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2023/2024 Collier County Clerk of Courts Expires 0)-J)1 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 Max Forgey Date 3/27/24 Business Name Forgey Planning LLC Business Address 236 SE 45th ST City Cape Coral State FL Zip Code 33904 Business Telephone (239) 560-5864 Contact Person Max Lobbyist E-mail Max@ForgeyPlanning.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 John Erario 2. Name Sue Caglioti Address 18481 Royal Hammcock k Blvd Address 18481 Royal Hammoc City/State Naples, FL Zip 341 . City/State Naples, FL Zip 1 34 3. Name 4. Name Address Address City/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of Collier 4 Lo byis ignature •This r gistration was sw n (or affirmed) and subscribed before me thisIA tf1 day of D , 20 2 1 by MI)/ �. Personally Known BY: Produced ID � Q�L De Clerk/Notary Public ` Type of ID Produced 1 Jordan Hest Notary Public, State of Florida Reg. No. HH 416303 Qualified in Lee County Revised:08/2019 Commission Expires 06/29/2027 Lobbyist: F Forgey Planning, LLC Name: Max Forgey E-Mail: Max( ForgeyPlanninq.com Date Received Details 3/27/2024 New Registration - Exp. 09/2024 Receipt# 008840341 4/17/2024 9:06:42 AM Crystal K. Kinzel Clerk of the Circuit Court and Comptroller Ckf i nor cR� Customer Deputy Clerk Clerk Office Location M.FORGEY, T SLAUGHTER BMR CASHIER Collier County Govt. Center FORGEY PLANNING, LLC & MinutesandRecords@CollierClerk.co Building F, 4th Floor CAPE LAND, LLC m 3299 Tamiami Trail East, Suite 236 SE 45TH ST 239-252-2646 401 CAPE CORAL, FL 33904-8428 P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 2 BMR Lobbyist Registration $25.00 $50.00 TOTAL AMOUNT DUE $50.00 Check#2523 ($50.00) 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. ©0[1111H®Ta®TBZoggpila Page 1 of 1