Fillable PRINCIPAL/PUBLIC BODY Annual Report of Lobbying Expenditures (Arizona Secretary of State)

Fill Online, Printable, Fillable, Blank PRINCIPAL/PUBLIC BODY Annual Report of Lobbying Expenditures (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 Annual Report of Lobbying Expenditures (Arizona Secretary of State)

On average this form takes 41 minutes to complete

The PRINCIPAL/PUBLIC BODY Annual Report of Lobbying Expenditures (Arizona Secretary of State) form is 5 pages long and contains:

  • 0 signatures
  • 130 check-boxes
  • 104 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
Annual Report of Lobbying Expenditures
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)
Website: www.azsos.gov
Check One
Lobbying Expenditures For 20___
(Fill in year above)
PRINCIPAL
PUBLIC BODY
PRINCIPAL/PUBLIC BODY ANNUAL REPORT ~ A.R.S. §§ 41-1232.02, 41-1232.03
Please type or print clearly.
PPB ID
NAME OF PRINCIPAL/PUBLIC BODY
BUSINESS TEL.
BUSINESS FAX
SUMMARY OF EXPENDITURES
Total single expenditures on behalf of the principal or public body whether or not made in the course of lobbying (Total from page 2):
• By a designated lobbyist, designated public
lobbyist or lobbyist for compensation
• By authorized lobbyists, authorized public
lobbyists or other persons
Aggregate of expenditures of $20 or less on behalf of the principal or public body whether or not made in the course of lobbying
∗
:
• By a designated lobbyist, designated public
lobbyist or lobbyist for compensation
• By authorized lobbyists, authorized public
lobbyists or other persons
All expenditures by public body made in the course of lobbying to compensate or
reimburse designated and authorized public lobbyists for expenses (Total from page 3)
Special Events(Total from page 4)
TOTAL EXPENDITURES (ADD ABOVE LINES)
STATE OF _________________________ )
)
COUNTY OF ________________________ )
ss
I, the undersigned, being duly sworn state that this Principal / Public Body Annual Report 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
∗
Principals must report expenditures received by or benefiting state officers or employees; Public Bodies must report expenditures received by or
(affix seal)
benefiting any member of the legislature.
Office Form S:\Divisions\Elections\Lobbying\LOB_Reporting\Reporting Forms\2019
Page 1 of 5
$ 0.00
ARIZONA
PRINCIPAL/PUBLIC BODY ANNUAL REPORT
SINGLE EXPENDITURES whether or not made in the course of lobbying
A.R.S. §§ 41-1232.02, 41-1232.03
____________________________________________________________________ ________________________________
NAME OF PRINCIPAL/PUBLIC BODY PPB ID #
Expenditures by employees of authorized lobbyists must also be reported.
NAME OF LOBBYIST WHO MADE EXPENDITURE
TYPE OF LOBBYIST (SELECT ONE):
Des./Des. Public Lobbyist
Auth./Auth. Public Lobbyist
Lobbyist For Compensation
Employee for (Lobbyist who is not an individual)
___________________________________________________
Name and Title of Person
∗∗
Receiving or Benefiting from Expenditure
CATEGORY OF EXPENDITURE”
Food or beverage
Speaking engagement
Travel and Lodging
Flowers
DATE AMOUNT
Other (please describe)
_________________________________________
Name and Title of Person Receiving or Benefiting from Expenditure
CATEGORY OF EXPENDITURE”
Food or beverage
Speaking engagement
Travel and Lodging
Flowers
DATE AMOUNT
Other (please describe)
_________________________________________
Name and Title of Person Receiving or Benefiting from Expenditure
CATEGORY OF EXPENDITURE”
Food or beverage
Speaking engagement
Travel and Lodging
Flowers
DATE AMOUNT
Other (please describe)
_________________________________________
Name and Title of Person Receiving or Benefiting from Expenditure
CATEGORY OF EXPENDITURE”
Food or beverage
Speaking engagement
Travel and Lodging
Flowers
DATE AMOUNT
Other (please describe)
_________________________________________
Name and Title of Person Receiving or Benefiting from Expenditure
CATEGORY OF EXPENDITURE”
Food or beverage
Speaking engagement
Travel and Lodging
Flowers
DATE AMOUNT
Other (please describe)
_________________________________________
Name and Title of Person Receiving or Benefiting from Expenditure
CATEGORY OF EXPENDITURE”
Food or beverage
Speaking engagement
Travel and Lodging
Flowers
DATE AMOUNT
Other (please describe)
_________________________________________
Name and Title of Person Receiving or Benefiting from Expenditure
CATEGORY OF EXPENDITURE”
Food or beverage
Speaking engagement
Travel and Lodging
Flowers
DATE AMOUNT
Other (please describe)
_________________________________________
ENTER TOTAL SINGLE EXPENDITURES
:
If additional sheets are attached, enter combined total here.
∗∗
Principals must report expenditures received by or benefiting state officers or employees; Public Bodies must report expenditures received by or
benefiting any member of the legislature.
Office Form S:\Divisions\Elections\Lobbying\LOB_Reporting\Reporting Forms\2019
Page 2 of 5
ARIZONA
PUBLIC BODY ANNUAL REPORT
EXPENDITURES BY PUBLIC BODY in the course of
lobbying to compensate or reimburse Designated
and Authorized Public Lobbyists
∗
Do not complete this form unless the expenditures were made by a Public Body.
_________________________________________________________________ ________________________________________
NAME OF PUBLIC BODY PUBLIC BODY ID
NAME OF LOBBYIST COMPENSATED/REIMBURSED
CATEGORY OF COMPENSATION/REIMBURSEMENT:
AGG. AMT.
Personal sustenance
Filing fees
Legal fees
Employee compensation
Food or beverages
Speaking engagement
Travel and lodging
Flowers
Other (Please describe)
______________________________________________
NAME OF LOBBYIST COMPENSATED/REIMBURSED
CATEGORY OF COMPENSATION/REIMBURSEMENT:
AGG. AMT.
Personal sustenance
Filing fees
Legal fees
Employee compensation
Food or beverages
Speaking engagement
Travel and lodging
Flowers
Other (Please describe)
______________________________________________
NAME OF LOBBYIST COMPENSATED/REIMBURSED
CATEGORY OF COMPENSATION/REIMBURSEMENT:
AGG. AMT.
Personal sustenance
Filing fees
Legal fees
Employee compensation
Food or beverages
Speaking engagement
Travel and lodging
Flowers
Other (Please describe)
______________________________________________
NAME OF LOBBYIST COMPENSATED/REIMBURSED
CATEGORY OF COMPENSATION/REIMBURSEMENT:
AGG. AMT.
Personal sustenance
Filing fees
Legal fees
Employee compensation
Food or beverages
Speaking engagement
Travel and lodging
Flowers
Other (Please describe)
______________________________________________
NAME OF LOBBYIST COMPENSATED/REIMBURSED
CATEGORY OF COMPENSATION/REIMBURSEMENT:
AGG. AMT.
Personal sustenance
Filing fees
Legal fees
Employee compensation
Food or beverages
Speaking engagement
Travel and lodging
Flowers
Other (Please describe)
______________________________________________
NAME OF LOBBYIST COMPENSATED/REIMBURSED
CATEGORY OF COMPENSATION/REIMBURSEMENT:
AGG. AMT.
Personal sustenance
Filing fees
Legal fees
Employee compensation
Food or beverages
Speaking engagement
Travel and lodging
Flowers
Other (Please describe)
______________________________________________
ENTER TOTAL:
If additional sheets are attached, enter combined total here.
Office Form S:\Divisions\Elections\Lobbying\LOB_Reporting\Reporting Forms\2019
Page 3 of 5
ARIZONA
PRINCIPAL/PUBLIC BODY
ANNUAL REPORT
SPECIAL EVENTS REPORTING
A.R.S. §§ 41-1232.02(F) AND 41-1232.03(F)
________________________________________________________________________ _______________________________
NAME OF PRINCIPAL/PUBLIC BODY PPB ID
EXPENDITURES FOR SPECIAL EVENTS TO WHICH ARE INVITED
• ALL MEMBERS OF THE LEGISLATURE
• EITHER HOUSE OF THE LEGISLATURE; OR
• ANY COMMITTEE OF THE LEGISLATURE
DESCRIPTION
DATE
LOCATION
LEGISLATIVE
BODY/COMMITTEE
TOTAL EXPENSES
Party
Dinner
Athletic Event
Entertainment
Other (please describe)
Party
Dinner
Athletic Event
Entertainment
Other (please describe)
Party
Dinner
Athletic Event
Entertainment
Other (please describe)
Party
Dinner
Athletic Event
Entertainment
Other (please describe)
Party
Dinner
Athletic Event
Entertainment
Other (please describe)
Party
Dinner
Athletic Event
Entertainment
Other (please describe)
Party
Dinner
Athletic Event
Entertainment
Other (please describe)
ENTER TOTAL EXPENDITURES FOR SPECIAL EVENTS:
If additional sheets are attached, enter combined total here.
Office Form S:\Divisions\Elections\Lobbying\LOB_Reporting\Reporting Forms\2019
Page 4 of 5
ARIZONA
PUBLIC BODY ANNUAL REPORT
AFFIDAVIT OF TIME ALLOCATION SCHEDULE
FOR EMPLOYEE COMPENSATION
A.R.S. § 41-1232.03(A)
Please type or print clearly
PPB ID
NAME OF PUBLIC BODY
BUSINESS TEL.
BUSINESS FAX
BUSINESS ADDRESS CITY STATE ZIP CODE
TOTAL DOLLAR AMOUNT OF EMPLOYEE
COMPENSATION ATTRIBUTABLE TO
LOBBYING FOR CALENDAR YEAR
THIS IS TO CERTIFY THAT THE PUBLIC BODY HAS ESTABLISHED A TIME ALLOCATION SCHEDULE FOR APPORTIONED
LOBBYING ACTIVITY BASED ON ACTUAL EXPERIENCE. THERE HAS BEEN NO CHANGE FROM PREVIOUS ANNUAL
REPORTS IN THE COMPENSATION ATTRIBUTABLE TO LOBBYING FOR THE DESIGNATED PUBLIC LOBBYIST AND ALL
AUTHORIZED PUBLIC LOBBYISTS, AND THEIR JOB RESPONSIBILITIES HAVE NOT BEEN SIGNIFICANTLY ALTERED SINCE
THE TIME ALLOCATION SCHEDULE WAS ESTABLISHED.
STATE OF _________________________ )
)
COUNTY OF ________________________ )
ss
I, the undersigned, being duly sworn state that this Public Body Affidavit of Time Allocation Schedule is complete, and that to the
best of my knowledge and belief the information above is true and correct.
____________________________________________________
Printed Name of Designated Public Lobbyist
____________________________________________________
Signature of Designated Public Lobbyist
SUBSCRIBED AND SWORN TO (Affirmed) before me on the ____ of _________________________, 20____
_________________________________
My Commission Expires
_________________________________
Notary Public
(affix seal)
Office Form S:\Divisions\Elections\Lobbying\LOB_Reporting\Reporting Forms\2019
Page 5 of 5
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 Annual Report of Lobbying Expenditures (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