Instructions for Form 615 Lobbyist Report

Every lobbyist must complete the “Lobbyist Report” (Form 615) for each calendar quarter, regardless of the level of activity of the lobbyist, and whether or not the lobbyist has made any payments during the quarter. Note: An individual contract lobbyist also must file reports as a lobbying firm.

If you are registered as a lobbying firm, or are a partner, owner, or employee of a lobbying firm, your completed Form 615 must be attached to the firm’s quarterly report (Form 625). If you are an inhouse employee lobbyist who is not registered as a lobbying firm, your completed Form 615 must be attached to your employer’s quarterly report (Form 635).

The periods covered and the filing deadlines for the "Lobbyist Report" are as follows:

If a report is sent by first class mail, it is considered received on the date of postmark. Filing deadlines which fall on a Saturday, Sunday, or official state holiday are extended to the next regular business day

IMPORTANT: Except as noted above, there are no provisions in the Political Reform Act for extensions of the filing deadlines. A person who files after the deadline is liable for a fine of $10 per day until the report is filed.

File an original and one copy of this form with:

Secretary of State
Political Reform Division
1500 11th Street
P.O. Box 1467
Sacramento, CA 95812-1467

REFER TO THE INFORMATION MANUAL ON LOBBYING DISCLOSURE PROVISIONS OF THE POLITICAL REFORM ACT FOR FURTHER INFORMATION. FOR ASSISTANCE, CALL 916/322-5660.

Name of Firm, Employer, or Coalition:

If you are registered as a lobbying firm, or you are a partner, owner, or employee of a lobbying firm, provide the name of the firm as contained on the firm’s registration statement (Form 601). If you are an in-house employee lobbyist, enter the name of your employer as contained on the employer’s registration statement (Form 603).

Period Covered by Report:

The period covered is the calendar quarter. (See the cover sheet of this form for period covered.)

Part 1 - Activity Expenses:

An “activity expense” is any expense incurred or payment made which benefits in whole or in part any elective state official, legislative official, agency official, state candidate, or a member of the immediate family of one of these individuals. Activity expenses include gifts, honoraria, consulting fees, salaries, and any other form of compensation but do not include campaign contributions.

An “agency official” is any official of a state agency whose administrative actions you have attempted or are attempting to influence.

You must itemize all "activity expenses" arranged, incurred or paid by you, and you must report activity expenses during the period in which they occurred regardless of whether they were actually paid during the period. IMPORTANT: See the Information Manual on Lobbying Disclosure Provisions of the Political Reform Act for discussion and examples of “arranging” a gift.

Part 2 - Campaign Contributions Made or Delivered:

Check the applicable box and, if you have made any campaign contributions of $100 or more to state candidates, elected state officers, their controlled committees, or committees primarily formed to support such an officer or candidate, or personally delivered any contributions of $100 or more to state candidates or elected state officers, complete and attach Part II.

REFER TO THE INFORMATION MANUAL ON LOBBYING DISCLOSURE PROVISIONS OF THE POLITICAL REFORM ACT FOR FURTHER INFORMATION. FOR ASSISTANCE, CALL 916/322-5660.

Form 615

End of Page, Form 615