Fillable PRINCIPAL/PUBLIC BODY AMENDMENT ADD/REMOVE LOBBYISTS & EMPLOYEES (Arizona Secretary of State)

Fill Online, Printable, Fillable, Blank PRINCIPAL/PUBLIC BODY AMENDMENT ADD/REMOVE LOBBYISTS & EMPLOYEES (Arizona Secretary of State) Form

Use Fill to complete blank online ARIZONA SECRETARY OF STATE (AZ) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

PRINCIPAL/PUBLIC BODY AMENDMENT ADD/REMOVE LOBBYISTS & EMPLOYEES (Arizona Secretary of State)

On average this form takes 18 minutes to complete

The PRINCIPAL/PUBLIC BODY AMENDMENT ADD/REMOVE LOBBYISTS & EMPLOYEES (Arizona Secretary of State) form is 2 pages long and contains:

  • 0 signatures
  • 54 check-boxes
  • 46 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Arizona Secretary of State

BROWSE ARIZONA SECRETARY OF STATE (AZ) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
FOR OFFICE USE ONLY – REV. 1/05/15
State of Arizona
PRINCIPAL/PUBLIC BODY AMENDMENT
ADD/REMOVE LOBBYISTS & EMPLOYEES
File with: Arizona Secretary of State
Attention: Election Services Division
1700 W. Washington Street, 7th Fl., Phoenix, AZ 85007
(602) 542-8683 (800) 458-5842 (within Arizona)
Websi
te: www.azsos.gov
Check One
Attach additional pages if necessary. Use second page to remove
lobbyist or employee from principal/public body registration record.
PRINCIPAL
PUBLIC BODY
PRINCIPAL/PUBLIC BODY REGISTRATION AMENDMENT ~ A.R.S. § 41-1232 (C)
_____________________________________________________________________________________________
NAME OF PRINCIPAL/PUBLIC BODY
__________________________________________________________
PRINCIPAL/PUBLIC BODY ID #
ADD THE FOLLOWING:
USE SECOND PAGE TO REMOVE LOBBYIST OR EMPLOYEE FROM PRINCIPAL/PUBLIC BODY REGISTRATION RECORD
NAME OF LOBBYIST
E-MAIL ADDRESS
BUSINESS ADDRESS CITY STATE ZIP CODE
TYPE OF LOBBYIST (CHECK ONLY ONE )
Lobbyist for Compensation Authorized Lobbyist / Authorized Public Lobbyist
Employee for (Name of Lobbyist who is not an individual) ___________________________________
EXPENSES FOR WHICH LOBBYIST IS TO BE REIMBURSED (CHECK ALL THAT APPLY)
Meals Travel Lodging Out Of Pocket Expenses
Other (Please describe) ___________________________________________________
NAME OF LOBBYIST
E-MAIL ADDRESS
BUSINESS ADDRESS CITY STATE ZIP CODE
TYPE OF LOBBYIST (CHECK ONLY ONE )
Lobbyist for Compensation Authorized Lobbyist / Authorized Public Lobbyist
Employee for (Name of Lobbyist who is not an individual) ___________________________________
EXPENSES FOR WHICH LOBBYIST IS TO BE REIMBURSED (CHECK ALL THAT APPLY)
Meals Travel Lodging Out Of Pocket Expenses
Other (Please describe) ___________________________________________________
NAME OF LOBBYIST
E-MAIL ADDRESS
BUSINESS ADDRESS CITY STATE ZIP CODE
TYPE OF LOBBYIST (CHECK ONLY ONE )
Lobbyist for Compensation Authorized Lobbyist / Authorized Public Lobbyist
Employee for (Name of Lobbyist who is not an individual) ___________________________________
EXPENSES FOR WHICH LOBBYIST IS TO BE REIMBURSED (CHECK ALL THAT APPLY)
Meals Travel Lodging Out Of Pocket Expenses
Other (Please describe) ___________________________________________________
NAME OF LOBBYIST
E-MAIL ADDRESS
BUSINESS ADDRESS CITY STATE ZIP CODE
TYPE OF LOBBYIST (CHECK ONLY ONE )
Lobbyist for Compensation Authorized Lobbyist / Authorized Public Lobbyist
Employee for (Name of Lobbyist who is not an individual) ___________________________________
EXPENSES FOR WHICH LOBBYIST IS TO BE REIMBURSED (CHECK ALL THAT APPLY)
Meals Travel Lodging Out Of Pocket Expenses
Other (Please describe) ___________________________________________________
D
O
N
OT
W
RITE IN
T
HIS
S
PACE
1
S:\Divisions\Elections\Lobbying\LOB_Reporting\Reporting Forms\2019\PPB Add-Remove.doc
CHANGE LIST OF LOBBYISTS AND EMPLOYEES
_________________________________________ ______________________________
NAME OF PRINCIPAL OR PUBLIC BODY PRINCIPAL OR PUBLIC BODY ID #
REMOVE THE FOLLOWING:
NAME OF LOBBYIST
LOBBYIST ID #
TYPE OF LOBBYIST (CHECK ONLY ONE )
Lobbyist for Compensation Authorized Lobbyist / Authorized Public Lobbyist
Employee for (Name of Lobbyist who is not an individual) ___________________________________
NAME OF LOBBYIST
LOBBYIST ID #
TYPE OF LOBBYIST (CHECK ONLY ONE )
Lobbyist for Compensation Authorized Lobbyist / Authorized Public Lobbyist
Employee for (Name of Lobbyist who is not an individual) ___________________________________
NAME OF LOBBYIST
LOBBYIST ID #
TYPE OF LOBBYIST (CHECK ONLY ONE )
Lobbyist for Compensation Authorized Lobbyist / Authorized Public Lobbyist
Employee for (Name of Lobbyist who is not an individual) ___________________________________
NAME OF LOBBYIST
LOBBYIST ID #
TYPE OF LOBBYIST (CHECK ONLY ONE )
Lobbyist for Compensation Authorized Lobbyist / Authorized Public Lobbyist
Employee for (Name of Lobbyist who is not an individual) ___________________________________
NAME OF LOBBYIST
LOBBYIST ID #
TYPE OF LOBBYIST (CHECK ONLY ONE )
Lobbyist for Compensation Authorized Lobbyist / Authorized Public Lobbyist
Employee for (Name of Lobbyist who is not an individual) ___________________________________
NAME OF LOBBYIST
LOBBYIST ID #
TYPE OF LOBBYIST (CHECK ONLY ONE )
Lobbyist for Compensation Authorized Lobbyist / Authorized Public Lobbyist
Employee for (Name of Lobbyist who is not an individual) ___________________________________
STATE OF _________________________ )
)
COUNTY OF ________________________ )
ss
I, the undersigned, being duly sworn state that this Principal / Public Body Amendment is complete, and that to the best of my
knowledge and belief the information above is true and correct.
____________________________________________________
Printed Name of Designated Lobbyist/Designated Public Lobbyist
____________________________________________________
Signature of Designated Lobbyist/Designated Public Lobbyist
SUBSCRIBED AND SWORN TO (Affirmed) before me on the ____ of _________________________, 20____
_________________________________
My Commission Expires
_________________________________
Notary Public
(affix seal)
2
S:\Divisions\Elections
\Lobbying\LOB_Reporting\Reporting Forms\2019\PPB Add-Remove.doc
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

PRINCIPALPUBLIC BODY AMENDMENT ADDREMOVE LOBBYISTS & EMPLOYEES (Arizona Secretary of State)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document