Loading...
2016/2017 Clerk to the Board, Minutes & Records Dept. Expires 9 2017 3299 Tamiami Trail East, Suite #401 (Staff use only) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name James Morey Date 2/15/17 Business Address 4001 Tamiami Trail N, Suite 250 Naples, Florida 34103 Business Telephone 239-659-3813 E-Mail jmorey@bsk.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Frank Albanese 6939 Greentree Drive Naples, FL 34108 2) William Schmidt 861 9th Avenue South, #203 Naples, FL 34103 (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) il byist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this 15 ' day of a 7�fiy �2-p/7by , who is personally known to me or has produced J et Mites ' INA-46r as identification and who did take an oath. =0,,, . AMBER L THOMPSON 04YjaVirrb*C11 S.. ,.. :t: MY COMMISSION#FF 188568 BY. rte �'a EXPIRES:January 11,2019 '4: °°•' Bonded Thru Notary Public Underwriters Otary Public The annual registration fee is $25.00 per Lobbyist, 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# 007764129 2/22/2017 2:34:48 PM ; ,Ht< ti Dwight E. Brock Clerk of the Circuit Court "40. r� r7 Customer Deputy Clerk Clerk Office Location JAMES MOREY BMR CASHIER Collier County Govt. Center BOND, SCHOENECK & KING, MinutesandRecords@CollierClerk.co Building F, 4th Floor PLLC m 3299 Tamiami Trail East, Suite 4001 TAMIAMI TRL N STE 250 239-252-2646 401 NAPLES, FL 34103-3555 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# 17484 ($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. ��00M(;TgQQg0al Page 1 of 1