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2014/2015 Clerk to the Board, Minutes& Records Dept. Expires / 3299 Tamiami Trail East, Suite #401 (Staff use only) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Bill R. Moore Date 01/29/15 Business Address 16990 Livingston Road Naples, FL 34110 239.206.7899 bmoore @kitsonpartners.com . Business Telephone E-Mail NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). KE Talis Park Properties, LLC 16990 Livingston Road Naples, FL 34110 2) Talis Park Community Development District do Governmental Management Services-South Florida, LLC 5385 North Nob Hill Road, Sunrise, FL 33351 (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY LAst Signature State of Florida County of Collier h The foregoing registration was sworn and subscribed before me on this 1 day of_ *Y,cY\outitA\. 5 by e• ktOO , is personally knownito me or has produced as identification and who did take an oath. MELISSA SAHAPOGLU ifdr *_ Commission N FF 157407 BY: My Commission Expires f.,.- %unt September 07, 2018 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,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. 11C1,..GI'.►I.tf UV I dcvvv■ 2/6/2015 2:27:12 PM � ;,,?,,„, Dwight E. Brock 1 Clerk of the Circuit Court era ,nip. V Customer Deputy Clerk Clerk Office Location KITSON EVERGREEN LLC BMR CASHIER Collier County Govt. Center 4500 PGA BLVD STE 400 MinutesandRecords @CollierClerk.co Building F, 4th Floor PALM BEACH GARDENS, FL m 3299 Tamiami Trail East, Suite 33418-3995 239-252-2646 401 P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 2 BMR Lobbyist Registration $25.00 $50.00 TOTAL AMOUNT DUE $50.00 Check# 12938 ($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. ©000riarglii® gglE) Page 1 of 1