2023/2023 Collier County Clerk of Courts Expires
3299 Tamiami Trail E. (Clerk's office only)
Suite 401, Bldg. F, 4th Floor
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name 'j+±anJ Cctn?f Date vaa/a093
Business Name A i_>/I1) ui FJrm 1 Pl 1
Business Address q l 30 Gq 1/col a 0
City 1}c OI(3 State FL, Zip Code N IOCI
Business Telephone pwcf-631-61 161 Contact Person 5C I
Lobbyist E-mail brl-H-Cinq cOicimczy h1aujPirm CIr
Notice for Lobbyists: The annua'1'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:
1. Name PCV/ I q-�- �°j i CA e0,1 2. Name_
Address (� � Q
� -T- is Address
tut( �, (Y11GI�1 I�I t1
City/State NIT I CSJ FL Zip_VIM City/State _ Zip
3. Name 4. Name
Address Address
City/State Zip City/State Zip
(ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY)
State of Florida (I)A7
County of Collier
Lo yist Signature
This registration was sworn (or affirmed and subscribed before this ai day of
20a_by t('l�" C n
\Personally Known BY: Wel)
Produced ID Deputy Clerk/Notary ublic
Type of ID Produced
.P •p1-.°Lo HELEN MICHELLE DIAZ
* Commission#HH 405352 Revised:08/2019
'l'OF F, Expires July 15,2027
Lobbyist: C Adamczyk Law Firm, PLLC
Name: Brittany Cowan
E-Mail: brittany@adamczyklawfirm.com
Date Received Details
7/12/2022 New Registration - Exp. 09/2022
8/22/2023 New Registration - Exp. 09/2024