Loading...
2025/2026 Lobbyist: D LCEC Name: Tricia Dorn E-Mail: tricia.dorn(a�lcec.net Date Received Details 1/5/2026 New Registration - Exp. 09/2026 Collier County Clerk of Courts Expires 04 g 3299 Tamiami Trail E. (Clerk's office only) Suite 401, Bldg. F, 4th Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name 4 DO ( IJ Date r Z GQ Business Name Business Address 'r`-/ 'O 711/U e 60.0 � 1 EEC City r'v . f ( S State�f Zip Code Business Telephone 2Cj 5- 2 9 2-3 /'-f Z Contact Person c CZ C., Q O rr Lobbyist E-mail r GI f-}. cg_ L c EJc. .w C 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 E 2. Name Address / � ,e D(• Address City/State )0 . (• /lycr.S Zip 335 t City/State Zip 3. Name 4. Name Address Address City/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of Collier ,) C—tAc('yl/� LobbyisiSignature This regi r n was s (or affirmed) and subscribed before me this �� day ofda,G(Ltait,, 20 �j b • vlier nally Kn wn BY. W`r` Produced ID I eputy CI o Public Type of ID Produced C`e. t L Revised:08/2019 Receipt# 009082114 1/5/2026 2:49:55 PM c°N- Crystal K. Kinzel Clerk of the Circuit Court and Comptroller i � r : Customer Deputy Clerk Clerk Office Location T. DORN BMR CASHIER Collier County Govt. Center LCEC MinutesandRecords@CollierClerk.co Building F, 4th Floor 4980 BAYLINE DR m 3299 Tamiami Trail East, Suite NORTH FORT MYERS, FL 239-252-2646 401 33917-3910 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 VISA CARDHOLDER CHASE VISA: 7104 (Approval: b823e5bd-ccb6-434a-940f-7b755effbe6e ) ($25.00) BALANCE DUE $0.00 Note: 1/5/2026 2:49:55 PM BMR CASHIER: An additional card convenience fee of 3.5%was paid to nCourt LLC for a total card amount of: $25.88. Questions regarding processing fees should be directed to nCourt at(239)207-3731 or(800)701-8560. Reference Invoice Number: b823e5bd-ccb6-434a-940f-7b755effbe6e and Item Number: 05320260105144936 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. ©®[1[1171®TIM;ITBZoggp110 Page 1 of 1