County of Los Angeles INSTRUCTIONS FOR LOBBYING ACTIVITY AUTHORIZATION FORM LOB 2 Chapter 2.160 of the Los Angeles County Code A LOBBYING ACTIVITY AUTHORIZATION must be completed by each Lobbyist Employer/Client who contracts with a Lobbying Firm or Individual Lobbyist. An authorization form must be attached to the Lobbying Firm/Individual Lobbyist Registration Statement (Form LOB 1) for each client listed on the registration statement, or when an Amendment to Registration Statement (Form LOB 5) is filed adding a new client. The Responsible Officer for the Lobbyist Employer/Client who contracts with the Lobbying Firm or Individual Lobbyist must date and sign the authorization form. FILE THIS FORM WITH ORIGINAL SIGNATURE WITH THE: Executive Officer of the Board of Supervisors County of Los Angeles Kenneth Hahn Hall of Administration 500 W. Temple Street, Room 383 Los Angeles, California 90012 (213) 974-1093 INTERNET ACCESS The Los Angeles County Lobbyist Ordinance, rules, operational procedures, registration/reporting forms, and information on registrants and their quarterly activity reports are accessible at: http://bos.co.la.ca.us/ Rev. 12/07 American LegalNet, Inc. www.FormsWorkflow.com OFFICIAL USE ONLY COUNTY OF LOS ANGELES Lobbying Activity Authorization Form LOB 2 Enter Effective Date of Authorization: Lobbyist Employer/Client Name: Business Address: City: Area Code & Telephone Number: (No Dashes) Area Code & Fax Number: (No Dashes) I hereby authorize State: E-Mail Address: Zip Code: Extension: Attention: Name of Lobbying Firm/Individual Lobbyist:______________________________________________________ Business Address: ______________________________________________________________________________ City:_______________________________ State:______________________ Zip Code:_____________ Area Code & Telephone Number:_____________________ (No Dashes) to engage in the activities of a lobbying firm (as defined in Section 2.160.010 of the Los Angeles County Code) on the behalf of the above named lobbyist employer/client. FURTHER, I ACKNOWLEDGE THAT BY CONTRACTING WITH THIS LOBBYING FIRM/INDIVIDUAL LOBBYIST, I AM REQUIRED TO REGISTER AS A LOBBYIST EMPLOYER/CLIENT WITH THE COUNTY OF LOS ANGELES AND MUST SUBMIT QUARTERLY ACTIVITY REPORTS. VERIFICATION I have used all reasonable diligence in preparing this Statement. I have reviewed this Statement 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. Date Executed:__________________ City:___________________ State: ______________________________ Name of Responsible Officer:_______________________________________________ Signature of Responsible Officer:____________________________________________ American LegalNet, Inc. www.FormsWorkflow.com