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2022/2023 Collier County Clerk of Courts Expires t22✓ 3299 Tamiami Trail E. (Clerk's tfice only) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameAmanda Martin, AICP Date December 5, 2022 Business Name Johnson Engineering, Inc. Business Address 2122 Johnson Street City Fort Myers State FL Zip Code 33901 Business Telephone (239) 334-0046 Contact Person Lobbyist E-mail amartin@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, 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: Habitat for Humanity of Collier County, Inc. Collier County Public Utilities Department 1. Name 2. Name 'Address 11145 Tamiami Trail East Address 3339 Tamiami Trail, Suite 302 it City/State Naples, FL Zip 34113 City/State Naples, FL Zip 33112 C4 3.Sl ame 4. Name ;, address Address Eity/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida LISAJ.BAUGHMAN r --- NOTARYOF FLORIDAPUBM ICCounty of Collier STATE OF FLOR i NO.GG982167 MY COMMISSION EXPIRES AUG 09,202 Lo byist Signature This registration was sworn (or affirmed) and subscribed before me this cl day of A{c Pk kr 2022 by ) �ii�1,v ).f i� �: vz-Personally Known BY• Produced ID eputy Cletk/N ry lac Type of ID Produced Revised:08/2019 Lobbyist: M Johnson Engineering, Inc. Name: Amanda Martin, AICP E-Mail: amartin@johnsoneng.com Date Received Details 12/20/2022 New Registration - Exp. 09/2023