Fillable ID NUMBER NAME OF LOBBYING ENTITY (Arizona Secretary of State)

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ID NUMBER NAME OF LOBBYING ENTITY (Arizona Secretary of State)

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ATTACHMENT Page 1 of 1
NAME OF LOBBYING ENTITY
ID NUMBER
ID NUMBER (IF AVAILABLE)
BUSINESS ADDRESS CITY STATE ZIP CODE
E-MAIL ADDRESS
PHONE NUMBER
NAME OF EMPLOYEE WHO IS A LOBBYIST
ID NUMBER (IF AVAILABLE)
BUSINESS ADDRESS CITY STATE ZIP CODE
PHONE NUMBER
ID NUMBER (IF AVAILABLE)
BUSINESS ADDRESS CITY STATE ZIP CODE
PHONE NUMBER
ID NUMBER (IF AVAILABLE)
BUSINESS ADDRESS CITY STATE ZIP CODE
EXPENSES FOR WHICH LOBBYIST IS TO BE REIMBURSED (describe)
PHONE NUMBER
NAME OF EMPLOYEE WHO IS A LOBBYIST
E-MAIL ADDRESS
• If the employee being added has previously been registered to lobby, their ID number MUST be listed on the form, you may search the lobbying
database HERE to see if a record of a lobbyist or employee currently exists.
EXPENSES FOR WHICH LOBBYIST IS TO BE REIMBURSED (describe)
NAME OF EMPLOYEE WHO IS A LOBBYIST
E-MAIL ADDRESS
EXPENSES FOR WHICH LOBBYIST IS TO BE REIMBURSED (describe)
NAME OF EMPLOYEE WHO IS A LOBBYIST
E-MAIL ADDRESS
EXPENSES FOR WHICH LOBBYIST IS TO BE REIMBURSED (describe)
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ID NUMBER NAME OF LOBBYING ENTITY (Arizona Secretary of State)

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Completed 27 January 2021

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