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2024/2025 Collier County Clerk of Courts Expires 0 9 /ZOZ5 3299 Tamiami Trail E. (Clerk's Alice only) Suite 401,Bldg.F,4th Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Matthew R. Holliday Date07/01/2024 Business Name N C H Business Address 350 7th Street North City Naples State FL Zip Code 34102 Business Telephone 239-826-7864 m Contact Person Same Lobbyist E-mail matthew.holliday@nchmd.org 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 N C H 2. Name N/A Address 350 7th Street North Address City/State Naples, FL zip 34102 City/State p Zi 3. Name N/A 4. Name N/A Address Address City/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of Collier Lo byist Signatu e This registr t�ign .or d>and subscribed before me this e wa,s,swQ day of 20a11 by Personally Known BY: Produced ID v Cler 'Notary Public Y Type of ID Produced ' JANICE I COVELLI•ROGERS MY COMMISSION#HH 414575 t7jF P.` pFF;o; EXPIRES:October 24,2027 Revised:00/2019 Lobbyist: H NCH Health System Name: Matthew R. Holliday E-Mail: matthew.hollidav@nchmd.org Date Received Details 8/6/2020 New Registration - Exp. 09/2021 3/15/2021 Update - Jan 3/26/2021 Update - April 6/29/2021 Update - July 9/22/2021 Registration Renewal - Exp. 09/2022 1/3/2022 Update - Jan 4/1/2022 Update - April 7/5/2022 Update - July 9/1/2022 Registration Renewal - Exp. 09/2023 1/9/2023 Update- Jan 7/21/2023 Registration Renewal - Exp 09/2024 8/18/2023 Registration Renewal - Exp 09 1/9/2024 Update - Jan 4/1/2024 Update - April 7/1/2024 Update - July 9/1/2024 Registration Renewal - Exp. 09/2025 Receipt# 008758751 9/11/2023 2:50:49 PM cov,.,FRC'ouNr Crystal K. Kinzel Clerk of the Circuit Court and Comptroller 'V C` F E I Customer Deputy Clerk Clerk Office Location MATTHEW HOLLIDAY BMR CASHIER Collier County Govt. Center NCH HEALTHCARE SYSTEM MinutesandRecords@CollierClerk.co Building F, 4th Floor 350 7TH ST N m 3299 Tamiami Trail East, Suite NAPLES, FL 34102-5754 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# 102184417 ($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. ©glinigIT©il® ❑g0 1E1t Page 1 of 1