!"#$%&'$()'*+!"!"#"$ 7. Client Name Self Check if client is a state or local government or instrumentality

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1 Clerk of the House of Representatives Legislative Resource Center B-106 Cannon Building Washington, DC Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC LOBBYING REPORT Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page 1. Registrant Name Organization/Lobbying Firm Self Employed Individual 2. Address Check if different than previously reported Address1!!"!#$%&#'()*#+,%-#$. Address2!"#$%&'()$$*!"#$%&'()&!"!"""#!"# City State Zip Code - Country 3. Principal place of business (if different than line 2)!"#$%&'$()'*+!"!"#"$!"# City State Zip Code - Country 4a. Contact Name b. Telephone Number International Number c. 5. Senate ID#!"#$%&#'()*+$!"#"$%&'()*""#!"!#$"%&'()&&)*+,-&.!"#$%#&%" 7. Self Check if client is a state or local government or instrumentality 6. House ID# TYPE OF REPORT 8. Year Q1 (1/1-3/31)!""# Q2 (4/1-6/30) Q3 (7/1-9/30) Q4 (10/1-12/31) 9. Check if this filing amends a previously filed version of this report 10. Check if this is a Termination Report Termination Date 11. No Lobbying Issue Activity INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line Lobbying 13. Organizations!"#$"%%%% INCOME relating to lobbying activities for this reporting period was: Less than $5,000 $5,000 or more $ Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income from the client (including all payments to the registrant by any other entity for lobbying activities on behalf of the client). EXPENSE relating to lobbying activities for this reporting period were: Less than $5,000 $5,000 or more $ 14. REPORTING Check box to indicate expense accounting method. See instructions for description of options. Method A. Method B. Method C.!""""##$%$$$&$$ Reporting amounts using LDA definitions only Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Reporting amounts under section 162(e) of the Internal Revenue Code Signature!"#$%&'#$()*+,"(-##. Date!"#$"#$$% Page 1 of 11

2 15. General issue area code!"#!"#$%&'(')*!"#$%&'()*+),+)*%(*"+&-."/'(0(*#1+2/(.&34+&*-+3)52"'('()*+(00$"0+0$//)$*-(*#+)*%(*"+&-."/'(0(*# ":&.()/&%+;-."/'(0(*#+</(*3(2%"0=!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%0&2%3%*-4&5*-3%&6"77.$$."+&82569!"#$!"#$%&'( Page 2 of 11

3 15. General issue area D);<'=>?#&78#&E$'F=8$&;')F=0$'&E"($&?"'G)'EH&,$8#=)%&/5I&("='&CE$&$J8$;#=)%E-!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%!"#$!"#$%&'(!"#$%&!"# Page 3 of 11

4 15. General issue area code!"#!"#$%&'()*$$%'$+$,-'./+0("1%!.$!"#"$%&'(#&)#"'*(#+,-"$'.$(/"*/)(#')++,"+0'*12"$+"*,$)/1')++,"+3')#*&,4)#5'%+'/6"1'$"&%/"'/('*&(,4'*(-.,/)#50' (#&)#"'*6)&4'+%7"/1'.$(/"*/)(#')++,"+3')#*&,4)#5'.(&)*1')#)/)%/)8"+'/('*(-2%/'*6)&4'.($#(5$%.610' *(#/"#/'$"5,&%/)(#9!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%0&2%3%*-4&5*-3%&6"77.$$."+&82569!"##$!"#$%!"#$%&'()*&$+)!",,&-.&)!,/&+)01!!)2&/34'5 Page 4 of 11

5 15. General issue area code!"#!"!#$%&"'()!*#!"#"$%&'"("#")*+(,-'./."0(.#/'12.#*(.#3"045"#4(.#(0-'%)6($.#26(%#2("#7%#/"2(*"-47")5%'(4"/7#-'-*."06(8"2")%'("#")*+(04%#2%)20(%#2(.#/"#4.3"06("'"/4)./.4+(*).2(1,*)%2"0(9:5%)4(;).2<6(%#2(,)-3.0.-#0(4-(%//"'")%4"(47"(/-55")/.%'.=%4.-#(-8(,'1*>.#(3"7./'"06(.#/'12.#*(.#( C*%$.7%+,&;2AC<!"##$!"#$%!"#$%&'()*&$+)!",,&-.&)!,/&+)01!!)2&/34'5 Page 5 of 11

6 15. General issue area code!"#!"#$%!&'(()"(!"#$"%&'%(#)'*+%#()%,&$"$)$()$-%./&$..0%.&+%#()$"1&)2&2"#$"%&3%+.2"(#&'%(#)'&+%42+,.5&$"4#0,$"1&$"& Page 6 of 11

7 15. General issue area code!"#!"#$%&'(()*(+",-'-%)(-+.$%/0!"1*!"#$$#%%&'$(&)*+"#,-,-*$&-$&,.#&*$/-$#&%#01-)#%&+'02#,3!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%!"#$!"#$%&'( Page 7 of 11

8 15. General issue area code!"#!"#$%"$&'$"(%)*)+,!"#$%&'()"(*'##+,,)-).)/0*$1*2%-.)#*,+#/$&*)"1$&3'/)$"4*'5$2/)$"*$1*#.$%5*#$32%/)"(*/+#6"$.$(07!"#$%&"'&(%)*%$%+,-,./%$!"##$!"#$%!"#$%&'()*&$+)!",,&-.&)!,/&+)01!!)2&/34'5 Page 8 of 11

9 15. General issue area code!"#!"#$$%&'!()*!!!""#$"%&$'(&)*+'%,$+$-*."%/-%01/#)%0/23#.*+'%(+)%/+1*+$%()4$&.*"*+'%-/&%"2(11%,#"*+$""$"5!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%!"#$%&!"# Page 9 of 11

10 15. General issue area code!"#!"#"$%&&'()$*!)%(+!"#$%&$'#($#'%)**#++,%-.%/01'#%+")*#+%"(2*##31$4,%5(2)35)$3%"261*1#+,%1$'#(7*)((1#(%*28"#$+)'12$% >#1$;#+'8#$'%A*'%29%CDDE=!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%0&2%3%*-4&5"66#+.7-,."+$&5"66.$$."+&82559!"#$!"#$%&'(!"##$!"#$%!"#$%&'()*&$+)!",,&-.&)!,/&+)01!!)2&/34'5!"#$%&'!"#$$ Page 10 of 11

11 15. General issue area code!"#!"#$%&'$()%*!+,-.("%+/01!"##$%&'%('#)*"#++,%-'.-$',-/#00#1/2.0'*"%*#"/3',-',-/#"-./,%-.0'/".$#'.4"##&#-/+5'6-/,'7%2-/#"(#,/,-4' 8".$#'64"##&#-/5',-/#"-./,%-.0'("##$%&'%('#)*"#++,%-'.-$'1#-+%"+9,*:!"#$%&"'&(%)*%$%+,-,./%$0&1%+-,%!"#$!"#$%&'( Page 11 of 11