Lobbying Activity Report - Maryland State Ethics Commission
ADVERTISEMENT
1
2MARYLAND STATE ETHICS COMMISSION
rd
45 Calvert Street, 3
Floor
Annapolis, MD 21401
410-260-7770 /
1-877-669-6085
LOBBYING ACTIVITY REPORT (Form 4)
Read instructions carefully before completing this form. If you had reportable expenses or compensation during the reporting period, complete Parts A,
through G of the Activity Report. If you had no reportable compensation or expenses during the reporting period, but were registered to engage in
lobbying, check here _____ and complete Parts A, E, F and G. If additional forms are required for this employer, those forms should be attached to
and made part of this filing.
Check period covered by this report:
____ November 1 through April 30, 20_____
____ May 1 through October 31, 20_____
Is this a termination report? ____ Yes ____ No. If “Yes”, provide date of termination______________
A.
Identification of Regulated Lobbyist and Employer
A-1. Identifying information (if different from registration form please contact Commission):
a)
Name
b)
Permanent Address (Include firm name if applicable)
c)
Business Telephone ( ____ )
A-2. Identification of others required to register:
a)
Was any other person required to register as a lobbyist on behalf of the person or organization identified in section A-1?
Yes
No
b)
If the answer to a) is "Yes," identify each such person below and provide his/her name and address:
A-3. Identification of employer:
a)
Identify the person or organization that compensated the regulated lobbyist for activities requiring this report:
Name
Permanent Address
Business Telephone (
)
Nature of Business
b)
Identify any other entities the regulated lobbyist represents regarding the matters covered by this report (if none, write “none”)
A-4. Primary purpose of organization:
Is the employer or the registrant (if there was not an employer) organized and operated for the primary purpose of attempting to influence
any legislative or executive action?
Yes
No
(If "Yes," the Report of Contributors Form No. 12 must also be completed.)
A-5. Registration Information:
a)
State the period (include both beginning and ending month, day and year) for which the registration is effective:
to
b)
Identify the matters on which the regulated lobbyist acted or employed someone to act during the registration period covered by this report:
A-6. Does the employer listed in A-3 claim to be exempt from lobbyist registration and reporting because all expenditures requiring registration and
reporting will be reported by the above regulated lobbyist or another regulated lobbyist acting on its behalf?
Yes
No
If the exemption claimed differs from the registration form, please explain in writing.
Ethics Commission Form 4
October 1, 2014
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal