2017/2018 \Q (
Collier County Clerk of Courts Expires --
3299 Tamiami Trail E. (Clerk's office only)
Suite 401, Bldg. F,4th Floor
Naples, Florida 34112
COLLIER COUNTY LOBBYIST REGISTRATION FORM
Lobbyist Name Jane E. Eichhorn Date July 27, 2017
Business Name Agnoli, Barber & Brundage, Inc.
Business Address 7400 Trail Blvd., Suite 200
City Naples State FL Zip Code 34108
Business Telephone 239-597-3111 Contact Person Andrea Anderson
Lobbyist E-mail eichhorn@abbinc.com
Notice for Lobbyists: The annual registration fee is 525.00 ver Lobbyist,per Collier County Ordinance No. 2003-53,and
amended by Ordinance 2004-05 and Ordinance 2007-24 and Ordinance 2013-39.
Payments made out to: Collier County Clerk of Courts or Dwijiht E. Brock, Clerk of Courts(ADDRESS ABOVE)
NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED:
1. Name See attached client sheets 2. Name
Address Address
City Zip Code City Zip Code
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
This registration was swornor affirmed) and subscribed before me this Z 7day of
2017, by _J.-nine- �, E.dtillo/
aTh
Personally Known BY:
Produced ID d —— Deputy Clerk/Notary Public
Type of ID Produced . ANDREA ANDERSON
4 '." Notary Public-State of Florida
`
"' Commission #FF 230064' ir.
My Comm.Expires Aug 17,2019 Revised:08/2014
"`"'' Bonded through National Notary Assn.