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2023/2024 Collier County Clerk of Courts Expires � `�� 3299 Tamiami Trail E. (Cler 's office only) Suite 401, Bldg. F, 46 Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Tom Slaughter Date417124 Business Name Cape Land LLC Business Address 4704 Vincennes Blvd. City Cape Coral State FL Zip Code 33914 Business Telephone 239.319.7276 Torn p Contact Person Lobbyist E-mail Tom@CapeLand.net 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 E ra ri o 2. Name 18481 Royal Hammock Blvd Address Address City/State Naples 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 11111; Or"County of Collier Lobbyist Signature This registration was sworn (or a frmed) and subscribed before me this �I1V\ d y of I , 20)-�') byS'\ S c,u �'D � � . �er i< Personally Known BY: jti.sttN. Produced ID Jordan Hes�erl' Clerk/Notary ublic Type of ID Produced Notary Public, State of Florida Reg. No. HH 416303 Qualified in Lee County Revised:08/2019 Commission Expires 06/29/2027 Lobbyist: S Cape Land, LLC Name: Tom Slaughter E-Mail: Tom(a�CapeLand.net Date Received Details 4/7/2024 New Registration - Exp. 09/2024 Receipt# 008840341 4/17/2024 9:06:42 AM �o,,�IERco,.�, Crystal K. Kinzel �-_,� Clerk of the Circuit Court and Comptroller of ��� 41E CIRCJ 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. ©CAI0@T@U@ ❑@0ja] Page 1 of 1