Notification Of Termination Of Lobbying Engagements
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Notification Of Termination Of Lobbying Engagements Form. This is a Ohio form and can be use in Joint Legislative Ethics Committee Statewide.
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Tags: Notification Of Termination Of Lobbying Engagements, Ohio Statewide, Joint Legislative Ethics Committee
JOINT LEGISLATIVE ETHICS COMMITTEE
Office of the Legislative Inspector General
50 West Broad Street, Suite 1308
Columbus, Ohio 43215-5908
(614) 728-5100
NOTIFICATION OF TERMINATION
OF LOBBYING ENGAGEMENT(S)
I,
, wish to inform you that I am no longer engaged
(print name of agent)
to represent
(name of employer)
effective
(date of termination)
Check all that Apply:
________
Legislative Agent
________
Executive Agency Lobbyist
________
Retirement System Lobbyist
SIGNATURE (of agent)
FORWARDING ADDRESS:
Agent:
Employer:
__________________________________________________
_____________________________________________________
__________________________________________________
_____________________________________________________
__________________________________________________
_____________________________________________________
PHONE:
Agent:
Employer:
(_____) ________________
(______) _________________
SPECIAL NOTES:
• This form is to be filed within thirty (30) days of termination pursuant to Sections
101.72(D)(2), 101.92(D)(2) or 121.62(D)(2), Ohio Revised Code.
• Updated Registration Statements will need to be filed for the reporting period in which
the termination of engagement is filed.
rev. 4/05
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