2016/2017 Collier County Clerk of Courts Expires Ci n
3299 Tamiami Trail E. (Clerk s Office Only)
Suite 401,Bldg. F,4th Floor
Naples,Florida 34112
COLLIER COUNTY LOBBYIST REGISTRATION FORM
Lobbyist Name O 02,1 Z---- ' .. e:/"°5i2. Date
Business Name
Business Address Z1 ggz) 1‘.9-}H 7)-(/,9i-6/a--
City it,A.,4 5. State L Zip Code 10-14-61-71,0r, ,,, ezeli,
Business Telephone 2 3 9 - -5'.; V(oracticrson to g .
Lobbyist/Contact E-mail
Notice for Lobbyists: The annual registration fee is ULM=Lobbyist,per Collier County Ordinance No.
2003-53,as amended by Ordinance 2004-05, Ordinance 2007-24 and Ordinance 2013-39.
Payments made out to: Collier County Clerk of Courts or Dwi2ht E. Brock, Clerk of Courts(ADDRESS ABOVE)
NAME AND A D jiS.,'S- V1241 C 7TT/F ITY REPRESENTED:
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1.Name (. • 0 2.N12____y____
Go
Address /CO D Si AI r21/(2 A' J. ress
City Stli / 1112 it'llig)Zip Code 3 3323City Zip Code
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5t.f 4/ (2-/3e f-
3. Name 4. Name
Address Address
City Zip Code City Zip Code
(ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY)
/
State of Florida
County
of Collier
Lobbyist Signature
2 tc/
This registration was sw rn for affirmed) and subscribed before me this ,.) • day,of Jan ,
2017 , by /2-D6e-ri ( • DUG1.1 t Q. ..., .
,\c, Personally Known BY:
-IN Produced ID Deputy ClerkNot.ry Public
Type of ID Produced
. _
Revts-d 08/2014
PU DA- PL 20150002280.Tollgate
ATTACHMENT "A" Commercial Center PUD
DISCLOSURE OF INTEREST
Name of Owner Percentage of Ownership
Sky Angel Center, LLC 100%
1300 Goodlette Road N
Naples, FL 34102
(Sky Angel Center, LLC Owned By):
- Sky Angel Holdings, Inc. 100%
(Sky Angel Holdings Inc. Owned By):
- Robert W. Johnson Jr. &
Kenneth D. Krier Trustees of
the trust for Sky Angel Holdings, Inc.
Under article V of the Jeanine Johnson
Revocable Trust
UAD 08/17/2010
(Beneficiaries of the above mentioned Trust):
- Robert W. Johnson, Jr. 25%
Kathleen L. Johnson 25%
Nancy B. Christopher 25%
Jennifer A. Jarvis 25%
PUDA- PL 20150002280.
EXHIBIT"A" Tollgate Commercial Center Pig
DISCLOSURE OF INTEREST
Name of Owner Percentage of Interest
Toll Gate Naples, LLC 100%
3845 Beck Blvd., Suite 807
Naples, FL 34114
(Toll Gate Naples, LLC Owned By):
Realty Two, LLC 86%
815 Wernsing Rd.
PO Box 650
Jasper, IN 47547
Robert Paul Hardy as Trustee 14%
of the Hardy Family Trust dated 1/3/2005
(Beneficiaries of the above mentioned Trust):
Jennifer Hardy Mercer 25%
Catherine Pisano 25%
Roberti. Hardy 25%
Paul Michael Hardy 25%
(Realty Two, LLC Owned By):
Douglas Bawel 11.11%
Zachary Bawel 11.11%
Jeffrey Bawel 11.11%
Bradley Bawel 11.11%
Luke Bawel 11.11%
Michael Schwenk 11.11%
Ralph Schwenk 11.11%
Rita Uebelhor 11.11%
Raymond Schwenk 11.11%
Receipt#007748386
1/3/2017 12:48:10 PM
�,,,,Ht<,,ti' Dwight E. Brock
Clerk of the Circuit Court
(,,,,,_
--I - 2-7 \_ (-: L7 e _ii_-_)J
Customer Deputy Clerk Clerk Office Location
ROBERT L. DUANE BMR CASHIER Collier County Govt. Center
R.L. DUANE &ASSOCIATES MinutesandRecords@CollierClerk.co Building F, 4th Floor
4880 TAMARIND RIDGE DR m 3299 Tamiami Trail East, Suite
NAPLES, FL 34119-2826 239-252-2646 401
P.O. Box 413044
Naples, Florida 34101-3044
1 Product 1
QUANTITY DESCRIPTION UNIT COST AMOUNT
1 BMR Lobbyist Registration $25.00 $25.00
TOTAL AMOUNT DUE $25.00
Check#3848 ($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.
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