Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) NOTICE FILED BY LOBBYIST RELATED TO LEGISLATOR Name of Lobbyist FORM LOB-REL Account # Total pages filed: A person registered as a lobbyist under chapter 305 of the Government Code who is also the spouse, parent, or child of a member of the legislature may be required to file this notice. The notice is required if the legislator introduces, sponsors, or votes on a measure regarding a subject matter with respect to which the lobbyist is registered. Gov't Code § 572.0531. In addition, the legislator will be required to file a notice. A lobbyist uses this form to provide notice. A legislator uses Form LEG-REL. OFFICE USE ONLY Date Received A lobbyist is required to file this notice not later than (1) the beginning Date Hand-delivered or Postmarked of a regular or special legislative session as to which the person is registered as a lobbyist under Chapter 305 and will communicate directly with a member of the legislative branch with respect to the measure, bill, or class of measures or bills; or (2) the seventh business day after the day the person agrees to accept reimbursement or compensation to communicate directly with a member of the legislative branch with respect to the measure, bill, or class of measures or bills, if the person agrees to accept the reimbursement or compensation after the beginning of a legislative session. CHOOSE ONE OF THE FOLLOWING: I am the spouse of ___________________________________ Printed name of Legislator I am the parent or child of ________________________________ Printed name of Legislator I give notice that I am the spouse, parent, or child of a member of the legislature that is introducing, sponsoring, or voting on a measure or bill with respect to which I am registered. I am filing this notice with respect to the classes of measures or bills listed below. Signature of Registered Lobbyist Date ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED www.ethics.state.tx.us Revised 12/13/2004 American LegalNet, Inc. www.FormsWorkFlow.com