Lobbying Firm Activity Authorization CALIFORNIA FORM 602 FAIR POLITICAL PRACTICES COMM. Filing Requirements: A Form 602 (Lobbying Firm Activity Authorization) must be completed and verified by each person who employs or contracts with a lobbying firm. The Form 602 must be attached to the lobbying firm's Form 601 (Registration Statement) or, when adding a new client or employer to the firm's existing registration, to Form 605 (Amendment to Registration). The person who employs the lobbying firm must date and sign the verification. In the case of a business entity or organization, the verification must be signed by a responsible officer of the entity or organization or by an attorney or a certified public accountant who acts as an agent for the entity or organization. Lobbying Firms that Subcontract a Client: A lobbying firm that subcontracts to provide lobbying services to clients of another lobbying firm must identify the subcontracting lobbying firm and the client(s) on whose behalf it will lobby. A Form 602 signed by a representative of the subcontracting lobbying firm must be included with the contracted firm's registration. The subcontracted client is not required to file a Form 602. In addition, it is not necessary to complete the Nature and Interests section for subcontract clients. Additional Information Refer to the Lobbying Disclosure Information Manual for additional information and information required to be provided to you pursuant to the Information Practices Act of 1977. FPPC Form 602 (7/98) For Technical Assistance: 916/322-5660 American LegalNet, Inc. www.FormsWorkflow.com Lobbying Firm Activity Authorization (Government Code Section 86104) Legislative Session CALIFORNIA FORM 602 FAIR POLITICAL PRACTICES COMM. Check one box, if applicable For Official Use Only Lobbyist Employer (Gov. Code Section 82039.5) (Insert Years) Lobbying Coalition (FPPC Regulation 18616.4) Type or Print in Ink NAME OF FILER: Page of EFFECTIVE DATE: TELEPHONE NUMBER: BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) ( ) FAX NUMBER: (Optional) ( ) E-MAIL: (Optional) MAILING ADDRESS: (If different than above.) I hereby authorize (Name of Lobbying Firm) (Business Address) to engage in the activities of a lobbying firm (as defined in California Government Code Section 82038.5 and 2 Cal. Code of Regs. Section 18238.5) on behalf of the above named employer. If you are authorizing another lobbying firm to lobby on behalf of your firm's client(s), provide the name(s) of the client(s) below. (It is not necessary to complete the Nature and Interests section.) NAME OF SUBCONTRACTED CLIENT: NAME OF SUBCONTRACTED CLIENT: NAME OF SUBCONTRACTED CLIENT: NAME OF SUBCONTRACTED CLIENT: 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. Executed on DATE By SIGNATURE OF RESPONSIBLE OFFICER Name of Responsible Officer PRINT OR TYPE Title FPPC Form 602 (7/98) For Technical Assistance: 916/322-5660 American LegalNet, Inc. www.FormsWorkflow.com Lobbying Firm Activity Authorization SEE INSTRUCTIONS ON REVERSE NAME OF FILER: CALIFORNIA FORM Type or Print in Ink 602 of FAIR POLITICAL PRACTICES COMM. Page Nature and Interests of Lobbyist Employer Check one box only: INDIVIDUAL (Complete only Parts A and E) BUSINESS ENTITY (Complete only Parts B and E) INDUSTRY, TRADE OR PROFESSIONAL ASSN. (Complete only Parts C and E) OTHER (e.g., lobbying coalition) (Complete only Parts D and E) A. Individual 1. Name and address of employer (or principal place of business if self-employed): 2. Description of business activity in which you or your employer are engaged: ............................. B. Business Entity Description of business activity in which engaged: C. Industry, Trade or Professional Association 1. Description of industry, trade or profession represented: 2. Specific description of any portion or faction of the industry, trade, or profession which the association exlusively or primarily represents: ........................................................................................................................................................................................... 3. Number of members in association (check appropriate box) 50 OR LESS (provide names of all members on an attachment.) MORE THAN 50 ............................ ............................ D. Other 1. Statement of nature and purposes: 2. Description of any trade, profession, or other group with a common economic interest which is principally represented or from which membership or financial support is principally derived: E. Industry Group Classification Check one box which most accurately describes the industry group which you represent. See instructions on reverse. AGRICULTURE EDUCATION GOVERNMENT HEALTH LABOR UNIONS LEGAL PUBLIC EMPLOYEES POLITICAL ORGANIZATIONS UTILITIES OTHER: (Describe in detail) BUSINESS (Check one of the following sub-categories.) ENTERTAINMENT/RECREATION FINANCE/INSURANCE LODGING/RESTAURANTS MANUFACTURING/INDUSTRIAL MERCHANDISE/RETAIL OIL AND GAS PROFESSIONAL/TRADE REAL ESTATE TRANSPORTATION OTHER: (Specific Description) FPPC Form 602 (7/98) For Technical Assistance: 916/322-5660 American LegalNet, Inc. www.FormsWorkflow.com Instructions for Nature and Interests of Lobbyist Employer CALIFORNIA FORM 602 FAIR POLITICAL PRACTICES COMM. Nature and Interests of Lobbyist Employer: Check the box that indicates whether you are an individual, a business entity, an industry, trade or professional association, or some other type of entity, such as a lobbying coalition, a religious organization, a political or public interest organization, or a recreational club. Complete Part A, B, C, or D, whichever is applicable, and then complete Part E. The category "Business" has been divided into several subcategories, including: Entertainment/Recreation: Includes baseball, football teams and country clubs, casinos, horse breeders, race tracks, music companies, and theaters. Does not include hobby or recreational clubs which are not business-related. Finance/Insurance: Includes health insurance companies, collection agencies, credit services, mortgage bankers, title companies, etc. Lodging/Restaurants: resorts, etc. Includes bars, hotels, night clubs, Indus