2014/2015 Collier County Clerk of Courts Expires S
3299 Tamiami Trail E. (Clerk's o 1201
ce only)
Suite 401,Bldg. F,4th Floor
Naples,Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name Flavio Galasso Date 62-30-4Z
Business Name JAZ Real Estate Holdings
Business Address 11286 Tamiami Trail North
City Naples State FL Zip Code 34110
Business Telephone (239) 643-2220 Contact Person Flavio Galasso
Lobbyist E-mail fgalasso @germainfl.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 JAZ Real Estate Holdings 2.Name
Address 11286 Tamiami Trail North Address
City Naples State FL Zip 34110_ City State Zip
3.Name 4.Name
Address Address
City Zip Code City Zip Code
(ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY)
.» ,yN obbyist
State of Florida • MY "SEW
County of Collier BondedpErioiwyttaindeswriers
.,•
This registration was sworn (or affirmed) and subscribed before me this 30 m day of,
CL'Cio-0 ,20i1 },by et-aivi a Gc .asso
XPersonally Known BY:
Produced ID otary Public
Type of ID Produced
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1/5/2015 10:10:15 AM
<\,,,k<<,<;, Dwight E. Brock
`� ` Clerk of the Circuit Court
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Customer Deputy Clerk Clerk Office Location
FLAVIO GALASSO BMR CASHIER Collier County Govt. Center
GERMAIN BMW OF NAPLES MinutesandRecords @CollierClerk.co Building F, 4th Floor
11286 TAMIAMI TRL N m 3299 Tamiami Trail East, Suite
NAPLES, FL 34110-1622 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# 1625432 ($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.
oQQ Ill r ° LJ gdgLJ l o@CD[M Page 1 of 1
ROETZEL
FOCUSED ON WHAT MATTERS TO YOU
850 Park Shore Drive
Trianon Centre
3rd Floor
Naples, FL 34103
DIRECT DIAL 239.649.2708
PHONE 239.649.6200 FAX 239.261.3659
banderson@ralaw.com
W W W.RALAW.COM
January 2, 2015
VIA COASTAL COURIER
Collier County Board of County Commissioners
Minutes and Records Department
3299 E. Tamiami Trail,4th Floor
Naples, Florida 34112
Re: Lobbyist Registration
Dear Sir/Madam:
Attached is the Lobbyist Registration Form for Flavio Galasso to register as a lobbyist in Collier
County. Also enclosed is a check in the amount of$25 to cover the registration fee.
Very truly yours,
ROETZEL&ANDRESS
1 �97-1M1 L
Diane L.Komoroski
Secretary to R. Bruce Anderson
\dk
Enclosures
8934902_1 129961.0001
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