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2024/2025 Lobbyist: S Conservancy of SW Florida Name: Carrie Schuman E-Mail: carriesCa�conservancv.orq Date Received Details 8/19/2024 New Registration - Exp. 09/2025 Collier County Clerk of Courts Expires © L 202,5 3299 Tamiami Trail E. (Clerk's rrce only) Suite 401, Bldg. F,4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Carrie Schuman Date 08/19/2024 Business Name Conservancy of Southwest Florida Business Address 1495 Smith Preserve Way City Naples State FL Zip Code 34102 Business Telephone (239)430-2461 Contact Person Carrie Schuman Lobbyist E-mail carries@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 Clerk of Court. (Mail to the address listed at the top of the form) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1. Name Conservancy of Southwest Florida 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 Lobbyist Signature This registration was sworn (or affirmed) and subscribed before me this 2. day of, rh/q14 20 24 , by C6t111 S 01,Vr114 I1 Personally Known BY: k/4.(ta_C�'f KW Produced ID Deputy Clerk/Notary Public Type of ID Produced j ;:,w,,,,, ANGELA CASSNER ,9 6-Notary Public-State of Florida ,t•I r Lit Commission# HH 432741 i 114.c My Commission Expires Revised:08/2019 %9# •,,,,,'°`' November 19, 2027 Receipt# 008898689 9/12/2024 12:22:41 PM `cs,tIP ), Crystal K. Kinzel Clerk of the Circuit Court and Comptroller FT � Customer Deputy Clerk Clerk Office Location R.MOHER,M.PALERMO,N.JO BMR CASHIER Collier County Govt. Center HNSON,A.CROOKS,C.SCHUM MinutesandRecords@CollierClerk.co Building F, 4th Floor AN,J.THOMAS m 3299 Tamiami Trail East, Suite CONSERVANCY OF SW 239-252-2646 401 FLORIDA P.O. Box 413044 1495 SMITH PRESERVE WAY Naples, Florida 34101-3044 NAPLES , FL 34102 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 6 BMR Lobbyist Registration $25.00 $150.00 TOTAL AMOUNT DUE $150.00 Check#505619 ($150.00) 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. ©@[1111@ D® ogO 111 Page 1 of 1