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2023/2024 Collier County Clerk of Courts Expires 0Z 1 1 3299 Tamiami Trail E. (Clerk' office only) Suite 401,Bldg.-F,4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name DANE EAGLE Date AU G U ST 1 , 2023 Business Name BALLARD PARTNERS, INC. Business Address 201 EAST PARK AVENUE, 5TH FLOOR City TALLAHASSEE State FL Zip Code 32301 Business Telephone 850.577.0444 Contact Person C I N DY DAVIS Lobbyist E-mail dane@ballardpartners.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 County Clerk of Courts & Comptroller. (Mail to the address listed at the top of the form) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: DIVERSIFIED TECHNOLOGY CONSULTANTS SUFFOLK CONSTRUCTION COMPANY 1. Name 2. Name Address 2121 WEST FIRST STREET Address 50 ROCKEFELLER PLAZA, SUITE 203 City/State FORT MYERS, FL Zip 33901 City/State NEW YORK, NY Zip 10020 3. Name RUDG, LLC 4. Name VERIZON Address 2850 TIGERTAIL AVE., SUITE 800 Address 5055 NORTHPOINT PARKWAY City/State M IAM I, FL Zip 33133 City/State ALPHARETTA, GA Zip 30022 (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of€eilirr li5Ot4 Lobbyist Signature This registration was sworn (or affirmed) and subscribed before me this 1ST day of AUGUST 20 23 by DANE EAGLE XPersonally Known B (LA k ..J Produced ID 71: -rk/Notary Public Type of ID Produced sii,k CYNTHIAH.D 74) 1.1 MY COMMISSION# 8455 p,-'��p ' EXPIRES:July 9,2025 'FOP F11.` Bonded Thru No tary Public Undenvrfters Revised:08/2019 Receipt# 008750676 8/18/2023 1:42:02 PM Crystal K. Kinzel Clerk of the Circuit Court and Comptroller Customer Deputy Clerk Clerk Office Location DANE EAGLE BMR CASHIER Collier County Govt. Center BALLARD PARTNERS, INC MinutesandRecords@CollierClerk.co Building F, 4th Floor 201 EAST PARK AVENUE, m 3299 Tamiami Trail East, Suite 5TH FLOOR 239-252-2646 401 TALLAHASSEE, FL 32301 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# 31166 ($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. ©ODDO®TgCg3❑ggiM Page 1 of 1 Collier County Clerk of Courts Expires O 20244 3299 Tamiami Trail E. (Clerk' office only) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 '23 SEP 15 11: l0 r' BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name DAN E EAGLE Date 8/29/23 Business Name BALLARD PARTNERS, INC. Business Address 201 E PARK AVE, 5TH FLOOR City TALLAHASSEE State FL Zip Code 32301 Business Telephone 850.577.0444 Contact Person CI N DY DAVIS Lobbyist E-mail dane@ballardpartners.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 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 CORE AND MAIN, LP 2. Name Address 1830 CRAIG PARK COURT Address City/State ST' LOURS' MO Zip146 63 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-Calker L,E..Q j cttift) - Lobbyist Signa This registration was sworn (or affirmed) and subscribed before me this 29 day of AUGUST 20 24 by DANE EAGLE 'X Personally Known BY: �� , Produced ID _____ Type of ID Produced `•''"" ' THIAH•' OMMISSION#HH 148455 EXPIRES:July 9,2025 rFgF`OP Bonded Thru Notary Public Underwriters Revised:08/2019 As