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2010/2011 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expires: 2011-02-07 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: THOMAS F. MULLIN Date: FEBRUARY 7,2011 Business Address: ROSE. SUNDSTROM & BENTLEY. LLP 950 PENINSULA CORPORATE CIRCLE. SUITE 2020 BOCA RATON. FL 33487 Business Telephone: +1 (561) 982-7114 Email: TMULLIN@RSBATTORNEYS.COM NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: l.BAREFOOT BEACH HOMEOWNERS ASSOCIATION. INC, 259 BAREFOOT BEACH BOULEVARD BONITA SPRINGS. FL 34134 PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this 7TH , by THOMAS F, MULLIN day of FEBRUARY, 2011 , who is personally known to me or has produced as identification and who did take an oath. )- ). ~'f"v~ R"lo ~~~i '>0,,,"0 Notary Public Slate of Florida ~ Bernice Torres . My Commission DD931590 ~ Expires 10/07/2013 . BY: Deputy Clerk/Notary Public " The annual registration fee is $2S.00 per Lobbyist, according to Collier county Ordinance No. 2003-S3,as amended by Ordinance 2004-05 and Ordinance 2007-24. Please make payment and mail to:Collier County Clerk of Courts or Dwight E. Brock, clerk of Courts (at the address listed at the top of the form). Receipt# 007138008 2/11/20112:32:02 PM Dwight E. Brock Clerk of the Circuit Court i,m~ (---'T_~I 'J~ 51-1 fir ui'{ I Customer THOMAS MULLEN ROSE, SUNDSTROM & BENTLEY 4930 PALM BROOKE CIR WEST PALM BEACH, FL 33417-7535 Deputy Clerk BMR CASHIER Minutesand Records@CollierClerk,com 239-252-2646 Clerk Office Location Collier County Gov!. Center Building F. 4th Floor 3299 Tamiami Trail East, Suite 401 P.O, Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY 1 DESCRIPTION BMR Lobbyist Registration UNIT COST $25.00 TOTAL AMOUNT DUE: Check# 799 BALANCE DUE: AMOUNT $25.00 $25.00 ($25.00) $0.00 Page 1 of 1