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2016/2017
• 1 \ nClerk to the Board, Minutes&Records Dept. Expires V 3299 Tamiami Trail East, Suite#401 (Staff use on ) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameJulianne Thomas Date I . la.o 1l6 Business Address 1495 Smith Preserve Way Naples, FL 34102 Business Telephone 239-262-0304 E-Mail�uliannet@conservancy.org NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Conservancy of Southwest Florida 1495 Smith Preserve Way Naples, FL 34102 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) Lobbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this .Ztr day of 1:131Q, i Ie , by '3 L i cy: o rrc1S, who is per onally known to me or has produced as identification and who did take an oath. .. MARGARET ANN DARDIS Mol C.a 1—�+�-� 1�'l1� `.:SPRY pUB•i ;r.� Notary Public -State of Florida BY: •` ,a :•?My Comm.Expires Nov 12,2017 ;../1-�� Commission #FF 48794 Deputy Clerk/Notary Public Bonded Through National Notary Assn. The an 211 regisirat4Uir1Lbe !s 911!001y obbyist, 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. Receipt#007748383 1/3/2017 12:41:22 PM Dwight E. Brock Clerk of the Circuit Court _ , n t �gIIF 0"` Customer Deputy Clerk Clerk Office Location JULIANNE THOMAS BMR CASHIER Collier County Govt. Center CONSERVANCY OF MinutesandRecords@CollierClerk.co Building F, 4th Floor SOUTHWEST FLORIDA m 3299 Tamiami Trail East, Suite 1495 SMITH PRESERVE WAY 239-252-2646 401 NAPLES , FL 34102 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 Check# 17278 ($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. ©CDOngTagl LnhogOOM Page 1 of 1 Update CONSERVANCY mit of Southwest Florida .OUR WATER,LAND,WILDLIFE,FUTURE. Protecting Southwest Florida's unique natural environment and quality of life ... now and forever. April 1, 2017 Collier County Clerk of Courts Clerk to the Board, Minutes& Records Dept. 3299 Tamiami Trail East, Suite#401 Naples, FL 34112 In order to assure sufficiency in records of lobbyists working for and on behalf of the.Conservancy of Southwest Florida per Collier County Ordinance No. 2003-53, 2004-05, 2007-24 and 2013-39, I am submitting the following information to you for consideration. A registration form was completed, signed and notarized and sent to and received by the Collier County Clerk of Courts previously along with the required $25 fee for each person listed. The following persons are either employed by or working as interns on behalf of the Conservancy of Southwest Florida effective April 1, 2017: ,Rob Moher Nicole Johnson .Marisa Carozzo ;,Amber Crooks ,Meredith Barnard Sean McCabe vdulianne Thomas Thank you for your attention in this matter. Sincerely, 4 " n Scott Administrative Assistant 1495 Smith Preserve Way I Naples, Florida 34102 1239,262.0304 I Fax 239.262.0672 I www.conservancy.org Update