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2024/2025 Lobbyist: T Passarella & Associates, Inc. Name: Bridqette Theriault E-Mail: bridgettet(a�passarella.net Date Received Details 9/1/2024 New Registration - Exp. 09/2025 Collier County Clerk of Courts Expires 2.04 3299 Tamiami Trail E. (Cle ,s office only) Suite 401,Bldg. F,4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Bridgette Theriault Date 7/17/2024 Business Name Passarella & Associates, Inc. Business Address 13620 Metropolis Avenue, Suite 200 City Fort Myers State FL Zip Code 33912 Business Telephone (239) 274-0067 Contact Person Laura Siebenmorgen Lobbyist E-mail bridgettet@passarella.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 Property Reserve 2, Name Address 51 S. Main Street Ste. 301 Address City/State Salt Lake City, UT Zip 84111 City/State Zip 3. Name 4. Name Address Address City/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida 1ku laa County of Collier /// � Lobby 1 t Signature This registration was sworn r affirmed and subscribed before me this I i day of -J U.I , 20d`f by S r1 d e m &j 1aa,it- Personally Known BY: _ Al& Produced ID D:p Cler of' 'T I, Type of ID Produced Revised:08/2019 Receipt# 008890945 8/21/2024 9:19:58 AM G ov,AER Co(,4„T„ Crystal K. Kinzel Clerk of the Circuit Court and Comptroller Li THE(IAA ( - I ' )( l ) Customer Deputy Clerk Clerk Office Location B. THERIAULT BMR CASHIER Collier County Govt. Center PASSARELLA & MinutesandRecords@CollierClerk.co Building F, 4th Floor ASSOCIATES, INC. m 3299 Tamiami Trail East, Suite 13620 METROPOLIS AVE STE 239-252-2646 401 200 P.O. Box 413044 FORT MYERS, FL 33912-3406 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#028342 ($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. C0000@ffl® ❑ggIDO Page 1 of 1