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Louisiana Regulations § 52-I-2135 Executive Lobbying Expenditure Reporting Designation

⤴ Up to Chapter 21: Executive Branch Lobbyist Disclosure Act

Regulation Text

EXECUTIVE LOBBYING EXPENDITURE
REPORTING DESIGNATION
Pursuant to LSA- R.S. 49:76 G(2)(a), an employer or principal of a lobbyist may elect to file the Lobbying Expenditure Reports as required by Title 49 on behalf of all of its lobbyists. The designation form is to be completed and submitted by January 31st of each year. This designation will be effective for the reporting of all expenditures made during that calendar year. This form must include a listing of all persons for whom you will be reporting. Also, please list a contact person who will be responsible for completing such reports and for receiving any correspondence regarding reporting deadlines and late fees. Failure to fully complete this form may render your designation ineffective.
Hand deliver or mail to : 2415 Quail Drive , 3rd Floor, Baton Rouge , LA 70808
OR
Fax to : (225) 763-8787 or (225) 763-8780
FOR OFFICE USE ONLY
Postmark Date_________
1. EMPLOYER/PRINCIPAL ____________________________________________________________
2. BUSINESS ADDRESS ______________________________________________________________
Street and No. City State Zip
MAILING ADDRESS _______________________________________________________________
Street and No. City State Zip
3. CONTACT PERSON: _______________________________________________________________
Last First MI
4. MAILING ADDRESS _______________________________________________________________
( If different from above ) Street and No. City State Zip
5. PHONE NUMBER _________________________________________________________________
Area Code and Phone Number
6. FAX NUMBER ____________________________________________________________________
Area Code and Fax Number
7. Names of Lobbyists who are employed by or who represent the interests of the Principal listed above:
1) Name: _________________________________________________ EXEC.ID.#_______________
Last First MI
2) Name: _________________________________________________ EXEC.ID.#_______________
Last First MI
3) Name: _________________________________________________ EXEC.ID.#_______________
Last First MI
4) Name: _________________________________________________ EXEC.ID.#_______________
Last First MI
5) Name: _________________________________________________ EXEC.ID.#_______________
Last First MI
6) Name: _________________________________________________ EXEC.ID.#_______________
Last First MI
7) Name: _________________________________________________ EXEC.ID.#_______________
Last First MI
8) Name: _________________________________________________ EXEC.ID.#_______________
Last First MI
9) Name: _________________________________________________ EXEC.ID.#_______________
Last First MI
10) Name: ________________________________________________ EXEC.ID.#_______________
Last First MI
Pursuant to LSA- R.S. 49:76 G(2)(a), ______________________________________ (name of employer or principal) is exercising the option of filing expenditure reports for all executive lobbying expenditures made of my/its behalf by persons representing my/its interests during the year of _________. I hereby certify that the information contained herein is true and correct to the best of my knowledge, information and belief; and that no information required by LSA- R.S. 49:71 et seq. has been deliberately omitted.
___________________________________________
Signature of Employer/Principal or Representative
___________________________________________
Print of Type Full Name

History

Promulgated by the Department of Civil Service, Board of Ethics, LR 30:2694 (December 2004 repromulgated LR 31:1241 (June 2005).

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