2. Reporting Elected Official
4. Lobbyist Name
6. Lobbyist Employer
8. Name of person or entity for whom/which lobbyist is lobbying:
10. Name(s) of any employer and/or principal of the lobbyist at a meeting at which lobbying activity has occurred:
12. Location of Meeting
14. Date and Time of Meeting
    Date and Time of Meeting

    Date and Time of Meeting
16. Please describe the purpose and subject matter of the meeting:
18. Date of Disclosure
    Date of Disclosure
22. Acknowledgement of Receipt
24. City Clerk
25. Date
    Date
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field