address 2502 Rocky Point Dr., Ste. 1050 City/State Palm Beach, FL Zip 380 City/State Tampa Bay, FL Zip 33607 3. Name 4. Name Address Address City/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of Collier Sign re Lobbyist This registration was sworn(or affirmed)and subscribed before a this Of day of, api ► , 20 ,by V onca SChfo}(2(1boQC X' Personally Known Known BY: Produced ID Deputy Clerk/Notary Public Type of ID Produced 0. ANGELA M BAGGETT MY COMMISSION#GG150876 Revised:08/2019 "A?,,, ,c EXPIRES October 12,2021 Receipt# 008377600 4/30/2021 3:28:36 PM Crystal K. Kinzel Clerk of the Circuit Court and Comptroller %IFC) O — g— — — U — ]0`a Customer Deputy Clerk Clerk Office Location DONALD R. BMR CASHIER Collier County Govt. Center SCHROTENBOER MinutesandRecords@CollierClerk.co Building F, 4th Floor LIFESCAPES m 3299 Tamiami Trail East, Suite DEVELOPMENT, LLC 239-252-2646 401 12 CATALPA CT P.O. Box 413044 FORT MYERS, FL 33919-7532 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#000100 ($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. ©CD1111®TD® gOID] Page 1 of 1