Form Xp - Itemized Expenditures For Receptions - Extension For "A" Or "C" - 2005

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XP
OFFICE OF THE MISSISSIPPI SECRETARY OF STATE, Eric Clark
FORM
Itemized Expenditures for Receptions – Extension for “A” or “C”
Faxed reports must be followed by originals.
For office use only. Do not write in this
space.
Please - no copies and no staples.
INSTRUCTIONS
:
1. Complete all information.
How to locate forms on our website
2. Form “XP” is to be used with the Lobbyist’s Form “A”,
Elections
or the Client’s Form “C”, to itemized reception
Lobbying
expenditures.
Lobbying Forms Library
Logged in by / Date
“R” – Registration
Mississippi Secretary of State
“E” – Mid Session
Attn: LOBBYING
“E” – End-of-Session
Physical:
Lobbying Year
“A” – Lobbyist Annual Report
401 Mississippi Street
“C” – Client Annual Report
Jackson, Mississippi 39201
Begin:
Lobbying Beginning
Follow directions for extensions
Mailing:
(No Earlier -Jan. 1)
Post Office Box 136
Jackson, Mississippi 39205-0136
Lobbying Ending
End:
(601) 359-6353 [phone] (601) 359-1499 [fax]
st
(No Later- Dec. 31
)
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 Report
Lobbyist’s Annual Report (Form A)
Lobbyist’s Client Annual Report (Form C)
Estimated No. of Public
Estimated Total
Date
Place/Location
Total Cost
Officials
Attendance
a.
$
b.
$
c.
$
d.
$
e.
$
f.
$
g.
$
h.
$
i.
$
j.
$
k.
$
l.
$
m.
$
n.
$
o.
$
TOTAL
$
, this page
page ____ of____
Form XP [rev. Jul-05}

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