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Quarterly Lobbyist Disclosure Statement

Quarterly Lobbyist Disclosure Statement

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(Due 15 days after Reporting Period)

Report For*

Business Address

Business Address*

Mailing Address

Mailing Address*

Client Information
Name and address of client
Exact amount compensated for services ($)
Specific item or issue lobbied
Expenses paid, incurred, or provided ($)
Campaign contribution ($)
Total amount expended* ($)
 
*The total amount expended for all expenses
Nothing to Report
VERIFICATION: I have used all reasonable diligence in preparing this Report. I have reviewed the Report and to the best of my knowledge, the information contained herein and in the attached schedules is true and complete.*

I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date & Location

Executed on 10/03/2025 at:

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