Form 603 Lobbyist Employer or Lobbying Coalition Registration Statement

Government Code Section 86105

Form 603 Instructions

Part 1 of 6: Lobby Information

Part 2 of 6: Lobbyists and Lobbying Firms Employed

List the full name of each in-house lobbyist employed and each lobbying firm with which you contract.

Part 3 of 6: List Below the State Agencies Whose Actions You Will Attempt to Influence

Will you attemp to influence the State Legislature?

Part 4 of 6: Description of Lobbying Interests

For assistance, see the instructions or the "Information Manual on Lobbying Disclosure Provisions of the Political Reform Act."

Part 5 of 6: Verification

Signature needed. Sign document after printing.

Part 2 of 6: Naute and Interest of Filer

Check One Box Only

Part A: Individual

Part B: Business Entity

Part C: Industry, Trade, or Professional Association

Number of Memebers in Association

Part D: Other

Part E: Industry Group Classification

Check one box which most accurately describes the industry group which you represent.

Business (Check on the following sub-categories.)

Please press 'Create PDF Document' button below. Filled out Form 603 PDF document will be opened. Please print the document and sign at the bottom of the page.

End of Page, Form 603