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2021/2022 Collier County Clerk of Courts Expires o"I do" 3299 Tamiami Trail E. (Clerk, office only) Suite 401,Bldg. F,41h Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Marina Guirguis Date September 10, 2021 Business Name Johnson Engineering, Inc. Business Address 2350 Stanford Court City Naples State FL Zip Code 34112 Business Telephone (239)229-1726 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 CLIENT/ENTITY REPRESENTED: 1. Name Bayshore Gateway CRA 2. Name Collier County Housing Division Address 4069 Bayshore Dr. #1 Address 3339 Tamiami Trail East, Suite 211 F City Naples Zip Code 34112 City Naples Zip Code 34112 r 3. Name 4. Name �=1 c, Address Address City Zip Code City Zip Code (ATTACH ADDITIONAL CLIENT SIIEETS,IF NECESSARY) State of Florida County of Collier gist Signatur This registration was sworn (or affirmed) and subscribed before me this r'� day of, 20 21 , by Marina Guirgius X Personally Known BY: �, na aiM14 Produced ID Deputy Clerk/Notary Public Type of ID Produced AMANDA MAE MARTIN NOTARY PUBLIC Revised:08/2018 STATE OF FLORIDA NO.GG 218010 MY COMMISSION EXPIRES JUN.19,2022 Receipt# 008452825 9/22/2021 4:36:59 PM G0��IQR CON, Crystal K. Kinzel Clerk of the Circuit Court and Comptroller F OFTHE C1RL� O Ogrff'@EIK 0 O O Customer Deputy Clerk Clerk Office Location LAURA DEJOHN & MARINA Martha S. Vergara Collier County Govt. Center GUIRGUIS 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#42702 ($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. ©Do 0ffill® 0® ❑gg f�Lf1� Page 1 of 1