2011/2012 Collier County Clerk of Courts Expires
3299 Tamiami Trail E.
Suite 401,Bldg.F,4t"Floor (Clerk office only)
Naples,Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name Erica Rogan Date 1/30/2012
Business Name KE Talis Park Properties, LLC
Business Address 16990 Livingston Road
City Naples State FL Zip Code 34110
Business Telephone 239-261-6798 Contact Person John Asher
Lobbyist E-mail erogan @kitsonpartners.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 Dwight E.Brock,Clerk of Courts
(ADDRESS LISTED ABOVE)
NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED:
I.Name KE Talis Park Properties, LLC 2.Name
Address 16990 Livingston Road Address
City Naples Zip Code 34110 City Zip Code
3. Name 4.Name
Address Address
City Zip Code City Zip Code
(ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY)
State of Florida 4r/ettaelota
County of Collier
Lobbyist Signatur
This registration was sworn(or affirmed)and subscribed before me this 30th day of,
January ,2012 ,by Erica Rogan
X Personally Known ( I.: /
Produced ID „;;:,:v.,!:;;;,,, ALEXIS BARTON 's eputy Clerk/Notary Public
Type of ID Produced trip Notary Public-State of Florida
My Comm. Expires Jan 11,2015
( %,,os Commission#EE 54752 Revised:08/2011
Receipt#007221239
2/7/2012 2:21:24 PM
Dwight E. Brock
Clerk of the Circuit Court
lrEj C \ ece p
Customer Deputy Clerk Clerk Office Location
ERICA ROGAN BMR CASHIER Collier County Govt. Center
KE TALIS PARK MinutesandRecords @CollierClerk.co Building F, 4th Floor
PROPERTIES, LLC m 3299 Tamiami Trail East, Suite
16990 LIVINGSTON RD 239-252-2646 401
NAPLES, FL 34110-3220 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#74500552 ($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.
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