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Quarterly Lobbyist Disclosure Statement
(Due 15 days after Reporting Period)

NAME AND ADDRESS OF CLIENT EXACT AMOUNT COMPENSATED FOR SERVICES SPECIFIC ITEM OR ISSUE LOBBIED EXPENSES PAID, INCURRED, OR PROVIDED CAMPAIGN CONTRIBUTION TOTAL AMOUNT EXPENDED*
*The total amount expended for all expenses
 VERIFICATION
I have used all reasonable diligence in preparing this Report. I have reviewed the Report and to the best of my knowledge, the information contained herein and in the attached schedules is true and complete.

I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
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