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2022/2023 Collier CountyClerk of Courts Expires0---W(Clerk's p3299 Tamiami Trail E. only) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Douglas Kirby Date Business Name Kite Realty Group Business Address 30 S. Meridian St., Ste. 1100 City Indianapolis State IN Zip Code 46204 Business Telephone 317-578-5165 Contact Person Doug Kirby Lobbyist E-mail dkirby@kiterealty.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: SEE ATTACHED LIST 1. Name 2. Name Address Address City/State Zip City/State Zip 3. Name 4. Name Address Address City/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida.46/ /1" County of Collier( A-24 0/ 1 Lo yist Sig ture This registration was swo,r9 (or affirmed) and subscribed before me this c)2 n/D day of, d .�Us T 20,2•2', by 60�� -l/Z/5V ✓ Personally Known Produced ID Deputy Clerk/Notary Public Type of ID Produced �pu,uq,, THERESA R LITTLETON .JSS••E°"�1'. Notary Public, State of Indiana :�aotnRr• Marion County ser+t C. Commission a 659 694 Revised:08/2019 C. My Commission Expnes '�y;'71 :;, � October 26, 2022 1. Kite King's Lake, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204 2. KRG Pine Ridge, LLC, 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204 3. KRG Riverchase, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204 4. Kite Eagle Creek, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204 5. KRG Eagle Creek III, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204 6. KRG Eagle Creek IV, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204 7. KRG 951 &41, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204 8. Brentwood Land Partners, LLC; 30 S. Meridian St. Suite 1100, Indianapolis, IN 46204 Receipt# 008614925 9/1/2022 7:51:41 AM "voot C()�� Crystal K. Kinzel Clerk of the Circuit Court and Comptroller Op THE CW-J)< 0 grg Customer Deputy Clerk Clerk Office Location DOUGLAS KIRBY BMR CASHIER Collier County Govt. Center KITE REALTY GROUP MinutesandRecords@CollierClerk.co Building F, 4th Floor 30 S MERIDIAN ST STE 1100 m 3299 Tamiami Trail East, Suite INDIANAPOLIS, IN 46204- 239-252-2646 401 3565 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#015653 ($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. @0AOrig0® g0E10 Page 1 of 1