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2013/2014 Clerk to the Board, Minutes& Records Dept. Expires Q t aV i 3299 Tamiami Trail East, Suite#401 (Staff use only) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Nelson Bennett Date Business Address 24301 Walden Center Drive Bonita Springs, FL 34134 239-498-8200 marycook @wcicommunities.com Business Telephone E Mail NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) WCI Communities, LLC 24301 Walden Center Drive Bonita Springs, FL 34134 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) Lobbyist Signature State of Florida County of Collier— lam' The foregoing registration was sworn to and subscribed before me on this 2.5 day of at,_re, /7,0 `-i , by INNAStyv C6e.414 ,who is personally known to me or has produced_ as identification and who did take an oat .`''"�� "• MARY S. •" COOK Notary Public•State of flEti fib . .t+l J_ a'Z MY Comm. Expires Mar 6,2016 • •� ��• Commission•EE 172474 •�''°%� Bonded Through mis i •eputy Clerk/Notary Public National Notary Assn. The annual registration fee is$25.00 per Li r ,y , . _•rding to Collier County Ordinance No.2003-53,as amended by Ordinance 2004-05, Ordinance 2007-24 and Ordinance 2013-39. Please make payment to: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts and mail to the address listed at the top of the form. Receipt# 007463757 6/27/2014 2:02:51 PM Dwight E. Brock Clerk of the Circuit Court , i] T'. Customer Deputy Clerk Clerk Office Location NELSON BENNETT BMR CASHIER Collier County Govt. Center 24301 WALDEN CENTER DR MinutesandRecords @CollierClerk.co Building F, 4th Floor BONITA SPRINGS, FL 34134- m 3299 Tamiami Trail East, Suite 4965 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#00404779 ($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. ggDODUilQggEfD Page 1 of 1 wc WCI COMMUNITIES,INC. 24301 Walden Center Drive The Experience Is Everything.° Bonita Springs,FL 34134 239-498-8200 wcicommunities.corn June 28, 2014 Collier County Clerk of Courts Clerk to the Board, Minutes & Records Dept. 3299 Tamiami Trail East, Suite 401 Building F, 4th Floor Naples, FL 34112 Dear Sir or Madam: Enclosed please find the Lobbyist Registration Form and annual registration fee for Nelson Bennett. Thank you. Sincerely, 1*(ttillt& Mary Cook 239-498-8214