Quarterly Campaign Contribution Report

1/06/2021 10:59 AM
4
Business Information
Organization
Coleman Dahm Layeux
(602) 955-2186
5060 N. 40th Street Suite 113
Phoenix
AZ
85018
Summary This Quarter
Total contributions made by lobbyist
$1,000.00
Total contributions solicited by lobbyist
$0.00
Total contributions
$1,000.00
Bert Coleman bert@colemandahm.com
IF NO CONTRIBUTIONS WERE MADE BY THIS LOBBYIST IN THIS QUARTER, PLEASE LEAVE FIELDS BELOW BLANK.
Date City Official Receiving Contribution Amount of Contribution
10/9/2020 Kate Gallego $1,000.00
Date Name and Address of Contributor Occupation and Employer
of Contributor
City Official Receiving Contribution Amount of Contribution
$1,000.00
By checking this box and typing my name below, the undersigned does hereby certify under penalty of perjury that: (1) all the information contained in the reporting form is true and correct to the best of my knowledge; (2) I am a registered lobbyist filing this report on my own behalf or I am duly authorized to file this report on behalf of the registered lobbying entity named on the reporting form; and (3) by typing my name below I acknowledge that such action constitutes the legal equivalent of my signature and by typing my name I hereby waive any requirement that this form be notarized in order to be legally enforceable.