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2024/2025
Lobbyist: H Name: Stacey Heaton E-Mail: stacey.heatonaopa.orq Date Received Details 3/3/2025 New Registration - Exp. 09/2024 Collier County Clerk of Courts Expires l 3299 Tamiami Trail E. (Clerk's1ff1ce only) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameStacey Heaton Date3/3/2025 Business Name n/a Business Address 601 Pennsylvania Ave. NW, Suite 250 City Washington State DC Zip Code 20004 Business Telephone 202-851 -7508 Contact Person Stacey Heaton Lobbyist E-mail stacey.heaton@aopa.org Notice for Lobbyists: The annual registration fee is $25.00 per Lobbyist, per Collier County Ordinance No. 2003-53, and amended by Ordinance 2004-05, Ordinance 2007-24 and Ordinance 2013-39. Please make payment(s) to: Collier County Clerk of Courts & Comptroller. (Mail to the address listed at the top of the form) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1. Name AO PA 2. Name Address 601 Pennsylvania AVE, NW Address Washington, D.C. 20004 City/State Zip City/State Zip 3. Name 4. Name Address Address City/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of Collier i Lo by t Signa re ��// This re istrat' was sworn (o ffi ed) and subscribed before thisd�- day of , 20.25by V /, f7t'��.�� X Personally Known BY: Z-11:1:13 ____ Produced ID Deputy Clerk/Notary Public--``' Type of ID Produced ,;4�jn.p .. ERIC C.SANDERS r°��„;7:`: Notary Public-State of Florida A7e` Commission#HH 174575 '''$oF�ot.' My Comm.Expires Sep 11,2025 Revised:08/2019 Bonded through National Notary Assn. Receipt# 008962580 3/10/2025 8:43:21 AM Crystal K. Kinzel Clerk of the Circuit Court and Comptroller 9') Customer Deputy Clerk Clerk Office Location S. HEATON BMR CASHIER Collier County Govt. Center N/A MinutesandRecords@CollierClerk.co Building F, 4th Floor 601 PENNSYLVANIA AVE. NM m 3299 Tamiami Trail East, Suite SUITE 250 239-252-2646 401 WASHINGTON, DC 20004 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#226 ($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. `J©UFEIGLI VU® ❑@0M Page 1 of 1