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2020/2021 Collier County Clerk of Courts Expires 3299 Tamiami Trail E. (Clerk's Tice only) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Laura.DeJohn, AICP Date July 22, 2021 Business Name Johnson Engineering, Inc. Business Address 2350 Stanford Court City Naples State FL Zip Code 34112 Business Telephone (239)229-1726 Contact Person Lobbyist E-mail ldejohn@johnsoneng.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 Crystal K. Kinzel, Clerk of Courts (ADDRESS LISTED ABOVE) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1. Name Bayshore Gateway Triangle CRA _ 2. Name Collier County Housing Division Address3299 Tamiami Trail E, Building F, Suite 10S- Address 3339 Tamiami Trail East, Suite 211 City Naples Zip Code 34112 City Naples _Zip Code 34112 3. Name Immokalee CRA 4. Name Address 750 South Fifth Street Address City Immokalee Zip Code 34142 City Zip Code (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida AMANDA MAE MARTIN County of Collier NOTARY PUBLIC STATE OF FLORIDA Lobyist Si nature NO.GG 218010 g eMY • EXPIRES JUN.19,2022 This registration was - • —sir a firmed) and subscribed before me this '2 7rkt day of, L , 20_21 _, by_Laura DeJohn_ X Personally Known BY: _Produced ID Deputy Clerk/Notary. Public Type of ID Produced Revised:08/2018 Receipt# 008430987 8/5/2021 10:45:54 AM *I=cs>,�\,�T Crystal K. Kinzel Clerk of the Circuit Court and Comptroller 0 E- g c, c (7 ,@ — flP Customer Deputy Clerk Clerk Office Location LAURA DEJOHN & MARINA Martha S. Vergara Collier County Govt. Center GURIGUIS martha.vergara@collierclerk.com Building F, 4th Floor JOHNSON ENGINEERING, 239-252-2646 3299 Tamiami Trail East, Suite INC. 401 2350 STANFORD CT P.O. Box 413044 NAPLES, FL 341 1 2-481 3 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#42414 ($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. CEO[1DO®11: 1®G gOGu�i Page 1 of 1