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2012/2013 Collier County Clerk of Courts Expires 1 01.5 3299 Tamiami Trail E. (Clerk's office only) Suite 401,Bldg.F,4th Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name THOMAS F. MULLIN Date 9/28/12 Business Name SUNDSTROM, FRIEDMAN & FUMERO, LLP Business Address 950 PENINSULA CORPORATE CIRCLE, SUITE 2020 City BOCA RATON State FL Zip Code 33487 Business Telephone (561) 982-7114 Contact Person BERNICE TORRES Lobbyist E-mail TMULLINn;SFFLAW.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 BAREFOOT BEACH CLUB 2.Name CONDOMINIUM OWNERS ASSOCIATION, INC. Address 259 BAREFOOT BEACH BLVD. Address City BONITA SPRINGS Zip Code 34134 City Zip Code 3.Name 4.Name Address Address City Zip Code City Zip Code (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of Collier Lobb • Signatur• This registration was sworn(or affirmed) and subscribed before me this o?-'— day of, .S.p7. , 20/2– ,by T1i-oof& F. Aue 4u4( Personally Known BY: _ - – Produced ID P e s t ler otaar'u s lic• Type of ID Produced A Notary Public State of Florida Bernice Torres d if My Commission 00931590 evised:08/2011 „, < Expires 10/07/2013 Receipt# 007285197 10/12/2012 10:29:07 AM ,s Ki. 4„\? Dwight E. Brock Clerk of the Circuit Court ( 0 gff— C-C,- o c: _ _E2 _ - -= --\ \ `:' ) -`2'LL-',__) 1CA Customer Deputy Clerk Clerk Office Location JOHN J. FUMERO & THOMAS BMR CASHIER Collier County Govt. Center F. MULLIN MinutesandRecords @CollierClerk.co Building F, 4th Floor SUNDSTROM, FRIEDMAN & m 3299 Tamiami Trail East, Suite FUMERO, LLP 239-252-2646 401 950 PENINSULA P.O. Box 413044 CORPORATE CIR STE 2020 Naples, Florida 34101-3044 BOCA RATON, FL 33487-1389 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 2 BMR Lobbyist Registration $25.00 $50.00 TOTAL AMOUNT DUE $50.00 Check#47162 ($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. ©©[1[TWT©5gTecKoggEra Page 1 of 1