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2015/2016 ( / Collier County Clerk of Courts Expires 2 C7 3299 Tamiami Trail E. (Clerk's office only) Suite 401,Bldg. F,4th Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name [ S rl_,)t Com►' Date CP/Z 7/ Business Name 41N\e-r-) Can cJ cer- ?re) s t Business Address -q L4 9 --ra-W1 <c i m t 1 r. N 0- City , J S State FL_ Zip Code 3 y ( 03 Business Telephone f 916 S t-4 ontact Person LO u-.1S r---0- CA --r Lobbyist E-mail C, i Ch e & u- p Vk r Notice for Lobbyists: The annual registration fee is$25.0 per Lob+gist, 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 ANI) ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1. Name '140 D ___ 2. Name Address Address City Zip Code City Zip Code 3. Name 4. Name Address Address City Zip Code City diCode (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) vi _ _. State of Florida =''� County of Collier KM; Lobbyist SlTW his registration was sworn(or affirm and subscribed before me this day of,: , 20 1 D , by wvis `C S.A- _ _, n :"-.' 4.; -1. Personally Known BY: .i _ Produced ID Deputy Cleri0s4c t_a' 1 ubli ��� Type of ID Produced_ '� , � o;.' -• sed:08/2011 mmommims I\C..CI1JI.ft VV/VV/Y/J 6/27/2016 4:49:10 PM Dwight E. Brock Clerk of the Circuit Court ��. �• Eo)ffcI ER Customer Deputy Clerk Clerk Office Location LOUIS P. PICHE BMR CASHIER Collier County Govt. Center AMERICANS FOR MinutesandRecords@CollierClerk.co Building F, 4th Floor PROSPERITY m 3299 Tamiami Trail East, Suite 4949 TAMIAMI TRL N STE 206 239-252-2646 401 NAPLES, FL 34103-3017 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 Cash Tendered ($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. ©0000@Ta@@CM Page 1 of 1 utcla - s CVnrf .s -ud,Son Martha S. Vergara ch From: Rebecca Kush <RKush@afphq.org> Sent: Wednesday, July 06, 2016 3:46 PM To: Martha S.Vergara Subject: Re: Subject: ** Final Reminder** 4th Quarter Update - Lobbyist Registration Thanks Martha! There are no changes to either the client or lobbyist for Americans For Prosperity. You can email me about the upcoming registration in August and I will work with them to complete that,thank you! Rebecca Kush I Legal Affairs Administrator I Americans for Prosperity Foundation — HQ o: 703.224.3249 I m: 571.481.6764 I e: RKush@afphq.org From: "Martha S. Vergara" <Martha.Vergara@collierclerk.com> Date: Wednesday, July 6, 2016 at 3:37 PM To: Rebecca Kush <RKush@afphq.org> Subject: RE: Subject: ** Final Reminder** 4th Quarter Update - Lobbyist Registration Hello Rebecca, For the update all that is required is an e-mail stating that there are no changes to your Lobbyists or your Client list. If there are no changes they simply state in the e-mail that there are "no changes" to either the Client or Lobbyist List for your Firm/Company. Around mid-August I will e-mail a reminder about registration renewals that will have a registration form to be filled out and include the $25 fee for each lobbyist. Would you like correspondence to be with you or the lobbyists? Thanks, Martha From: Rebecca Kush [mailto:RKush@afphq.org] Sent: Wednesday,July 06, 2016 3:24 PM To: Martha S. Vergara <Martha.Vergara@collierclerk.com> Subject: Subject: ** Final Reminder** 4th Quarter Update - Lobbyist Registration Hi Martha, our lobbyist forwarded this on to me. How do I go about updating my list? It would be for the client "americans for prosperity." I want to make our lobbyists are in order. Thank you! Rebecca Kush I Legal Affairs Administrator I Americans for Prosperity Foundation — HQ o: 703.224.3249 I m: 571.481.6764 I e: RKush@afphq.org Subject: ** Final Reminder** 4th Quarter Update-Lobbyist Registration Good Morning All, This is the final reminder for the 4th quarter updates as required by Ordinance 2007-24. Friday, July 8, 2016 is the last day for updates before you are placed in the unknown list. If your Firm/Company hasn't updated your lists as required, the penalty is that the registration fee must be paid again. Remember that the Renewal Registration Fee's will be required again on or before October 1st (as it's the beginning of the County's fiscal year). All that is required for the update is an e-mail stating any changes (additions/deletions) to your client list as well as the Lobbyist that work for your Firm/Company. If you have any questions feel free to call our office any time. Thanks, Martha Vergara, BMR Senior Clerk Minutes and Records Dept. Clerk of the Circuit Court & Value Adjustment Board Office: (239) 252-7240 Fax: (239) 252-8408 E-mail:martha.vergara@collierclerk.com Please visit us on the web at www.collierclerk.com This electronic communication is confidential and may contain privileged information intended solely for the named addressee(s). It may not be used or disclosed except for the purpose for which it has been sent. If you are not the intended recipient,you must not copy,distribute or take any action induced by or in reliance on information contained in this message. Unless expressly stated, opinions in this message are those of the individual sender and not of the Office of the Clerk of the Circuit Court of Collier County. If you have received this communication in error, please notify the Clerk's Office by emailing helpdesk@collierclerk.com quoting the sender and delete the message and any attached documents.The Collier County Clerk's Office accepts no liability or responsibility for any onward transmission or use of emails and attachments having left the CollierClerk.com domain. Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. 2