Louisiana Administrative Code › Title 52 - ETHICS › Part I - Board of Ethics › Chapter 21 - Executive Branch Lobbyist Disclosure Act › Section I-2137 - Executive Lobbying Expenditure Report

Current through Register Vol. 50, No. 6, June 20, 2024
EXECUTIVE LOBBYING EXPENDITURE REPORT
FORM 507
FOR OFFICE USE ONLY
Postmark Date__________
[] COVERING JANUARY 1- JUNE 30, _____ - DUE AUGUST
							 15
[] COVERING JANUARY 1 - DECEMBER 31, _____ - DUE
							 FEBRUARY 15
Mail to:
The Board of
							 Ethics, 3415 Quail Drive, Third Floor, Baton Rouge, LA 70808
OR
Fax to:
(225) 763-8787 or
							 (225) 763-8780
________________________________
Executive Lobbyist Registration
							 No.
FOR OFFICE USE ONLY
Postmark Date__________
1. NAME
				_________________________________________________________________________
Last First MI
NAME
				  CHANGE_________________________________________________________________
Last First MI
2. BUSINESS ADDRESS
				_____________________________________________________________
Street and No. City State Zip
MAILING ADDRESS
				  ______________________________________________________________
Street and No. City State Zip
3. BUSINESS PHONE
				_______________________________________________________________
Area Code and Phone Number
4. Total of all executive lobbying
				expenditures made January 1 through June 30: $
				________________________________________
(Include expenditures from Schedules A and
				  B)
5. Total of all executive
				lobbying expenditures made July1 through December 30: $
				________________________________________
(When Applicable) (Include expenditures from Schedules A and
				  B)
6. Total of all executive
				lobbying expenditures made during calendar year: $
				________________________________________
(Line 4 added to Line 5 should equal Line 6)
7. Did you make an expenditure exceeding $50
				on one occasion for an executive branch official:
From January 1 through June 30? [] Yes [] No
From July 1 through December 31? [] Yes [] No [] NA
If the answer to either question in Number 7 above is YES,
				  complete Schedule A and attach.
8. Did you make expenditures exceeding the
				sum of $250 for an executive branch official:
From January 1 through June 30? [] Yes [] No
From July 1 through December 31? [] Yes [] No [] NA
If the answer to either question in Number 8 above is YES,
				  complete Schedule A and attach.
9. Did you expend funds for any reception,
				social gathering, or other function to which more than twenty-five executive
				branch officials were invited during this reporting period?
Yes [] No []
If the answer to Number 9 above is YES, complete Schedule B
				  and attach.
EXECUTIVE LOBBYING EXPENDITURE REPORT
________________________________
Executive Lobbyist Registration
No.
10. PROVIDE
				BELOW
(a) the name of the executive branch
				department as listed in the executive branch schedule;
(b) the aggregate total of all expenditures
				attributable to the department made during the January 1 - June 30 reporting
				period;
(c) the aggregate total of
				all expenditures attributable to the department made during the July 1 -
				December 31 reporting period when applicable;
(d) the aggregate total of all expenditures
				made in a calendar year attributable to the department.
1)
a. Name
				of Department:
b. Total of all
				expenditures made January 1 through June 30: $
c. Total of all expenditures made July 1
				through December 31: $
(When applicable)
d. Total of all expenditures made during the
				calendar year: $
2)
a. Name of Department:
b. Total of all expenditures made January 1
				through June 30: $
c. Total of all
				expenditures made July 1 through December 31: $
(When applicable)
d. Total of all expenditures made during the
				calendar year: $
3)
a. Name of Department:
b. Total of all expenditures made January 1
				through June 30: $
c. Total of all
				expenditures made July 1 through December 31: $
(When applicable)
d. Total of all expenditures made during the
				calendar year: $