L - Quarterly Expenditure Report...ARIZONA LOBBYIST QUARTERLY EXPENDITURE REPORT SINGLE EXPENDITURES...
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SUMMARY OF EXPENDITURES Total single expenditures incurred by lobbyist whether or not made in the course of lobbying: • Made on behalf of a principal or public body (p. 2) and Public Lobbyists ONLY • Not made on behalf of a principal or public body (p. 3): • Made on Behalf of a public body (p. 4 PUBLIC LOBBYISTS ONLY): Aggregate of expenditures of $20 or less incurred by lobbyist whether or not made in the course of lobbying: • Made on behalf of a principal or public body (p.5): • Not made on behalf of a principal or public body(Enter Total Here): Total special event expenditures incurred by lobbyist whether or not made in the course of lobbying: • Made on behalf of a principal or public body (p. 6): • Not made on behalf of a principal or public body (p. 7): TOTAL EXPENDITURES (ADD ABOVE LINES): By signing, I declare under penalty of perjury that the information provided on this form is true, complete, and correct. Name of Designated Lobbyist/Lobbyist for Compensation Conformed Signature of Designated Lobbyist/Lobbyist for Compensation Page 1 of 7 A.R.S. § 41-1232.02 LOBBYIST ID LOBBYIST NAME E-MAIL ADDRESS BUSINESS TELEPHONE BUSINESS ADDRESS CITY STATE ZIP CODE YEAR QUARTER LOBBYIST 1 2 3 4 /S/ FILE ONLINE AT LOBBYING.AZ.GOV OR E-MAIL TO: [email protected]
Transcript of L - Quarterly Expenditure Report...ARIZONA LOBBYIST QUARTERLY EXPENDITURE REPORT SINGLE EXPENDITURES...
SUMMARY OF EXPENDITURES
Total single expenditures incurred by lobbyist whether or not made in the course of lobbying:
• Made on behalf of a principal or publicbody (p. 2) and Public Lobbyists ONLY
• Not made on behalf of a principal orpublic body (p. 3):
• Made on Behalf of a public body (p. 4PUBLIC LOBBYISTS ONLY):
Aggregate of expenditures of $20 or less incurred by lobbyist whether or not made in the course of lobbying:
• Made on behalf of a principal or publicbody (p.5):
• Not made on behalf of a principal orpublic body(Enter Total Here):
Total special event expenditures incurred by lobbyist whether or not made in the course of lobbying:
• Made on behalf of a principal or publicbody (p. 6):
• Not made on behalf of a principal orpublic body (p. 7):
TOTAL EXPENDITURES (ADD ABOVE LINES):
By signing, I declare under penalty of perjury that the information provided on this form is true, complete, and correct.
Name of Designated Lobbyist/Lobbyist for Compensation Conformed Signature of Designated Lobbyist/Lobbyist for Compensation
Page 1 of 7 A.R.S. § 41-1232.02
LOBBYIST ID LOBBYIST NAME
E-MAIL ADDRESS BUSINESS TELEPHONE
BUSINESS ADDRESS CITY STATE ZIP CODE
YEAR QUARTER
LOBBYIST
1 2 3 4
/S/
FILE ONLINE AT LOBBYING.AZ.GOV OR E-MAIL TO: [email protected]
ARIZONA LOBBYIST QUARTERLY EXPENDITURE REPORT
SINGLE EXPENDITURES MADE ON BEHALF OF A PRINCIPAL OR PUBLIC BODY
A.R.S. §§ 41-1232.02(B), 41-1232.03(B)
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PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF EXPENDITURE WAS MADE PPB ID
Name of Lobbyist or person making expenditure
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 of Lobbyist or person making expenditure
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 of Lobbyist or person making expenditure
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 of Lobbyist or person making expenditure
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 of Lobbyist or person making expenditure
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 of Lobbyist or person making expenditure
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 of Lobbyist or person makingexpenditure
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.
∗∗ Filers representing Principals must report expenditures received by or benefiting state officers or employees; filers representing Public Bodies must report expenditures received by or benefiting any member of the legislature.
ARIZONA LOBBYIST QUARTERLY EXPENDITURE REPORT
SINGLE EXPENDITURES NOT MADE ON BEHALF OF A PRINCIPAL OR PUBLIC BODY
A.R.S. §§ 41-1232.02 (B), 41-1232.03 (B)
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Name and Title of Person∗∗ Receiving or Benefiting from Expenditure CATEGORY OF EXPENDITURE
Travel and Lodging Flowers
DATE AMOUNT
Food or beverage Speaking engagement Other (please describe)
Name and Title of Person Receiving or Benefiting from Expenditure CATEGORY OF EXPENDITURE
Travel and Lodging Flowers
DATE AMOUNT
Food or beverage Speaking engagement Other (please describe)
Name and Title of Person Receiving or Benefiting from Expenditure CATEGORY OF EXPENDITURE
Travel and Lodging Flowers
DATE AMOUNT
Food or beverage Speaking engagement Other (please describe)
Name and Title of Person Receiving or Benefiting from Expenditure CATEGORY OF EXPENDITURE
Travel and Lodging Flowers
DATE AMOUNT
Food or beverage Speaking engagement Other (please describe)
Name and Title of Person Receiving or Benefiting from Expenditure CATEGORY OF EXPENDITURE
Travel and Lodging Flowers
DATE AMOUNT
Food or beverage Speaking engagement Other (please describe)
Name and Title of Person Receiving or Benefiting from Expenditure CATEGORY OF EXPENDITURE
Travel and Lodging Flowers
DATE AMOUNT
Food or beverage Speaking engagement Other (please describe)
Name and Title of Person Receiving or Benefiting from Expenditure CATEGORY OF EXPENDITURE
Food or beverage Travel and Lodging Flowers
DATE AMOUNT
Name and Title of Person Receiving or Benefiting from Expenditure
Speaking engagement Other (please describe)
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.
ARIZONA LOBBYIST QUARTERLY EXPENDITURE REPORT
SINGLE EXPENDITURES MADE BY AN AUTHORIZED PUBLIC LOBBYIST MADE ON BEHALF OF A PUBLIC BODY
A.R.S. § 41-1232.03(B)
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PUBLIC BODY ON WHOSE BEHALF EXPENDITURE WAS MADE PB ID
Name of Lobbyist making expenditure CATEGORY OF EXPENDITURE
Travel and LodgingFlowers
DATE
Food or beverageSpeaking engagementOther (please describe)
Name and title of member or employee of the legislature, or household member thereof
ENTER TOTAL SINGLE EXPENDITURES: If additional sheets are attached, enter combined total here.
∗∗ Filers representing Principals must report expenditures received by or benefiting state officers or employees; filers representing Public Bodies must report expenditures received by or benefiting any member of the legislature.
AMOUNT
Name of Lobbyist making expenditure CATEGORY OF EXPENDITURE
Travel and LodgingFlowers
DATE
Food or beverageSpeaking engagementOther (please describe)
Name and title of member or employee of the legislature, or household member thereof
AMOUNT
Name of Lobbyist making expenditure CATEGORY OF EXPENDITURE
Travel and LodgingFlowers
DATE
Food or beverageSpeaking engagementOther (please describe)
Name and title of member or employee of the legislature, or household member thereof
AMOUNT
Name of Lobbyist making expenditure CATEGORY OF EXPENDITURE
Travel and LodgingFlowers
DATE
Food or beverageSpeaking engagementOther (please describe)
Name and title of member or employee of the legislature, or household member thereof
AMOUNT
Name of Lobbyist making expenditure CATEGORY OF EXPENDITURE
Travel and LodgingFlowers
DATE
Food or beverageSpeaking engagementOther (please describe)
Name and title of member or employee of the legislature, or household member thereof
AMOUNT
Name of Lobbyist making expenditure CATEGORY OF EXPENDITURE
Travel and LodgingFlowers
DATE
Food or beverageSpeaking engagementOther (please describe)
Name and title of member or employee of the legislature, or household member thereof
AMOUNT
ARIZONA LOBBYIST QUARTERLY EXPENDITURE REPORT
AGGREGATE EXPENDITURES MADE ON BEHALF OF A PRINCIPAL OR PUBLIC BODY
A.R.S. §§ 41-1232.02 (B), 41-1232.03 (B)
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PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF LOBBYIST MADE EXPENDITURE PPB ID AGG AMOUNT
ENTER TOTAL EXPENDITURES:If additional sheets are attached, enter combined total here.
ARIZONA LOBBYIST QUARTERLY EXPENDITURE REPORT
SPECIAL EVENTS EXPENDITURES MADE ON BEHALF OF A PRINCIPAL OR PUBLIC BODY
A.R.S. §§ 41-1232.02(F) AND 41-1232.03(F)
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PRINCIPAL/PUBLIC BODY ON WHOSE BEHALF EXPENDITURE WAS MADE 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
ENTER TOTAL EXPENDITURES FOR SPECIAL EVENTS: If additional sheets are attached, enter combined total here.
ARIZONA LOBBYIST QUARTERLY REPORT
SPECIAL EVENTS EXPENDITURES NOT MADE ON BEHALF OF A PRINCIPAL OR PUBLIC BODY
A.R.S. §§ 41-1232.02(F) AND 41-1232.03(F)
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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 TOTAL EXPENSES
ENTER TOTAL EXPENDITURES FOR SPECIAL EVENTS: If additional sheets are attached, enter combined total here.
