2/14/2019 4:13 PM
List CEO, ALL OFFICERS AND EMPLOYEES WHO LOBBY and their positions with organization. Organization MUST NOTIFY IN WRITING all lobbyists it registers. Officers and employees do not need to register seperately.
List all persons by whom the lobbyist is compensated to lobby and on whose behalf lobbying is performed.
By checking this box and typing my name below, the undersigned does hereby certify under penalty of perjury that: (1) I am submitting this lobbying registration form on behalf of the entity named on form; (2) I am duly authorized to submit the names of the individual lobbyist(s) named in this registration on behalf of the entity; (3) all of the information provided in the lobbying registration form filed on behalf of and authorized by the entity is true and correct to the best of my knowledge; and (4) 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.