Executive Supplemental Expenditure Grids Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Executive Supplemental Expenditure Grids Form. This is a Ohio form and can be use in Joint Legislative Ethics Committee Statewide.
Loading PDF...
Tags: Executive Supplemental Expenditure Grids, Ohio Statewide, Joint Legislative Ethics Committee
NAME OF EMPLOYER:
A.
GIFTS
Date
B.
Recipient
Description
Decision
AMOUNT
$
$
$
Description
Decision
AMOUNT
$
$
$
$
MEALS AND BEVERAGES
Date
Recipient
C.
MEALS - UNDER $50; SPEAKING ENGAGEMENT; MEALS PROVIDED AT A
MEETING OR CONVENTION OF A NATIONAL ORGANIZATION TO WHICH ANY
STATE AGENCY, INCLUDING, BUT NOT LIMITED TO, ANY LEGISLATIVE AGENCY
OR STATE INSTITUTION OF HIGHER EDUCATION AS DEFINED IN SECTION
3345.011 OF THE REVISED CODE, PAYS MEMBERSHIP DUES.
Total Aggregate (Gifts + Meals and Beverages + Meals Under $50)
$
Please disclose specific executive agency decisions on which active advocacy occurred during this reporting period:
NAME OF EMPLOYER:
A.
GIFTS
Date
B.
Recipient
Description
Decision
AMOUNT
$
$
$
Description
Decision
AMOUNT
$
$
$
$
MEALS AND BEVERAGES
Date
Recipient
C.
MEALS - UNDER $50; SPEAKING ENGAGEMENT; MEALS PROVIDED AT A
MEETING OR CONVENTION OF A NATIONAL ORGANIZATION TO WHICH ANY
STATE AGENCY, INCLUDING, BUT NOT LIMITED TO, ANY LEGISLATIVE AGENCY
OR STATE INSTITUTION OF HIGHER EDUCATION AS DEFINED IN SECTION
3345.011 OF THE REVISED CODE, PAYS MEMBERSHIP DUES.
Total Aggregate (Gifts + Meals and Beverages + Meals Under $50)
$
Please disclose specific executive agency decisions on which active advocacy occurred during this reporting period:
Page 3
American LegalNet, Inc.
www.FormsWorkflow.com