Form Xl - Mid-Session/end-Of-Session Itemized Expenditures - 2005
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1XL
OFFICE OF THE MISSISSIPPI SECRETARY OF STATE, Eric Clark
FORM
Mid-Session/End-of-Session Itemized Expenditures
For office use only. Do not write in this
space.
Faxed reports must be followed by originals.
Please - no copies and no staples.
INSTRUCTIONS
:
1. Complete all information.
How to locate forms on our website
2. Only Lobbyists file a Mid-Session “E” or
Elections
End-of-Session “E” Report.
Logged in by / Date
Lobbying
Lobbying Forms Library
Mississippi Secretary of State
“R” – Registration
Attn: LOBBYING
Lobbying Year
“E” – Mid Session
Physical:
“E” – End-of-Session
Begin:
401 Mississippi Street
Lobbying Beginning
“A” – Lobbyist Annual Report
(No Earlier -Jan. 1)
Jackson, Mississippi 39201
“C” – Client Annual Report
Mailing:
Follow directions for extensions
Post Office Box 136
Lobbying Ending
End:
Jackson, Mississippi 39205-0136
st
(No Later- Dec. 31
)
(601) 359-6353 [phone] (601) 359-1499 [fax]
Certificate No. #
Lobbyists/Clients must notify our office if there are changes of addresses or phone numbers.
Registration Information
1.
LOBBYIST
2.
LOBBYIST’S CLIENT
3.
Certificate Number
4.
Cycle Year
5.
Type of
Mid-Session (Legislative convening date through February. 25, due
Report
February. 25)
End of Session (February. 26th through sine die, due 10 days after sine
die)
Recipient
Recipient’s Office Title
Date
Place
Provider
Description
Value/Cost
a.
$
b.
$
$
c.
$
d.
$
e.
$
f.
$
g.
$
h.
$
i.
$
j.
$
k.
$
l.
$
m.
$
n.
$
o.
$
TOTAL, this page
page ____ of____
Form XL [rev. Jul-05
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