Designated ↓ Description of Expenditure, Individual(s) or Payee/Beneficiary and Immediate Family √ Address Name of Member(s) *Exp. Date Lobbyist Benefited Code Amount $ $ $ $ $ $ Subtotal (Must enter total or This Period’s “) Part II: Contractual Arrangements, Promises, Obligations and/or Direct Business Relationships In Effect During Previous 12 Months Description of Contractual Applicable Designated Effective Arrangement, Promise, Obligation or DI Amount or Other Individual (“D”) Date (s) or Direct Business Relationship Immediate Family Member Consideration (Value) $ $ $ $ $ $ Subtotal (Must enter total or $_______________________ This Period’s “) Part III: Solicitation of Others Exceeding $3,000.00
Date Description of Expenditure, Payee/Beneficiary and Address Name of Lobbyist ↓ √ Designated Individual(s) or Immediate Family Member(s) Benefited *Exp. Code Amount $ $ $ $ $ $ This Period’s Subtotal (Must enter total or “) Part II: Contractual Arrangements, Promises, Obligations and/or Direct Business Relationships In Effect During Previous 12 Months Effective Date (s) Description of Contractual Arrangement, Promise, Obligation or Direct Business Relationship Applicable Designated Individual (“D”) or DI Immediate Family Member Amount or Other Consideration (Value) $ $ $ $ $ $ This Period’s Subtotal (Must enter total or “) $_______________________ Part III: Solicitation of Others Exceeding $3,000.00
principal_monthly_expense_long_form.docx