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2024/2025 Lobbyist: F Corcoran Partners Name: Brian Ford III E-Mail: brian(c�ocrcoranpartners.corn Date Received Details 10/1/2024 New Registration - Exp - 9/2025 Collier County Clerk of Courts Expires VI Zo2,s 3299 Tamiami Trail E. Suite 401, Bldg. F, 4th Floor (Clerk's we only) Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameBrian Ford Ill Date9/30/24 Business Name Corcoran Partners Business Address 19401 S h u m a rd Oak Drive City Land O'Lakes State FL Zip Code 34638 Business Telephone (813) 527-0172 Contact Person Brian FordIII Lobbyist E-mail Brian@CorcoranPartners.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 Sensys Gatso 2. Name Address 900 Cummings Center, Suite 316U Address City/State Beverly, MA 01915 Y 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 County of Collier `Lobbyist Signature This regis ti n was o (or affirmed) and subscribed before me this I-'" day of OCi 20,4 by ' Personally Known BY: 4LIA,LAA-(4,, Produced ID De uty Cler Lary Public Type of ID Produced Revised:08/2019 Receipt# 008904736 10/1/2024 2:10:42 PM O,VAR cO(i Crystal K. Kinzel Clerk of the Circuit Court and Comptroller Customer Deputy Clerk Clerk Office Location B.FORD BMR CASHIER Collier County Govt. Center CORCORAN PARTNERS MinutesandRecords@CollierClerk.co Building F, 4th Floor 19401 SHUMARD OAK DR m 3299 Tamiami Trail East, Suite LAND 0 LAKES, FL 34638 239-252-2646 401 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# 154 ($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. ©09DriCTgl®eZ❑g0 f11 Page 1 of 1