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Lobbyist Registration and Report of Expenditures Forms
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Lobbyist Registration and Report of Expenditures Forms
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8/16/2011 3:50:02 PM
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8/16/2011 3:50:01 PM
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Lobbyist Registration and Report of Expenditures Forms - Fillable Form
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EXPENDITURES OF $25 OR MORE PER PERSON PER DAY <br />List in this section all expenditures incurred by you for the purpose of lobbying of $25 or more per person per day during the statement period. <br />This section is not applicable. <br />Expenditures incurred in the total sum of $25 or more per person per day were made for the following persons: <br />NameAddressAmount of value <br />AGGREGATE EXPENDITURES OF $150 OR MORE PER PERSON <br />List in this section all expenditures incurred by you for the purpose of lobbying in the total sum of $150 or more per person during the statement period. <br />This section is not applicable. <br />Expenditures incurred in the aggregate of $150 or more per person were made for the following persons: <br />NameAddressAmount of value <br />PART II. CONTRIBUTIONS TO LOBBYIST <br /> <br />List in this section all contributions received by you for the purpose of lobbying in the total sum of $25 per person during the statement period. <br />This section is not applicable. <br />Contributions in the total sum of $25 or more per person were received from the following persons: <br />NameAddressAmount of value <br />PART III. SUBJECT AREAS OF LEGISLATIVE AND/OR ADMINISTRATIVE ACTION <br />Legislative and/or administrative action in the following areas was supported or opposed during the statement period: <br />Economic development: Government-wide support:Employment:Other <br />: (Please indicate <br />commerce and industry, government financing, work opportunity, below) <br />trade and finance, taxation, revenue, working conditions, <br /> tourism, agriculture appropriation, personnel, compensation, <br />services, employee funds unemployment and <br /> disability compensation, <br /> vocational rehabilitation <br />Environmental protection: Public safety: Transportation: <br />pollution control, environ- law enforcement and air, water, and land <br />mental preservation and corrections, safety from transportation facilities <br />enhancement physical disasters and services <br />Culture and recreation:Individual rights:Social problems: <br /> cultural history and consumer protection, social services, public <br /> events, recreational business and profes- assistance, housing <br /> activities sional regulation of <br />services, legal assistance <br />I hereby certify that the statements made above are correct and complete to the best of my knowledge. <br /> (Signature of Lobbyist) (Date) <br />05/09 <br />
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