) INSTRUCTIONS FOR FILING )RTERLY EXPENDITURE REPORT
WHO MUST FILE THIS FORM AND WHAT MUST BE FILED?
* Al registered lobbyists shall file a quarterly expenditure report unless there have been no expenditures during a reporting quarter then you do not need to file a quarterly report However, you
must sign and date th report due on January 15, certifying that you had no expenditures during any quarter for which a report was not filed.
* The report small disclose a lobbying expenditures by the lobbyist and the pncipal and the source of funds for such expenditures.
* Expenditures made must be reported by the category of the expenditure.
* Lobbying expenditures do not include a lobbyists or principal's salary, office expenses, and personal expenses for lodging, meals, and travel.
HOW ARE EXPENDITURES) TO BE REPORTED ON THE FORM?
* Check the quarter for which your are reporting and indicate the year.
* Complete Pan 1. Check whether you ar filing for Legislatie or Executive Branch Lobbyt Registration. Check if this is an mended report. Type or print early your name and your principals name.
Check if your address has changed if checked, indicate new address in Mte space provided below. Check the accounting bass on which you are filing for lobbyist and p al expenditures.
The accounting bass or bases selected shall apply for the enre calendar year.
Complete Part 2. Indicate on te report me expenditures) which you made according to the category of the expenditure (columns 1.10) and souw of funds (rows A-0) for the reporting quarter. Then
add te totals from columns 1-10 to indicate the Cumulatve Total. See specific instructions below for filing (B) and (C).
Complete Part 3. Indicate on the report the expenditures) which you made according to the casgory of the expenditure (columns 1-10) and source of funds (rows A-D) for the calendar year.
Then add columns 1-10 to indicate the Cumulative Total.
WHO MUST SIGN THE EXPENDITURE REPORT?
You must sign and date the expenditure report certifying to the accuracy of the expenditures reported.
Your principal or the pmcrpals representative must sign and date the report*, certifying to the accuracy of the figures reported as lobbying expenditures made by the principal. f there are no lobbying
expendMures made directly by the pnncial during a reporting quarter, then the signature of the principal or the prncipals representative s not required. However. he signature of the pncpal or
the pncipals representative is always required on the report due January 15.
Sthis report is part of a Consolidated Expenditure Report, then the principal or the principal's repsenative is not required to sign this Indvidual Lobbyist's Expenditure Repor
*SPECIFIC INSTRUCTIONS FOR FILING (B) AND (C):
f you are one of two or more lobbyists representing te principal named in Part 1 for the current quarterly report, please do the following:
Do not report those expenditures under Source of Funds for row (8). Wrte N/A in row (B) for all categories of expenditures. These expenditures wil be reported by the Designated Lobbyist on e
Report only those expenditures under Source of Funds for row (C) which you personally initiated or expended.
Indicate any changes in address:
Lobbyist's Address Pnncpars Address
City State Zp City State Zip
Type or p -
EXECUTIVE BRANCLOBBYIST REGISTRATION
CALENDAR YEAR 1994
For Office Ue On .# Ck#
Amnrded Fom __
Principal Represented (Ut omly 1 Plnipl)
Buslnm Phone (
Mailing Address (t, Chy and o p)
Principal's Legal Business Address
Do you hwv any dit or Indirect business a-selaon pnrshipu or flnaneal
resenahp with any employ- of an agency beom which you mo reglrng to lobby?
If yes wih wo and M l expl
Area of Interest
Ageny Regiamton: (Lea blank to obby beore ALL casuvmo baneh agenoes.)
I do soiemny mswr tht n mte Loreoing factse oue and correa
Signature of Lobbyit
STATE OF FLORIDA,
Swrnm to (or affirmed) and subsoribd berto m this day of by_
s (sal or tamp)
COMMISSION ON ETHICS FORM 20
Print, Typ or Stamp Name of Notey
Pon r l oTypeof
OR Produad Ideanuiesalon Type of Idansstlos Produsad