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2020/2021 Collier County Clerk of Courts Expires C I 1dot 3299 Tamiami Trail E. (Clerk's of a only) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Brandon Stankiewicz Dates-6-2021 Business Name Florida Power & Light Company Business Address 700 Universe Boulevard City Juno Beach State FL Zip Code 33458 Business Telephone 561 -304-5775 Contact Person self Lobbyist E-mail brandon.stankiewicz@fpl.com 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 County Clerk of Courts & Comptroller. (Mail to the address listed at the top of the form) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1. Name Brandon Stankieiwicz 2. Name Address 700 Universe Boulevard Address City/State Juno Beach, FL Zip 458 33 City/State Zip 3. Name 4. Name Address Address City/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of Collier Lobbyist Signature This registration was s b���orn (or affirmed) and sui�Jed before me this 0-sit-day of Mel , 20 a i by 6r % ct•.,fC.< L 4e"pSS.A.DESO" �•• �SSION• ✓ °%�qBi Personally Known Q �oY 27,zp '•• : A . 5� Q . ��e ��-+-•• Produced ID ' �' `' • = Deputy Clerk/Notary Public Type of ID Produced =* : ••• • #GG 987421 h 9•.••.•°bhc Undg��•• i'.., Revised:08/2019 Receipt# 008385536 5/13/2021 1:35:43 PM tC oFaC9k),, Crystal K. Kinzel \ Clerk of the Circuit Court and Comptroller o _ _v_., THe('IRS 0 ffir-- K g@QE - 0 ER Customer Deputy Clerk Clerk Office Location SCOTT SCOVILL, BMR CASHIER Collier County Govt. Center CHARLOTTE R. MILLER, MinutesandRecords@CollierClerk.co Building F, 4th Floor JOHN RENFRANZ, BRANDON m 3299 Tamiami Trail East, Suite STAN KI EWICZ 239-252-2646 401 FPL - FLORIDA POWER & P.O. Box 413044 LIGHT Naples, Florida 34101-3044 700 UNIVERSE BLVD JUNO BEACH, FL 33408-2657 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 4 BMR Lobbyist Registration $25.00 $100.00 TOTAL AMOUNT DUE $100.00 Check# 5000640396 ($100.00) 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. @@IEQT@Ikg@@piE Page 1 of 1