2009/2010
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires:
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name: Jason Hunter Korn, Esq.
Date: 2009-09-11
Business Address: Cohen & Grigsby, P.c.
27200 Riverview Center Blvd.
Suite 30_2
Bonita Springs. Florida 34134
Business Telephone:
+1 (239) 390-1914
Email: jkorn@cohenlaw.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1. The Whitestone Group, Inc.. P.O. Box 112375. Naples. Florida 34108
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
State of Florida
County of Collier
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The foregoing registration was sworn to and subscribed before me on this
day of September r Jo 0 l
-
, by Jason Hunter Korn
, who is personally known to me
or has produced
as identification and who did take
......".'./'1'"", SlEPHANIE SHELDON
1."'- ~~ MY COMMISSION # DO aen60 BY:
. ,:,.1 EXPIRES: September 7. 2013
. f Bonded Thru Notary PubKc UndefWritef'3
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;JI(P/Vl,'L<.; ?:/ ^l.tdA
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Deputy Clerk/Notary Public
an oath.
The annual registration fee is $25.00 per Lobbyist, according to Collier county Ordinance No.
2003-53,as amended by Ordinance 2004-05 and Ordinance 2007-24. Please make payment and
mail to:Collier County Clerk of Courts or Dwight E. Brock, clerk of Courts (at the address listed at
the top of the form).
Receipt# 007023285
10/1/20097:56:19 AM
Dwight E. Brock
Clerk of the Circuit Court
CcD1JVDC~ ~j[] [~C~CGC~D~~DG
Customer
JASON HUNTER KORN, ESQ.
COHEN & GRIGSBY, P.C.
27200 RIVERVIEW CENTER
BLVD STE 309
BONITA SPRINGS, FL
34134-4317
Deputy Clerk
BMR CASHIER
M in utesand Records@CollierClerk.com
239-252-2646
Clerk Office Location
Collier County Govt. Center
Building F, 4th Floor
3301 Tamiami Trail East
P.O. Box 413044
Naples, Florida 34101-3044
1 Product
QUANTITY
1
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE:
Check# 4039
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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