ATTACHMENT Page 1 of 1
NAME OF PRINCIPAL
PRINCIPAL ID NUMBER
ID NUMBER (IF AVAILABLE)
BUSINESS ADDRESS CITY STATE ZIP CODE
EXPENSES FOR WHICH LOBBYIST IS TO BE REIMBURSED (describe)
TYPE OF LOBBYIST (CHECK ONLY ONE)
Authorized Lobbyist
Lobbyist for Compensation
E-MAIL ADDRESS
PHONE NUMBER
NAME OF LOBBYIST or LOBBYING ENTITY
ID NUMBER (IF AVAILABLE)
BUSINESS ADDRESS CITY STATE ZIP CODE
EXPENSES FOR WHICH LOBBYIST IS TO BE REIMBURSED (describe)
TYPE
OF LOBBYIST (CHECK ONLY ONE)
Authorized Lobbyist
Lobbyist for Compensation
E-MAIL ADDRESS
PHONE NUMBER
NAME OF LOBBYIST or LOBBYING ENTITY
ID NUMBER (IF AVAILABLE)
BUSINESS ADDRESS CITY STATE ZIP CODE
EXPENSES FOR WHICH LOBBYIST IS TO BE REIMBURSED (describe)
TYPE OF LOBBYIST (CHE
CK ONLY ONE)
Authorized Lobbyist
Lobbyist for Compensation
E-MAIL ADDRESS
PHONE NUMBER
NAME OF LOBBYIST or LOBBYING ENTITY
ID NUMBER (IF AVAILABLE)
BUSINESS ADDRESS CITY STATE ZIP CODE
EXPENSES FOR WHICH LOBBYIST IS TO
BE REIMBURSED (describe)
TYPE OF LOBBYIST (CHECK ONLY ONE)
Authorized Lobbyist
Lobbyist for Compensation
E-MAIL ADDRESS
PHONE NUMBER
NAME OF LOBBYIST or LOBBYING ENTITY
The Record of Lobbyists is only required if any lobbyists, other than the Designated Lobbyist, will be lobbying on behalf of the Principal/Public Body.
