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Lobbyist Registration Statement Form
Pursuant to Authority Code Section 2.15, all Lobbyists shall register as an Authority Lobbyist with the Clerk of the Board within ten (10) days of qualifying as a lobbyist. A qualifying lobbyist is any individual who receives $100 or more in any calendar month to lobby any Boardmember or employee of the Authority for the purpose of influencing any action of the Authority.
Registration is valid for one calendar year.

I declare under penalty of perjury, under the laws of the State of California, that the statements herein are true and correct. I further declare that I will file with the Clerk of the Board within ten (10) days an amendment to this form if any change occurs in my Lobbyist Registration as required by Authority Code Section 2.15.