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2022/2023 Lobbyist: L Thompson Lewis Law Firm Name: Douglas A. Lewis E-Mail: doug@tllfirm.com Date Received Details 1/12/2023 New Registration - Exp. 09/2023 0.2 Collier County Clerk of Courts Expires 0 p461/d72 ✓3299 Ta miami Trail E. (Clerk s office only) Suite 401, Bldg.F,4th Floor , Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM , Douglas A. Lewis 1/5/2023 Name Date Business Name Thompson Lewis Law Firm Business Address 745 12th Ave S, Ste. 105 City Naples State Florida Zip Code 34102 Business Telephone 239-316 3006 Contact Person DOUR A.Lewis Lobbyist E-mail Doug@tllfirm.com Notice for Lobbyjsts: 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 Count Clerk of Courts & Comptroller. (Mail to the address listed at the top of the form) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: Teryl H.Brzeskl,as Trustee of the 1. Name Land Trust#1 Dated October 13,2000 2. Name Address 5147 Seahorse Ave Address City/State Naples Zip 34103 City/State Zip_ 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 gnature This registration was sworn(or affirmed) and subscribed before me this 5 day of January , 20 23 by Douglas A.Lewis ``���I\IIIIIIIII///�j� vi-g9‘/ - X Personally Known \\����JSZAFERN/ 46i: 4, Produced ID . . G00047 4 •. . De uty Clerk/Notary ublic Type of ID Produced •4 4``� �0�0,�', / F*: y IP -V •.• :'I Arta Fentandez o AHH 048779 ' o • B t* Revised:08l2019 3 Via«u i,as \� , . l' /i#.41ll11111E� we