Loading...
2012/2013 Clerk to the Board. Minutes & Records Dept. Expires :Y/27/3 3299 Tamiami Trail East, Suite#401 (Staff use o Building F. 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Jason Hunter Korn Date 09/11/2012 Business Address Cohen & Grigsby, P.C., 9110 Strada Place, Suite 6200, Naples, Florida 34108 Business Telephone (239) 390-1914 E-mail jkorn @cohenlaw.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1> The Whitestone Group of Ohio, Inc. 4100 Regent Street, Suite C Columbus, Ohio 43219 alternate address: P.O. Box 112375 Naples, Florida 34108 (PLEASE ATTACH ADDITIONAL SHEETS, IF NEC' SARY) di A _ _ _ . Lobby t Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this 11th day of September 2012 by Jason Hunter Korn , who is personally known to me or has produced as identification and who did take an oat�ir 0... STEPHANIE SHELDON ±r i‘!i .r_ MY COMMISSION N DO 887760'4PESSepmber2013 BY: kL6i Yi ilimeftwromer '41;i ti • Landed Thru Notary Public Unden hers \ k(:) Deputy Clerk/Notary Public 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# 007278394 9/14/2012 2:47:44 PM Dwight E. Brock Clerk of the Circuit Court 0 r-po o 'DER Customer Deputy Clerk Clerk Office Location JASON HUNTER KORN BMR CASHIER Collier County Govt. Center COHEN & GRIGSBY, P.C. MinutesandRecords @CollierClerk.co Building F, 4th Floor 9110 STRADA PL STE 6200 m 3299 Tamiami Trail East, Suite NAPLES, FL 34108-2396 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# 5992 ($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. I©grEh°- Tg ° ❑@CM Page 1 of 1