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2023/2024
Collier County Clerk of Courts Expires ( I coo)-1/ 3299 Tamiami Trail E. (Clerk's/fice only) Suite 401, Bldg. F, 46 Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameAmelia Vasquez Date07/19/2024 Business Name Collier Building Industry Association, Inc. Business Address 3200 Bailey Lane, Suite 110 City Naples State FL Zip Code 34105 Business Telephone (239) 436-6100 Contact Person Amelia Vasquez Lobbyist E-mail Amelia@CBIA.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: Collier Building Industry Association, Inc. Collier Building Industry Foundation, Inc. 1. Name 2. Name Address 3200 Bailey Lane, Suite 110 Address 3200 Bailey Lane, Suite 110 City/State Naples, FL Zip 34105 City/State Naples, FL Zip 34105 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 . ature This registration was wo or affirmed) and subscribed before me this 0day ot'AA--±4_, , 1�20rp by� Personally Known BY: NktilAiattA-* Produced ID putt' k/Notary Public Type of ID Produced Revised:08/2019 Lobbyist: V Collier Building Industry Association, Inc Name: Amelia Vasquez E-Mail: ameba@CBIA.net Date Received Details 6/17/2020 New Registration - Exp. 09/2024 3/7/2022 Registration Renewal - Exp. 09/2022 4/1/2022 Update - April 7/5/2022 Update - July 7/19/2024 New Registration - Exp. 09/2024 Receipt# 008879880 7/22/2024 4:26:40 PM coo,,f.R�o� Crystal K. Kinzel Clerk of the Circuit Court and Comptroller O Customer Deputy Clerk Clerk Office Location AMELIA VASQUEZ BMR CASHIER Collier County Govt. Center COLLIER BUILDING MinutesandRecords@CollierClerk.co Building F, 4th Floor INDUSTRY ASSOCIATION, m 3299 Tamiami Trail East, Suite INC 239-252-2646 401 3200 BAILEY LN P.O. Box 413044 NAPLES, FL 34105-8522 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 1 BMR Lobbyist Registration $25.00 $25.00 TOTAL AMOUNT DUE $25.00 AMELIA VASQUEZ Card: 2680 (Approval: 939802b0-e0fb-489a-a353-baecd68df5a6 ) ($25.00) BALANCE DUE $0.00 Note: 7/22/2024 4:26:40 PM BMR CASHIER: An additional card convenience fee of 3.5%was paid to nCourt LLC for a total card amount of: $25.88. Questions regarding processing fees should be directed to nCourt at(239)207-3731 or(800)701-8560. Reference Invoice Number: 939802b0-e0fb-489a-a353-baecd68df5a6 and Item Number: 05320240722162552 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. ©001111g0at3❑@OBM Page 1 of 1