2020/2021 Collier County Clerk of Courts Expires CY1 9-0
3299 Tamiami Trail E. (Clerk' office only)
Suite 401,Bldg.F,4th Floor
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name Marina Guirguis Date July 22, 2021 —
Business Name Johnson Engineering,Inc.
Business Address 2350 Stanford Court
City Naples State FL Zip Code 34112
Business Telephone (239)334-0046 Contact Person
Lobbyist E-mail mguirguis@johnsoneng.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 and Ordinance 2007-24.Payments
made out to: Collier County Clerk of Courts or Crystal K. Kinzel, Clerk of Courts
(ADDRESS LISTED ABOVE)
NAME AND ADDRESS OF EACH CLIEN'T/ENTITY REPRESENTED:
I. Name Bayshore Gateway Triangle CRA 2. Name _Collier Countty_Housing Division
ddress 3339 Tamiami Trail East, Suite 211
Address '329 Tamiami Trail E,Building F, Suite 103`� —
City Naples Zip Code 34112 City Naples Zip Code 34112
3. Name Immokalee CRA 4. Name
Address 750 South Fifth Street Address
City Immok_alee _ Zip Code 34142 City_ Zip Code
(ATTACH ADDITIONAL CLIENT SIWETS,IF NECESSARY)
State of Florida AMANDA MAE MARTIN •
County of Collier. NOTARY PUBLIC
STATE OF FLORIDA Lob ist Signature
NO.GG218010 y �'
MY COMMISSION EXPIRES JUN.19,2022
This registration was /, in or a, firmed)and subscribed before me this __.f day of,a-,
,
20 ?.l. , by Marina(: tirrxuis
X _Personally Knovvi BY: 2-MA_ .l � / "'CL.�� �/
Produced ID Deputy Clerk/Notary Public
Type o1'1t) Produced
Revised:08/2018
Receipt# 008430987
8/5/2021 10:45:54 AM
0,,, rf Crystal K. Kinzel
Clerk of the Circuit Court and Comptroller
Gig—
o 0 0
>AF'CIItC @ :DER
Customer Deputy Clerk Clerk Office Location
LAURA DEJOHN & MARINA Martha S. Vergara Collier County Govt. Center
GURIGUIS martha.vergara@collierclerk.com Building F, 4th Floor
JOHNSON ENGINEERING, 239-252-2646 3299 Tamiami Trail East, Suite
INC. 401
2350 STANFORD CT P.O. Box 413044
NAPLES, FL 341 1 2-481 3 Naples, Florida 34101-3044
1 Product
QUANTITY DESCRIPTION UNIT COST AMOUNT
2 BMR Lobbyist Registration $25.00 $50.00
TOTAL AMOUNT DUE $50.00
Check#42414 ($50.00)
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.
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