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2009/2010 F-3\SCSu Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expires: Sept. 30, 20\ 0 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM It Name: KIM B, f( KOS~r Date: OJ -:A I _ () c; Business Address: 9990 Coconut Road, Ste 200 Bonita Springs, FL 34135 Business Telephone: 495-1000 Email: NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: Bonita Bay Group 9990 Coconut Road, Ste 200 Bonita Springs, FL 34135 PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY 'it 4:~ b j; kJs. &:- Lobby st Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this k IN\ r~ (,\O~ kJ ~I ~-t day of ~-+ , by , who is..pprc;nnally known to me or has produced as identification and who did take Li. .~...,_~ r~.di,,~{j:r( .............: C::'mn;# 00C519122 ~ 1:;;;:;(08 121312010 ~ f1c;ida Not:::y Assn../nc ~ ... ~.i 11111 ~ k .:...:: ;'1I11il1ll1 1.111111 :r.llll...........; BY: ~ta~~ 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# 007026288 10/12/200911:59:55 AM Dwight E. Brock Clerk of the Circuit Court (O)G(rDCc20fsJl1 ~@C~@DlJ)U Customer CAFARO, BARRACO, DUMAS, WATTS,FIKOSKI, & HOHNSTEIN BONITA BAY GROUP 9990 COCONUT RD STE 200 BONITA SPRINGS, FL 34135-8488 Deputy Clerk BMR CASHIER Minutesand 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 DESCRIPTION 1 BMR Lobbyist Registration UNIT COST $150.00 TOTAL AMOUNT DUE: Check# 7477 BALANCE DUE: AMOUNT $150.00 $150.00 ($150.00) $0.00 ~@OOD@[f~O@[ffko ~@{f[fD Page 1 of 1 ~~ Bonita Bay Ie Group@ October 1,2009 Collier County Clerk of Court Board of County Commissioners Minutes & Records 3301 Tamiami Trail East Naples, FL 34112 Re: Bonita Bay Group Annual Lobbyist Renewals Att: Minutes & Records Enclosed please find the annual lobbyist registration forms for Bonita Bay Group along with the annual fee of $150.00 for six lobbyists for the period of October 1, 2009 through September 30, 2010. If you have any questions, please contact me at (239)390-1257. Sincerely, ~~\~ Diane Murray 6 Transactions Coordinator Bonita Bay Properties Inc. . 9990 Coconut Road, Suite 200 · Bonita Springs, FL 34135 - 8488 Phone: (239) 495-1000 . Fax: (239) 992-2672 . www.bonitabaygroup.com @