Form 606 Notice of Termination

Government Code Section 86107

Form 606 Instructions



Part 1 of 2: Filer Information




Lobbyists and Lobbying Firms Note:

86203. It shall be unlawful for a lobbyist, or a lobbying firm, to make gifts to one person aggregating more than ten dollars ($10) in a calendar month, or to act as an agent or intermediary in the making of any gift, or to arrange for the making of any gift by any other person.

“Gift” as used in Section 86203 means a gift made directly or indirectly to any state candidate, elected state officer, or legislative official, or to an agency official of any agency required to be listed on the registration statement of the lobbying firm or the lobbyist employer of the lobbyist. (Government Code Section 86201.)

Part 2 of 2: Verification

I certify that all activities which required registration under Government Code Section 86100, et seq. have ceased. If this notice is filed more than 20 days after the effective date for which all activities were terminated, I understand that I must file quarterly reports covering the entire period until the filing of this notice.

I understand that a lobbyist or lobbying firm remains subject to the gift prohibition in Government Code Section 86203 for six months after filing this notice of termination.

I have used all reasonable diligence in preparing this Notice. I have reviewed the Notice and to the best of my knowledge the information contained herein 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.


Signature of Lybbyist needed. Please sign document after printing.

Signature of Responsible Officer needed. Please sign document after printing.


FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977, SEE INFORMATION MANUAL ON LOBBYING DISCLOSURE PROVISIONS OF THE POLITICAL REFORM ACT.

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