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2023/2024 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 NameBrianJ. Aungst, Jr. DateMarch 18, 2024 Business Name Macfarlane Ferguson & McMullen, P.A. Business Address 625 Court Street, Suite 200 City Clearwater State FL Zip Code 33756 Business Telephone (•727) 441 -8966 Contact Person Samantha Sanchez Lobbyist E-mail bja@macfar.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 Cheryl Zickler 2, Name Address 3199 60th Street Address City/State Naples, FL Zip 34116 City/State Zip 3. Name 4. Name Address Address City/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida . di. County of Collier Lobbyist Si nature This registration was sworn or ffirmed) and subscribed before me this Ilk day of 20�by p`,n .r _Personally Known BY: Produced ID eputy Clerk/Notary Public Type of ID Produced - •irpY° VALERIE A.SULECKI g„E' 1„ MY COMMISSION#HH 119922 ar " �'�`�o`= EXPIRES:April 21,2025 � ••••OQ:` , Revised:08/2019 .f.iF�,. Bonded Thru Notary Public Undensilters Lobbyist: A Macfarlane Fergunson & McMullen P.A. Name: Brian Aungst Jr. E-Mail: bia a(�macfar.com Date Received Details 3/18/2024 New Registration - Exp. 09/2024 Jennifer Hansen From: Jennifer Hansen Sent: Wednesday, April 10, 2024 10:45 AM To: 'bja@macfar.com' Subject: Lobbyist registration Good morning, The email is to confirm your 2023/2024 Lobbyist registration and payment of$25 with check number 96440. If you have any questions, please feel free to call our office. //��_�� Jennifer Hansen W° 01 `'"�/ BMR& VAB Deputy Clerk Office: 239-252-8406 Fax: 239-252-8408 `vCJI7COURT E-mail: Jennifer.hansen@CollierClerk.corn Office of the Clerk of the Circuit Court ,F & Comptroller of Collier County 3299 Tamiami Trail E, Suite#401 * Naples,FL 34112 �R()1N-11 F"cfr www.CollierClerk.com 1 Receipt# 008838469 4/11/2024 4:26:31 PM cc�4�E"�oVNr!- Crystal K. Kinzel / y=; Clerk of the Circuit Court and Comptroller ck-4,,crn, I Customer Deputy Clerk Clerk Office Location BRIAN AUNGST BMR CASHIER Collier County Govt. Center MACFARLANE FERGUNSON MinutesandRecords@CollierClerk.co Building F, 4th Floor & MCMULLEN PA m 3299 Tamiami Trail East, Suite 625 COURT ST STE 200 239-252-2646 401 CLEARWATER, FL 33756- P.O. Box 413044 5528 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#96440 ($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. CDEIC; [1@ aggnia Page 1 of 1