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2023/2024
Collier County Clerk of Courts Expires 3299 Tamiami Trail E. (c�er,s oCe o�iy) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameTimonthy Riley Date9/19/2023 Business Name G u n ste r Law Business Address 215 South Monroe Street City Tallahassee State FL Zip Code 32301 Business Telephone 850-521 -1980 Contact Person Samuel McLane Lobbyist E-mail TRiley@gunster.com Notice for Lobbyists: The annual registration fee is S25.00 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 Jet Dock Systems, Inc. 2. Name Address 500 SW 21st Terrace, B107 Address City/State Fort Lauderdale 33312 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 County of Collier Lobbyis ignature This registration was sworn (or affirmed) and subscribed before me this 19t"` day o e�- 20a y �T rnc��h P1 . V Personally Known BY: CSC Produced ID Deputy Clerk/Not ublic Type of ID Produced 0.•:, :► REBECCA M.FRAZIER ,` r� MY COMMISSION ItHH 037240 "r o: EXPIRES:October 6,2024 Revised:08/2019 . t '..FOP gts• Bonged ThruNotary Public Underwriters LAC% Lobbyist: R Gunster Law Name: Timothy Riley E-Mail: TRiley(a�gunster.com Date Received Details 9/27/2023 New Registration - Exp. 09/2024 Receipt# 008764518 9/27/2023 3:13:07 PM ,oER�o� Crystal K. Kinzel Clerk of the Circuit Court and Comptroller 1 jr A�C*41E C'IRC°�`` Customer Deputy Clerk Clerk Office Location T. RILEY BMR CASHIER Collier County Govt. Center GUNSTER LAW MinutesandRecords@CollierClerk.co Building F, 4th Floor 215 S MONROE ST m 3299 Tamiami Trail East, Suite TALLAHASSEE, FL 32301- 239-252-2646 401 1839 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#5084 ($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. ©001dg Ug ❑g0pal Page 1 of 1