2023/2024 Collier County Clerk of Courts Expires q „
3299 Tamiami Trail E. (Clerk s office only)
Suite 401,Bldg. F,4th Floor
Naples,Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name Michele Arquette-Palermo Date 9/15/2023
Business Name Conservancy of Southwest Florida
Business Address 1495 Smith Preserve Way
City Naples State FL Zip Code 34102
Business Telephone (239) 262-0304 x231 Contact Person Michele Arquette-Palermo
Lobbyist E-mail MicheleA@conservancy.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 Count' Clerk of Courts &Comptroller.
(Mail to the address listed at the top of the form)
NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED:
Conservancy of Southwest Florida
1. Name 2. Name
Address 1495 Smith Preserve Way Address
City/State Naples, FL Zip 34102 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
gist Si ature
This registration was sworn(or affirmed)and subscribed before me this 2�j ` day of (filly ,
2023 by n lc "I C_i�
Personally Known BY:
Produced ID Deputy Clerkkotary Public
Type of ID Produced
`,Daum„ ANGELA CASSNER
Notary Public-State of Florida
,�� Commission#GG 923581 Revised:08/2019
4 , ,1R' My Commission Expires
''14.'`�`�. November 19, 2023
Lobbyist: A Conservancy of Southwest Florida
Name: Michele Arquette-Palermo
E-Mail: Michelea@conservancy.org
Date Received Details
10/12/2022 New Registration - Exp. 09/2023
1/20/2023 Update- Jan
9/15/2023 Registration Renewal - Exp. 09/2024
1/6/2024 Update - Jan
3/26/2024 Update - April
6/30/2024 Update - July