2022/2023 Collier CountyClerk of Courts Expires0---W(Clerk's
p3299 Tamiami Trail E. only)
Suite 401, Bldg. F, 4th Floor
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name Douglas Kirby Date
Business Name Kite Realty Group
Business Address 30 S. Meridian St., Ste. 1100
City Indianapolis State IN Zip Code 46204
Business Telephone 317-578-5165 Contact Person Doug Kirby
Lobbyist E-mail dkirby@kiterealty.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 Clerk of Court.
(Mail to the address listed at the top of the form)
NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: SEE ATTACHED LIST
1. Name 2. Name
Address Address
City/State Zip City/State Zip
3. Name 4. Name
Address Address
City/State Zip City/State Zip
(ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY)
State of Florida.46/ /1"
County of Collier( A-24 0/ 1
Lo yist Sig ture This registration was swo,r9 (or affirmed) and subscribed before me this c)2 n/D day of, d .�Us T
20,2•2', by 60�� -l/Z/5V
✓ Personally Known
Produced ID Deputy Clerk/Notary Public
Type of ID Produced �pu,uq,, THERESA R LITTLETON
.JSS••E°"�1'. Notary Public, State of Indiana
:�aotnRr• Marion County
ser+t C. Commission a 659
694 Revised:08/2019
C. My Commission Expnes
'�y;'71 :;, � October 26, 2022
1. Kite King's Lake, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204
2. KRG Pine Ridge, LLC, 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204
3. KRG Riverchase, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204
4. Kite Eagle Creek, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204
5. KRG Eagle Creek III, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204
6. KRG Eagle Creek IV, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204
7. KRG 951 &41, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204
8. Brentwood Land Partners, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204
Receipt# 008614925
9/1/2022 7:51:41 AM
"voot C()�� Crystal K. Kinzel
Clerk of the Circuit Court and Comptroller
Op THE CW-J)< 0 grg
Customer Deputy Clerk Clerk Office Location
DOUGLAS KIRBY BMR CASHIER Collier County Govt. Center
KITE REALTY GROUP MinutesandRecords@CollierClerk.co Building F, 4th Floor
30 S MERIDIAN ST STE 1100 m 3299 Tamiami Trail East, Suite
INDIANAPOLIS, IN 46204- 239-252-2646 401
3565 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#015653 ($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.
@0AOrig0® g0E10 Page 1 of 1