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09/12 Registered Agent NoticeGOLDEN GATE FIRE CONTROL AND RESCUE DISTRICT 14575 Collier Boulevard • Naples, FL 34119 • (239) 348 -7540 • (239) 348 -7546 FAX http://www.ggfire.com September 30, 2012 Clerk of the Circuit Court 3301 Tamiami Trail East Building F, 4th Floor Naples, Florida 34112 This is to advise that Robert D. Metzger is still the Registered Agent for the Golden Gate Fire District and has been since 2/25/08. A copy of the "Designation of Registered Agent" form filed with the Department of Community Affairs is attached. RECEI EC) Our Family Protecting Yours �G6AT �RESCV�� February 22, 2008 GOLDEN GATE FIRE CONTROL & RESCUE DISTRICT Florida Department of Community Affairs ATTN: Jack Gaskins, Jr. 2555 Shumard Oak Boulevard Tallahassee, FL 32399 -2100 Dear Mr. Gaskins: Subject: New Registered Agent 14575 COLLIER BLVD. - NAPLES, FLORIDA 34119 (239) 348 -7540 - FAX (239) 348 -7546 Please be advised that the current registered agent for the Golden Gate Fire Control & Rescue District is retiring and the Board of Fire Commissioners have appointed a new Registered Agent for the fire district. This appointment was made during the regular Commission Meeting held on February 13, 2008. EFFECTIVE DATE: February 25, 2008 NAME: Robert D. Metzger ADDRESS: 14575 Collier Blvd. Naples, FL 34119 PHONE: 239 - 348 -7540 FAX: 239- 348 -7546 Email: BobMetz er .-ggfire.com Please advise if there is anything else required. Sincerely, Patricia Meulenber g Executive Assistant FLORIDA DEPARTMENT OF ECONOMIC OPPORTUNITY Invoice No.: 25530 Date Invoiced: 10127/2011 FY 201112012 SPECIAL DISTRICT FEE INVOICE AND UPDATE FORM DEO use only: Post to: Special District Information Program Instructions: In accordance with Sections 189.412 and 189.427, F.S., and Chapter 9B-50, F.A.C., please remit the fee due payable to the Department of Economic Opportunity OR complete the Zero Annual Fee Certification Section, as appropriate. In addition, review the information below about the district and update as necessary. Provide backup documentation if the district's name or status has changed. By the postmarked due date, mail the payment and this signed form to the Department of Economic Opportunity, Office of Financial Mgmt., 107 E. Madison Street, MSC 120, Tallahassee, Florida 32399-4124. Direct questions to (850) 717 -8430. ANNUAL FEE: $175.00 1 LATE FEE: $0.00 1 RECEIVED: $0.00 1 FEE DUE, POSTMARKED BY 1212812011: $175.00 District's Name, Registered Agent & Office`: Golden Gate Fire Control and Rescue District Mr. Robert D. Metzger 14575 Collier Blvd. Naples, F134119 Telephone: (239) 348 -7540 Fax: (239) 348 -7546 Status`: Independent Creation Document: On File Map: On File Last Update: 11/09 /2010 Website: www.ggfire.com E -mail: ------------------------------------------------------------------------------------------------ bobmetzger@ggfire.com County(tes): Collier Local Governing Authority': Collier County Function(s)•: Fire Control and Rescue Date Established: 01/0811983 Creation Documents*: Chapter 2000 -392, Laws of Florida Statutory AuthorW: Chapter 191, Florida Statutes Board Selection`: Elected Authority to Issue Bonds': Yes Revenue Source': Ad Valorem "Explanations Registered Agent: The person designated by the special district to accept due process on behalf of the special district Status: Independent or Dependent - see Section 189.403, F.S. Local Governing Authority: The governing body of a unit of local general- purpose government Functions: The function/purpose of the special district Creation Documents: Ordinance, Resolution, Statute, Special Act, Court Decree, Interlocal Agreement, etc. Statutory Authority: The Florida Statute governing the function of the special district Board Selection: Appointed, Appointed/Elected, Elected, Governor Appoints, Local Governing Authority Appoints, Same as Local Governing Authority, Similar to Local Governing Authority, Other Authority to Issue Bonds: Yes or No Revenue Sources: Ad Valorem, Agreement, Assessments, Bond.lssuer Fees, Co., Donations, Fed, Fees, Other, Investments, Grants, Municipality, Non-Ad Valorem, Priv. Enterprise, Sales Surtax, Sales/Leases, State, TIF, Tolls, None CERTIFICATION: I, the undersigned rre@ggiltered agent, do hereby certify that the information above is accurate and complete as of this date. it does or does nQL.X need to be charmed. Registered Agents Signature: Date: It IiN 0r► ZERO A FEE CERTIFICATION SECTION - If eligible, the special district may request a zero annual fee instead of payment by ha a registered agent certify to the following: 1. This special district 11 a component unit of a general purpose local government as defined in emmental Accounting Standards Board's Stateme o. 14, issued in June 1991 effective after December 15, 199 amended. 2. This special district is in complia wkh the reporting requirements of the De Financial Services. 3. This special district reported $3,000. ss in annual revenues to the De ent of Financial Services on its Annual Financial Report for Fiscal Year 2009/2010 (special di ated after that year must attach a current income statement verifying $3,000.00 or less in revenues for the current fiscal 4. This certification will be returned to the Department at th above postmarked by 12/282011 and, 5. This special district understands that if the Depa determines f these items to be inaccurate, this special district must pay the appropriate fee when invoiced. Th artment will verify these ements within 30 days of receiving this form. 1, the undersigned registered agent, d reby certify that to the best of my knowledge belief, ALL of the above statements contained herein and on any attachments h are true, correct, complete, and made in good faith f this date. I understand that any information I give may be inv Wed and verified with the Department of Financial Services a e Auditor General. SIGN ONLY IF EL C48LE FOR AND REQUESTING A ZERO ANNUAL FEE: Signature: Use Only: -Verified and Approved _Denied- Reason(s): Date: