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2024/2025 Collier County Clerk of Courts Expires 1 /?D. -c' 3299 Tamiami Trail E. (Clerk's ffice only) Suite 401, Bldg. F,4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Douglas A. Lewis Date 8/19/2024 Business Name Thompson Lewis Law Firm Business Address 745 12th Ave S, Ste. 105 City Naples State FL Zip Code 34102 Business Telephone 239-316-3006 Contact Person Douglas A. Lewis Lobbyist E-mail Doug@tllfiirm.com 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 Clerk of Court. (Mail to the address listed at the top of the form) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: Grey Oakes Property Owner's Association Teryl H. Brzeski,as Trustee of the Land Trust#1 1. Name 2. Name Dated October 13,2000 Address 2394 Grey Oaks Drive N Address 5147 Seahorse Ave City/State Naples, FL Zip 34105 City/State Naples, FL Zip 34103 3. Name The Conservancy of Southwest Florida 4. Name Gregory L. and Jennifer P. Palmer Address 1495 Smith Preserve Way Address 1261 Solana Road, #F4 City/State Naples, FL Zip 34102 City/State Naples,FL Zip 34103 (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) PLEASE SEE ATTACHED State of Florida County of Collier ���Nt�llllp�ig Lobbyist Signature \ScPF6RNA,vp,,i This registration was sworn (or affiristteWasiikeriiokbefore me this 19 day of, August, 2024, by Douglas A. Lewis $ . :-'\" 3•4 ,.P.• '1'. co _X_Personally Known =* ' "� ar�iatan9 h ; = BY: Produced ID %y"�dean «4 ��°:,:of? D(ty Clerk/Nota lic Type of ID Produced ,pi,••0ob cUnder;•,,.;-`` / 8/iiii ii�►N�\`\\ Revised:08/2019 Collier County Clerk of Courts Expires v 1 .75- 3299 Tamiami Trail E. (Clerk's ffice only) Suite 401, Bldg. F,4th Floor Naples, Florida 34112 5. Name Mason Classical Academy Address 3073 Horseshoe Drive South, #104 City/State Naples, FL Zip 34104 6. Name Wawa, Inc. Address 260 W. Baltimore Pike City/State Wawa, PA Zip 19063 Revised:08/2019 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 8/16/2023 Registration Renewal - Exp - 09/2024 1/1/2024 Update - Jan 8/19/2024 Registration Renewal - Exp - 09/2025 Receipt# 008892243 8/23/2024 4:06:31 PM co��eRcotiTy Crystal K. Kinzel Clerk of the Circuit Court and Comptroller J �FTHL•CIR�J`� Customer Deputy Clerk Clerk Office Location D.LEWIS;S.THOMPSON BMR CASHIER Collier County Govt. Center THOMPSON LEWIS LAW MinutesandRecords@CollierClerk.co Building F, 4th Floor FIRM m 3299 Tamiami Trail East, Suite 745 12TH AVE S STE 105 239-252-2646 401 NAPLES, FL 34102-7376 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#3629 ($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. ©011Url® li(g ❑gg fly Page 1 of 1