2022/2023 Collier County Clerk of Courts Expires 09 (90033
3299 Tamiami Trail E. (Clerk' office only)
Suite 401, Bldg. F, 4th Floor
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NameBen Smith Date7/14/2022
Business Name Morris-Depew Associates, Inc.
Business Address 2914 Cleveland Ave
i Fort Myers State Florida Zip Code 33901
Business Telephone 2393373993 Contact Person Ben Smith
Lobbyist E-mail bsmith@m-da.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:
Mediterra Community Association, Inc.
1. Name 2. Name
Address 15735 Corso Mediterra Circle Address
City/State Naples / Florida Zip 34110 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 , Efte mot- ��
gist S' re
This registra ' n was sworn (or affirmed) and subscribed before me this /g day of JI-t'Cy
20 2Z by Den Srn l
i/Personally Known B
Produced ID e ty Clerk/Notary Public
Type of ID Produced
0 • ' *Wen Abraham
Notary Public Revised:08/2019
W �1 State of Florida
• •••,.0 Comm#HH102345
Expires 3/9/2025
Receipt# 008614929
9/1/2022 8:01:44 AM
Crystal K. Kinzel
Clerk of the Circuit Court and Comptroller
mP�Of TNFC10.�J`�`O Or � _ - 0
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Customer Deputy Clerk Clerk Office Location
BEN SMITH BMR CASHIER Collier County Govt. Center
MORRIS-DEPEW MinutesandRecords@CollierClerk.co Building F, 4th Floor
ASSOCIATES, INC m 3299 Tamiami Trail East, Suite
2914 CLEVELAND AVE 239-252-2646 401
FORT MYERS, FL 33901-6003 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#5520 ($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.
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