Clerk of the House of Representatives Legislative Resource Center B-106 Cannon Building Washington, DC 20515 http://lobbyingdisclosure.house.gov
Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC 20510 http://www.senate.gov/lobby
LOBBYING REPORT
Lobbying Disclosure Act of 1995 (Section 5)
1. Registrant Name
✔
- All Filers Are Required to Complete This Page
Self Employed Individual
Organization/Lobbying Firm
!""#$%&'()*
2. Address Address1 City Check if different than previously reported
!!"!#$%&#'()*#+,%-#$.
!"#$%&'()&
State
Address2
!"#$%&'()$$*
Zip Code
!"
!"""#
-
Country
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3. Principal place of business (if different than line 2) City
!"#$%&'$()'*+
State
International Number
!"
Zip Code
!"#"$ -
Country
!"#
4a. Contact Name
b. Telephone Number c. E-mail
5. Senate ID#
!"#$%&#'()*+$
7. Client Name
✔
!"#"$%&'()*""#
Self
!"!#$"%&'()&&)*+,-&.
!"#$%#&%"
6. House ID#
Check if client is a state or local government or instrumentality
!""#$%&'()*
TYPE OF REPORT
8. Year
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!""#
Q1 (1/1 - 3/31)
✔
Q2 (4/1 - 6/30)
Q3 (7/1-9/30)
Q4 (10/1 - 12/31)
9. Check if this filing amends a previously filed version of this report 10. Check if this is a Termination Report Termination Date 11. No Lobbying Issue Activity
INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13
12. Lobbying INCOME relating to lobbying activities for this reporting period was:
Less than $5,000 $5,000 or more
13. Organizations EXPENSE relating to lobbying activities for this reporting period were:
Less than $5,000
$
$5,000 or more
✔
$
!""""##$%$$$&$$
Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income from the client (including all payments to the registrant by any other entity for lobbying activities on behalf of the client).
Check box to indicate expense 14. REPORTING accounting method. See instructions for description of options.
✔
Method A. Reporting amounts using LDA definitions only Method B. Reporting amounts under section 6033(b)(8) of the
Internal Revenue Code Revenue Code
Method C. Reporting amounts under section 162(e) of the Internal Signature
!"#$%&'#$()*+,"(-##.
Date
!"#$"#$$%
Printed Name and Title
v6.0.1f
!"#$%&#'()*+$,%&(-./0+-,%123"(/%1+"(/4%5%6+'.-$7.$0%!88#(-*
11 1 Page ______ of ______
Registrant
!""#$%&'()*
Client Name
!""#$%&'()*
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code 16. Specific lobbying issues
!"#
!"#$%&'(')*
(one per page)
!"#$%&'()*+),+)*%(*"+&-."/'(0(*#1+2/(.&34+&*-+3)52"'('()*+(00$"0+0$//)$*-(*#+)*%(*"+&-."/'(0(*#1+678+ 9":&.()/&%+;-."/'(0(*#+?#&'$()'*+&@=>=#"A&B=AA$%%=C*& D);<'=>?#&78#&E$'F=8$&;')F=0$'&E"($&?"'G)'EH&,$8#=)%&/5I&("='&CE$&$J8$;#=)%E17. House(s) of Congress and Federal agencies Check if None
!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%
18. Name of each individual who acted as a lobbyist in this issue area
First Name Last Name Suffix Covered Official Position (if applicable) New
!"#$ !"#$% !"#$%&
!"#$%&'( !"#$%& !"# !"#$%&!'()*$+,&-$)./'0&12!.#)
19. Interest of each foreign entity in the specific issues listed on line 16 above
✔
Check if None
Printed Name and Title
v6.0.1f
!"#$%&#'()*+$,%&(-./0+-,%123"(/%1+"(/4%5%6+'.-$7.$0%!88#(-*
11 3 Page ______ of ______
Registrant
!""#$%&'()*
Client Name
!""#$%&'()*
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code 16. Specific lobbying issues
!"#
!"#$%&'()*$$%'$+$,-'./+0("1%!.$ (one per page)
!"#"$%&'(#&)#"'*(#+,-"$'.$(/"*/)(#')++,"+0'*12"$+"*,$)/1')++,"+3')#*&,4)#5'%+'/6"1'$"&%/"'/('*&(,4'*(-.,/)#50' (#&)#"'*6)&4'+%7"/1'.$(/"*/)(#')++,"+3')#*&,4)#5'.(&)*1')#)/)%/)8"+'/('*(-2%/'*6)&4'.($#(5$%.610' *(#/"#/'$"5,&%/)(#9
17. House(s) of Congress and Federal agencies Check if None
!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%0&2%3%*-4&5*-3%&6"77.$$."+&82569
18. Name of each individual who acted as a lobbyist in this issue area
First Name Last Name Suffix Covered Official Position (if applicable) New
!"#$% !"##$
!"#$%& !"#$%
!"#$%&!'()*$+,&-$)./'0&12!.#)
!"#$%&'()*&$+)!",,&-.&)!,/&+)01!!)2&/34'5
19. Interest of each foreign entity in the specific issues listed on line 16 above
✔
Check if None
Printed Name and Title
v6.0.1f
!"#$%&#'()*+$,%&(-./0+-,%123"(/%1+"(/4%5%6+'.-$7.$0%!88#(-*
11 4 Page ______ of ______
Registrant
!""#$%&'()*
Client Name
!""#$%&'()*
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code 16. Specific lobbying issues
!"#
!"!#$%&"'()!*#
(one per page)
!"#"$%&'"("#")*+(,-'./."0(.#/'12.#*(.#3"045"#4(.#(0-'%)6($.#26(%#2("#7%#/"2(*"-47")5%'(4"/7#-'-*."06(8"2")%'("#")*+(04%#2%)20(%#2( .#/"#4.3"06("'"/4)./.4+(*).2(1,*)%2"0(9:5%)4(;).2<6(%#2(,)-3.0.-#0(4-(%//"'")%4"(47"(/-55")/.%'.=%4.-#(-8(,'1*>.#(3"7./'"06(.#/'12.#*(.#( )"'%4.-#(4-(?@!@(AB(C5")./%#(!"/-3")+(%#2(!".#3"045"#4(C/4(-8(DEEFG(/-#015")("#")*+(.#(.#8-)5%4.-#(,-'./+G(/'.5%4"(/7%#*"(%#2("#")*+( .001"0@
17. House(s) of Congress and Federal agencies
Check if None
!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%0&2+%*340&5%),&"'0&6%7%*-8&2+%*34&(%3#8-,"*4&9"::.$$."+&;62(9<0& 9"#+=.8&"+&2+/.*"+:%+,-8&>#-8.,4&;92><0&?-,8&2="+":.=&9"#+=.8&;?29<0&2@%=#,./%&A''.=%&"'&,B%& C*%$.7%+,&;2AC<
18. Name of each individual who acted as a lobbyist in this issue area
First Name Last Name Suffix Covered Official Position (if applicable) New
!"##$
!"#$%
!"#$%&'()*&$+)!",,&-.&)!,/&+)01!!)2&/34'5
19. Interest of each foreign entity in the specific issues listed on line 16 above
✔
Check if None
Printed Name and Title
v6.0.1f
!"#$%&#'()*+$,%&(-./0+-,%123"(/%1+"(/4%5%6+'.-$7.$0%!88#(-*
11 5 Page ______ of ______
Registrant
!""#$%&'()*
Client Name
!""#$%&'()*
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code 16. Specific lobbying issues
!"#
!"#$%!&'(()"(
(one per page)
!"#$"%&'%(#)'*+%#()%,&$"$)$()$-%./&$..0%.&+%#()$"1&)2&2"#$"%&3%+.2"(#&'%(#)'&+%42+,.5&$"4#0,$"1&$"& 42""%4)$2"&6$)'&7898&:;&<=%+$4("&9%42-%+>&(",&9%$"-%.)=%")&<4)&2?&@AAB8
17. House(s) of Congress and Federal agencies Check if None
!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%
18. Name of each individual who acted as a lobbyist in this issue area
First Name Last Name Suffix Covered Official Position (if applicable) New
!"#$%
!"#$%&
!"#$%&!'()*$+,&-$)./'0&12!.#)
19. Interest of each foreign entity in the specific issues listed on line 16 above
✔
Check if None
Printed Name and Title
v6.0.1f
!"#$%&#'()*+$,%&(-./0+-,%123"(/%1+"(/4%5%6+'.-$7.$0%!88#(-*
11 6 Page ______ of ______
Registrant
!""#$%&'()*
Client Name
!""#$%&'()*
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code 16. Specific lobbying issues
!"#
!"#$%&'(()*(+",-'-%)(-+.$%/0!"1* (one per page)
!"#$$#%%&'$(&)*+"#,-,-*$&-$&,.#&*$/-$#&%#01-)#%&+'02#,3
17. House(s) of Congress and Federal agencies
Check if None
!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%
18. Name of each individual who acted as a lobbyist in this issue area
First Name Last Name Suffix Covered Official Position (if applicable) New
!"#$ !"#$%
!"#$%&'( !"#$%& !"#$%&!'()*$+,&-$)./'0&12!.#)
19. Interest of each foreign entity in the specific issues listed on line 16 above
✔
Check if None
Printed Name and Title
v6.0.1f
!"#$%&#'()*+$,%&(-./0+-,%123"(/%1+"(/4%5%6+'.-$7.$0%!88#(-*
11 7 Page ______ of ______
Registrant
!""#$%&'()*
Client Name
!""#$%&'()*
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code 16. Specific lobbying issues
!"#
!"#$%"$&'$"(%)*)+,
(one per page)
!"#$%&'()"(*'##+,,)-).)/0*$1*2%-.)#*,+#/$&*)"1$&3'/)$"4*'5$2/)$"*$1*#.$%5*#$32%/)"(*/+#6"$.$(07
17. House(s) of Congress and Federal agencies
Check if None
!"#$%&"'&(%)*%$%+,-,./%$
18. Name of each individual who acted as a lobbyist in this issue area
First Name Last Name Suffix Covered Official Position (if applicable) New
!"##$
!"#$%
!"#$%&'()*&$+)!",,&-.&)!,/&+)01!!)2&/34'5
19. Interest of each foreign entity in the specific issues listed on line 16 above
✔
Check if None
Printed Name and Title
v6.0.1f
!"#$%&#'()*+$,%&(-./0+-,%123"(/%1+"(/4%5%6+'.-$7.$0%!88#(-*
11 8 Page ______ of ______
Registrant
!""#$%&'()*
Client Name
!""#$%&'()*
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code 16. Specific lobbying issues
!"#
!"#$$%&'!()*!!
(one per page)
!""#$"%&$'(&)*+'%,$+$-*."%/-%01/#)%0/23#.*+'%(+)%/+1*+$%()4$&.*"*+'%-/&%"2(11%,#"*+$""$"5
17. House(s) of Congress and Federal agencies
Check if None
!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%
18. Name of each individual who acted as a lobbyist in this issue area
First Name Last Name Suffix Covered Official Position (if applicable) New
!"#$%&
!"#
19. Interest of each foreign entity in the specific issues listed on line 16 above
✔
Check if None
Printed Name and Title
v6.0.1f
!"#$%&#'()*+$,%&(-./0+-,%123"(/%1+"(/4%5%6+'.-$7.$0%!88#(-*
11 9 Page ______ of ______
Registrant
!""#$%&'()*
Client Name
!""#$%&'()*
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code 16. Specific lobbying issues
!"#
!"#"$%&&'()$*!)%(+
(one per page)
!"#$%&$'#($#'%)**#++,%-.%/01'#%+")*#+%"(2*##31$4,%5(2)35)$3%"261*1#+,%1$'#(7*)((1#(%*28"#$+)'12$% (#92(8,%:$1;#(+)6%+#(;1*#%(#92(8,%5(2)35)$3%1++:#+%(#6)'#3%'2%<=>=%?@%A8#(1*)$%>#*2;#(B%)$3% >#1$;#+'8#$'%A*'%29%CDDE=
17. House(s) of Congress and Federal agencies Check if None
!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%0&2%3%*-4&5"66#+.7-,."+$&5"66.$$."+&82559
18. Name of each individual who acted as a lobbyist in this issue area
First Name Last Name Suffix Covered Official Position (if applicable) New
!"#$ !"#$% !"##$ !"#$%&'
!"#$%&'( !"#$%& !"#$% !"#$$ !"#$%&!'()*$+,&-$)./'0&12!.#)
!"#$%&'()*&$+)!",,&-.&)!,/&+)01!!)2&/34'5
19. Interest of each foreign entity in the specific issues listed on line 16 above
✔
Check if None
Printed Name and Title
v6.0.1f
!"#$%&#'()*+$,%&(-./0+-,%123"(/%1+"(/4%5%6+'.-$7.$0%!88#(-*
11 10 Page ______ of ______
Registrant
!""#$%&'()*
Client Name
!""#$%&'()*
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code 16. Specific lobbying issues
!"#
!"#$%&'$()%*!+,-.("%+/01
(one per page)
!"##$%&'%('#)*"#++,%-'.-$',-/#00#1/2.0'*"%*#"/3',-',-/#"-./,%-.0'/".$#'.4"##&#-/+5'6-/,'7%2-/#"(#,/,-4' 8".$#'64"##&#-/5',-/#"-./,%-.0'("##$%&'%('#)*"#++,%-'.-$'1#-+%"+9,*:
17. House(s) of Congress and Federal agencies Check if None
!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%
18. Name of each individual who acted as a lobbyist in this issue area
First Name Last Name Suffix Covered Official Position (if applicable) New
!"#$ !"#$%
!"#$%&'( !"#$%& !"#$%&!'()*$+,&-$)./'0&12!.#)
19. Interest of each foreign entity in the specific issues listed on line 16 above
✔
Check if None
Printed Name and Title
v6.0.1f
!"#$%&#'()*+$,%&(-./0+-,%123"(/%1+"(/4%5%6+'.-$7.$0%!88#(-*
11 11 Page ______ of ______