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2023/2024 Collier County Clerk of Courts Expires ires ° 3299 Tamiami Trail E. (Clerk' office only) Suite 401,Bldg. F, 4t' Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name James Stapleton Date 11/01/2023 Business Name Pivot Studio Business Address 544 W Liberty Street, Suite 2.0 City Cincinnati State OH Zip Code45214 Business Telephone 513-325-3523 Contact Person James Stapleton Lobbyist E-mail Jim@pivotstudiocreative.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: 1. Name CP Naples, LLC 2. Name Address 740 Centre View Blvd Address City/State Crestview Hills/KY Zip 41017 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 Lobbyist Signature rd This registration was sworn (or affirmed) and subscribed before me this day of A ven,ba/ 20 2-3 by TT-r- s S/,(e tv, Personally Known BY: v Produced ID Deputy CI otary blic Type of ID Produced %✓ef tJc e,„fe Mt Ashraf L s Notary Public,State of Ohlo Revised:08/2019 My Commission Expires: s�- - -a; 04/12/2028 9J.off'. Lobbyist: S Pivot Studio Name: James Stapleton E-Mail: Jim(a�pivotstudiocreative.com Date Received Details 11/1/2023 New Registration - Exp. 9/2024 Receipt# 008783982 11/16/2023 1:58:32 PM co��,tiR�o� Crystal K. Kinzel 1 Clerk of the Circuit Court and Comptroller i L_ I Customer Deputy Clerk Clerk Office Location J.STAPLETON BMR CASHIER Collier County Govt. Center PIVOT STUDIO MinutesandRecords@CollierClerk.co Building F, 4th Floor 544 W LIBERTY ST STE 20 m 3299 Tamiami Trail East, Suite CINCINNATI, OH 45214-2647 239-252-2646 401 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# 131 ($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. V(D19Ub®T@Ilg ❑@0al Page 1 of 1