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2022/2023 Lobbyist: K Bayfront Realty Name: Bill Klohn E-Mail: bklohn@icloud.com Date Received Details _ 12/1/2022 New Registration - Exp. 09/2023 1 1 Collier County Clerk of Courts Expires p• LAC! 3299 Tamiami Trail E. (Clerk's ffice only) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Bill Klohn Date 11/28/2022 Business Name Bayfront Realty Business Address 1333 3rd Ave S., Suite 101 City Naples State FL Zip Code 34102 Business Telephone 239-571 -9524 Contact Person Bill Klohn Lobbyist E-mail bklohn@icloud.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, Ordinance 2007-24 and Ordinance 2013-39. Please make payment(s) to: Collier County Clerk of Courts & Comptroller. (Mail to the address listed at the top of the form) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1. Name Carlo Zampogna, as Trustee 2, Name Dan and Julie Wasserman Address 1333 Third St. Ave S., Ste. 505 Address Immokalee Rd PID#00195120002 City/State Naples, FL Zip 34102 City/State Naples, FL Zip 34119 3. Name 4. Name Address Address City/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida - - ; ? County of Collier ::' ,�,�' � Lobbyisti Signature This registration was sworn (or affirmed) and subscribed before me this 3611' day ofN, p, p,.,q 20 ZZ by 'Rr l( Wolt.rt t% Personally Known 1/1/;-k- Produced ID 1 v1CK1 S RICHARDS S Notary Public State of Florida Deputy Clerk/Notary Public Type of II) Produced i Commission N GG 984284-- --- -Ny€emm.Expires May 26,2024 Bonded through National Notary Assn. ) Revised:08/2019 Receipt# 008645347 11/30/2022 4:17:05 PM (u���FRCpi��T Crystal K. Kinzel �_; � \ I Clerk of the Circuit Court and Comptroller � �y � T1iF CIR�� c, C-7 C (1)-7 _ pq Customer Deputy Clerk Clerk Office Location BILL KLOHN BMR CASHIER Collier County Govt. Center BAYFRONT REALTY MinutesandRecords@CollierClerk.co Building F, 4th Floor 1333 3RD AVE S STE 101 m 3299 Tamiami Trail East, Suite NAPLES, FL 34102-6492 239-252-2646 401 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#22416 ($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. ©grillri@IT©[1@pg0pila Page 1 of 1