ID
TELEPHONE NUMBER
NAME OF PRINCIPAL
ADDRESS
CITY STATE ZIP CODE
SUMMARY OF EXPENDITURES
Total single expenditures on behalf of the principal whether or not made in the course of lobbying (Total from page 2):
By a designated lobbyist or Lobbyist for
compensation
By authorized lobbyists
By Other Persons
Aggregate of expenditures of $20 or less on behalf of the principal whether or not made in the course of lobbying:
By a designated lobbyist or lobbyist for
compensation
By authorized lobbyists
By Other Persons
Special Events (Total from page 3)
TOTAL EXPENDITURES (ADD ABOVE LINES)
Printed Name of Designated Lobbyist
PRINCIPAL
REPORT YEAR
DESIGNATED LOBBYIST EMAIL ADDRESS
NAME OF DESIGNATED LOBBYIST
/S/
Conformed Signature of Designated Lobbyist
Page 1 of 3$562
FILE ONLINE AT LOBBYING.AZ.GOV OR E-MAIL TO: LOBBYIST@AZSOS.GOV
By signing, I declare under penalty of perjury that the information provided on this form is true, complete, and correct.
$ 0.00
$ 0.00
$ 0.00
$ 0.00
2018
$ 0.00
$ 0.00
$ 0.00
$ 0.00
ARIZONA
PRINCIPAL ANNUAL REPORT
Single expenditures whether or not made in the course of lobbying
NAME OF LOBBYIST/OTHER PERSON WHO MADE EXPENDITURE
TYPE OF LOBBYIST (SELECT ONE):
Name and Title of Person Receiving or Benefiting from Expenditure
DATE AMOUNT
Name and Title of Person Receiving or Benefiting from Expenditure
DATE AMOUNT
Name and Title of Person Receiving or Benefiting from Expenditure
DESCRIPTION OF EXPENDITURE
DATE AMOUNT
Name and Title of Person Receiving or Benefiting from Expenditure
DESCRIPTION OF EXPENDITURE
DATE AMOUNT
Name and Title of Person Receiving or Benefiting from Expenditure
DESCRIPTION OF EXPENDITURE
Name and Title of Person Receiving or Benefiting from Expenditure
DESCRIPTION OF EXPENDITURE
DATE AMOUNT
Name and Title of Person Receiving or Benefiting from Expenditure
DESCRIPTION OF EXPENDITURE
DATE AMOUNT
ENTER TOTAL SINGLE EXPENDITURES:
If additional sheets are attached, enter combined total here.
DATE AMOUNT
Travel and Lodging
Flowers
Food or beverage
Speaking engagement
Other (please describe)
Travel and Lodging
Flowers
Food or beverage
Speaking engagement
Other (please describe)
Travel and Lodging
Flowers
F
ood or beverage
Speaking engagement
Other (please describe)
Travel and Lodging
Flowers
Food or beverage
Speaking engagement
Other (please describe)
Travel and Lodging
Flowers
Food or beverage
Speaking engagement
Other (please describe)
Travel and Lodging
Flowers
Food or beverage
Speaking engagement
Other (please describe)
DESCRIPTION OF EXPENDITURE
Travel and Lodging
Flowers
Food or beverage
Speaking engagement
Other (please describe)
DESCRIPTION OF EXPENDITURE
Designated Lobbyist Authorized Lobbyist
Other Person Lobbyist for Compensation
Expenditures by employees of authorized lobbyists must also be reported.
Page 2 of 3
$ 0.00
Page 3 of 3
ALL MEMBERS OF THE LEGISLATURE
EITHER
HOUSE OF THE LEGISLATURE; OR
ANY COMMITTEE OF THE LEGISLATURE
DESCRIPTION DATE LOCATION
LEGISLATIVE
BODY/COMMITTEE
TOTAL
EXPENSES
1
2
3
4
5
6
7
8
9
10
11
12
ENTER TOTAL EXPENDITURES FOR SPECIAL EVENTS:
If additional sheets are attached, enter combined total here.
ARIZONA
PRINCIPAL
ANNUAL REPORT
SPECIAL EVENTS REPORTING
EXPENDITURES FOR SPECIAL EVENTS TO WHICH ARE INVITED
$ 0.00