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2011/2012 Collier County Clerk of Courts Expires 3299 Tamiami Trail E. (Cler s office only) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Fabricio A. Ponce _ Date 10/13/11 Business Name Tindale-Oliver & Associates, Inc. Business Address 1000 N. Ashley Dr. , Ste. 100 City Tampa State FL Zip Code 33602 Business Telephone 813-224-8862 _Contact Person Fabricio A. Ponce Lobbyist E-mail fponce@tindaleoliver.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 and Ordinance 2007-24. Payments made out to: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts (ADDRESS LISTED ABOVE) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1. Name Hacienda Lakes of Naples, LLC 2. Name SFI Naples Reserve, LLC Address 12600 Biscayne Ct. Address 7 Sandpiper Ct. City Naples, FL Zip Code 34105-4936City Palm Coast, FL Zip Code 32737 3. Name 4. Name Address Address City_ Zip Code City Zip Code (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of Collier Lobbyis ignature This registration was sworn (or affirmed) and subscribed before me this /1/ day of, 6/0/144A.- , 20 !I , by 1G-b(iL..o A, Puv,c{ t/ Personally Known BY: / Produced ID r � _uT I ap Type of ID Produced 13.''r Notary Public State o Florida Karin L Smith My Commission DD810015 'to,c Expires 07/29/2012 i 1.=/2011 Receipt# 007195599 10/17/2011 3:26:24 PM ,tRIO( Dwight E. Brock Clerk of the Circuit Court / a RED__, p Customer Deputy Clerk Clerk Office Location WILLIAM E. OLIVER & BMR CASHIER Collier County Govt. Center FABRICIO A. PONCE MinutesandRecords @CollierClerk.co Building F, 4th Floor TINDAL-OLIVER & m 3299 Tamiami Trail East, Suite ASSOCIATES, INC. 239-252-2646 401 1000 N ASHLEY DR STE 100 P.O. Box 413044 TAMPA, FL 33602-3719 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 2 BMR Lobbyist Registration $25.00 $50.00 TOTAL AMOUNT DUE $50.00 Check#6042 ($50.00) 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. ©O1:11:111® [1® COI Page 1 of 1