<c-~ JEI?S~ GOVERNMENTAL AFFAIRS AGENT QUARTERLY REPORT * * *' FORM Q-4 FOR STATE USE ONLY NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION * * ElEC RECEIVED P.O. Box 185. Trenton. NJ 08625 0185 ** '913 ** ~ (609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC (3532) Website: www.elec.state.nj.us APR 10 2012 Name of Governmental Affairs Agent Registration # 1938.0001 First Name Karen J. Last Name Kaminsky Quarterly Report Period Business (Check One and Specify Year) Name Wolff & Samson Public Affairs, LLC (1/1 to 3/31 ) ~ April 10, 2012 Business One Boland Drive (4/1 to 6/30) D July 10, Address (7/1 to 9/30) D October 1O, (10/1 to 12/31) D January 1O, City West Orange D Amendment, Specify State NJ Zip Code 07052 *(Area Code) Telephone Number 973-530-2139 REPORTING ACTIVITY: (CHECK ONE) ~ Check here if you engaged in lobbying activity; Schedules A and B are attached. D Check here if you engaged in no activity during the quarter; no Schedules are attached. Please list any changes to the Notice of Representation presently on file. Do not add a represented entity or terminate a represented entity on this form; a separate Notice of Representation is required to add a represented entity and a Notice of Termination is required to terminate a represented entity... h/)~41 O. A1-1JLLt1 vjit- 1 April 10, 2012 Sign tu(;of GovernmenMAffairs Agent (} Date 'Leave this field blank ifyour telephone number is unlisted. Pursuant to~ 47:1 A-1.1, an unlisted telephone number is not a public record and must not be provided on this form. New Jersey Election Law Enforcement CommiSsion Page 1of 4 Form ~ Revised.March, 2007
' Schedule B - es General Category of Identifier and Action Tak'en to, Agency Description of Represented Entity Promote (P) or Oppose (0) Unclaimed Property (P) & (0) Treasury Implementation of Gift Card Escheat Wal-Mart Meeting with Treasury Officials, Treasury (P) Meeting Treasury Meetings concerning RFI on private management of Lottery. GTECH Meeting with Treasury Officials Taxation Sales tax (P) Treasury Application of NJ Sales Tax laws Wal-mart Meeting/Conf Call with Treasury reps Agriculture (P) Meeting Agriculture, Offering assistance to food desert pilot project efforts. Walmart Meeting with Secretary and staff Economic Development (P) Meeting EDA Inquiry as to economic Development/job retention assistance Honeywell programs New Jersey Election Law Enforcement Commission Page 4 of 4 Fonn Q.4 Revised.March. 2007
~.).. GOVERNMENTAL AFFAIRS AGENT QUARTERLY REPORT FORM Q-4 ELE FOR STATE USE ONLY [* * CRECI!IVEo NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION *** * P.O. Box 185, Trenton, NJ 08625-0185 19'73 ** (609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC (3532) Website: www.elec.state.nj.us JUL fa 2012 Name of Governmental Affairs Agent Registration # 1938.0001 First Name Karen J. Last Name Kominsky Quarterly Report Period Business (Check One and Specify Year) Name Wolff & Samson Public Affairs, LLC (1/1 to 3/31) D April 10, Business One Boland Drive (411 to 6/30) ~ July 10, 2012 Address (7/1 to 9/30) D October 1O, (1011 to 12/31) D January 1O, City West Orange D Amendment, Specify State NJ Zip Code 07052 *(Area Code) Telephone Number 973-530-2139 REPORTING ACTIVITY: (CHECK ONE) ~ Check here if you engaged in lobbying activity; Schedules A and B are attached. D Check here if you engaged in no activity during the quarter; no Schedules are attached. Please list any changes to the Notice of Representation presently on file. 00 not add a represented entity or terminate a represented entity on this form; a separate Notice of Representation is required to add a represented entity and a Notice of Termination is required to terminate a represented entity. M/UA1-J) ~~~ July 6,2012 c7 Signature of Gove~entalAffairs Agent "Leave this field blank if your telephone number is unlisted. Pursuant to~47:1 A-I.I. an unlisted telephone number is not a public record and must n?t be provided on this form. New Jersey Election Law Enforcement Commission Page 1of 5 Form Q-4 Revised.March, 2007 Date
Schedule A - Legislation and Regulations General Category of Legislation or Regulation Bill Number or Proposed Rule Number; Promoted (P) or Opposed (0) Sponsor or Description of Bill or New Jersey Register Title of Rule Represented Entity Agency Taxation A31 54/S1562 Coutinho, Lesniak Increases tax credits under Urban Hub Tax Credit Program Honeywell P Taxation S19281A3045 Sarlo, Diegnan Concerns the escheat of stored value cards. Walmart P New Jersey Election Law Enforcement Commission Page 4 of 5 Form 0-4 Revised.March, 2007
Schedule B - es General Category of Identifier and Action Taken to Agency Description of Represented Entity Promote (P) or Oppose (0) Unclaimed Property (P) & (0) Treasury Implementation ofgift Card Escheat Walmart Meeting with Treasury Officials Treasury (P) Meeting with Treasury Meetings concerning RFI on private management of Lottery. GTECH Treasury Officials Taxation Sales tax (P) Treasury Application of NJ Sales Tax laws Walmart Meeting/Conf Call with Treasury reps Agriculture (P) Meeting with Agriculture Offering assistance to food desert pilot project efforts. Walmart Secretary and staff Economic Development (P) Meeting EDA Inquiry as to economic development/job retention assistance Honeywell programs New Jersey Election Law Enforcement CommiSSion page 5of 5 Form Q4 Revised.March, 2007
I I. ~~ JERS~ GOVERNMENTAL AFFAIRS AGENT QUARTERLY REPORT NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION ** 1m ** P.O. Box 185, Trenton, NJ 08625-0185 (609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC (3532) Website: www.elec.state.nj,us FORMQ-4 FOR STATE USE ONLY ELEc RECI!IVED JUL 10 2012 Name of Governmental Affairs Agent Registration # 1938.0005 First Name Sean Last Name Aylward Quarterly Report Period Business (Check One and Specify Year) Name Wolff & Samson Public Affairs, LLC (1/1 to 3/31) D April 10, Business One Boland Drive (4/1 to 6/30) o July 10/ 2012 Address (7/1 to 9/30) D October 10/ (10/1 to 12/31) D January 10/ City West Orange D Amendment, Specify State NJ Zip Code 07052 *(Area Code) Telephone Number 973-530-2105 REPORTING ACTIVITY: (CHECK ONE) o Check here if you engaged in lobbying activity; Schedules A and B are attached. D Check here if you engaged in no activity during the quarter; no Schedules are attached. Please list any changes to the Notice of Representation presently on file. 00 not add a represented entity or terminate a represented entity on this form; a separate Notice of Representation is required to add a represented entity and a Notice oftermination is required to terminate a represented entity. r"""'\...,,"\l~ V -- Si~ot\iovernmentalAffair~nt July 10, 2012 Date "Leave this field blank ifyour telephone number is unlisted. Pursuant to &i.a. 47:1 A-1.1, an unlisted telephone number is not apublic record and must not be provided on this form. New Jersey Election Law Enforcement Commission Page 1 of 3 Form Q-4 Revised.March, 2007
~-. Schedule B - es General Category of Identifier and Action Taken to Agency Description of Represented Entity Promote (P) or Oppose (0) Economic Development (P) Meeting EDA Inquiry as to economic Development/job retention assistance Honeywell programs New Jersey Election Law Enforcement CommisSion Page 3of 3 Form Q-4 Revised.March,2007
- FORMQ-4 GOVERNMENTAL AFFAIRS AGENT QUARTERLY REPORT * * * NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION **.** P.O. Box 185, Trenton, NJ 08625-0185 *'913* - (609) 292-8700'or Toll Free Within NJ 1-888-313-ELEC (3532) Website: www.elec.state.nj.us FOR STATE USE ONLY * * E.LE.C RE.Ce.\\IE.O OC1 \ t) 1t)\1 Name of Governmental Affairs Agent Registration # First Name Karen J. Last Name Kominsky Business Name Wolff & Samson Public Affairs, LLC 1938.0001 Quarterly Report Period (Check One and Specify Year) (1/1 to 3/31) D April 10, Business One Boland Drive (4/1 to 6/30) D July 10, Address (7/1 to 9/30) o October 10, 2012 (10/1 to 12/31) D January 10, City West Orange D Amendment. Specify State NJ Zip Code 07052 *(Area Code) Telephone Number 973-530-2139 REPORTING ACTIVITY: (CHECK ONE) o Check here if you engaged in lobbying activity; Schedules A and B are attached. D Check here if you engaged in no activity during the quarter; no Schedules are attached. Please list any changes to the Notice of Representation presently on file. Do not add a represented entity or terminate a represented entity on this form; a separate Notice of Representation is required to add a represented entity and a Notice of Termination is required to terminate a represented entity..- /(//iala1 f) I 1:hJ(~/1 October 9, 2012 D", Slgn"u," ofgovemmektal Affal" Agent a Leave this field blank ifyour telephone number is unlisted. Pursuant to ~ 47:1 A-1.1. an unlisted telephone number is not apublic record and must not be provided on this form. New Jersey Election Law Enforcement Commission Page 1of7 Form Q.4 Revised.March,2oo7
Schedule A - Legislation and Regulations General Category oflegislation or Regulation Bill Number or Proposed Rule Number; Promoted (P) or Opposed (O) Sponsor or Description of Bill or New Jersey Register Titleof Rule Represented Entity Agency Taxation. A3154/S1562 Coutinho, Lesniak Increases tax credits under Urban Hub Tax Credit Program Honeywell p Taxation S, 928/A3045 Sarlo, Diegnan Concerns the escheat of stored value cards. Walmart p Motor Veh icles S1853 a Greenstein/Gordon Establishes electronic lien and titling system for NJ motor vehicles. PDP Group Dealertrack Motor Vehicles A 3129 a Wilson Establishes electronic lien and titling system for NJ motor vehicles. PDP Group Delaertrack taxation S1928/A3045 P Sarlo Concerns the escheat of stored value cards. Walmart Diegnan, a'scanlon New Jersey Election Law Enforcement CommissIon Page 4of7 Form Q-4 Revised.March, 2007
Schedule B - es General Category of Identifier and Action Taken to Agency Description of Represented Entity Promote (P) or Oppose (0) Unclaimed Property (P) & (O) Treasury Implementation ofgift Card Escheat Walmart Meeting with Treasury Officials Treasury (P) Meeting with Treasury Meetings/telephone concerning treasury drafting and preparation of GTECH Treasury Officials an RFI on private management of Lottery. Taxation Sales tax (P) Treasury Application of NJ Sales Tax laws Walmart Meeting/Conf Call with Treasury reps Agriculture (P) Meeting with Agriculture Offering assistance to food desert pilot project efforts. Meeting with Walmart Secretary and staff legislative program sponsors to discuss assistance in Camden project. Economic Development (P) Meeting EDA Inquiry as to economic development/job retention assistance Honeywell programs and Grow NJ. New Jersey Election Law Enforcement Commission Page 6of 7 Form Q-4 Revised.March, 2007
- GOVERNMENTAL AFFAIRS AGENT FORMQ-4 QUARTERLY REPORT P.O. ** 1913** Box 185, Trenton, NJ 08625-0185 (609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC (3532) Website: www.elec.state.nj.us ElEv ~ J- * * * * FOR STATE USE ONLY * * NEW JERSEY ELEOION LAW ENFORCEMENT COMMISSION r RECENEO Name of Governmental Affairs Agent Registration # First Name Sean M. Last Name Aylward Business Name Wolff & Samson Public Affairs, LLC 1938.0005 Quarterly Report Period (Check One and Specify Year) (1/1 to 3/31) o April 10, OC1 \ ~ 1\l\1 Business One Boland Drive (4/1 to 6/30) o July 10, Address (7/1 to 9/30) ~ October 10, 2012 (10/1 to 12/31) o January 10, City West Orange o Amendment, Specify State NJ Zip Code 07052 *(Area Code) Telephone Number 973-530-2105 REPORTING AOIVITY: (CHECK ONE) ~ Check here if you engaged in lobbying activity; Schedules Aand Bare attached. _0 Check here if you engaged in no activity during the quarter; no Schedules are attached. Please list any changes to the Notice of Representation presently on file. Do not add a represented entity or terminate a represented entity on this form; a separate Notice of Representation is required to add a represented entity and a Notice oftermination is required to terminate a represented entity. - Jl, ~~)~ ~ October 10,2012 sig"il'ature ~Governmental ~~ent Date -Leave this field blank if your telephone number is unlisted. Pursuant to ~ 47:1 A-l.l. an unlisted telephone number Is not apublic record and must not be provided on this form... New Jersey Election law Enforcement CommiSSion Page 1of 3 Form Q-4 Revised.March, 2007
Schedule B - es General Category of Identifier and Action Taken to Agency Description of Represented Entity Promote (P) or Oppose (0) Economic Development (P) Meeting EDA Inquiry as to economic Development/job retention assistance Honeywell programs New Jersey Election law Enforcement Commission Page 3of 3 Form Q-4 Revised.March, 2007