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2012 Lobbyist Reporting Form: State of New Mexico Office of The Secretary of State Ethics Administration
2012 Lobbyist Reporting Form: State of New Mexico Office of The Secretary of State Ethics Administration
325 Don Gaspar, Suite 300 Santa Fe, New Mexico 87503 (800) 477 - 3632 or (505) 827 - 3600
FORM A
IDENTIFYING INFORMATION & FINANCIAL SUMMARY
REPORT DUE: FILING AS A:
Name of Lobbyist
X January 15 X Lobbyist
Telephone
Lobbyist Employer
Fax
505-820-1099
State Zip
b.
Santa Fe
Address
NM
Telephone #
87505
c.
2. FINANCIAL SUMMARY (Cumulative) Total Meal and Beverage expenses (incl. Form B) Total Other Entertainment Expenses (incl. Form B) Total Gift Expenses (Incl. Form B) Total other Expenses (Incl. Form B) Total Special Event Expenses (Incl. Form C) TOTAL EXPENDITURES (Incl. Forms B and C) TOTAL POLITICAL CONTRIBUTIONS (Form D) $1,439.40 $0.00 $0.00 $0.00 $0.00 $1,439.40 $0.00
a. b. c. d. e. f. g.
I hereby swear to affirm under penalty of law that this statement is true, correct and complete to the best of my knowledge
NOTARY INFORMATION
State of County of Subscribed and sworn to me this day of , 20 , by
(SEAL)
My commission expires:
2011
Itemize each expenditure of more tha $75 and specify the type of expenditure by entering a category number: (1) meals & beverages; (2) other entertainment expenditures; (3) gifts; or (4) other expenditures. [2-11-6C NMSA 1978]
Date
Name of Payee
Beneficiary House Republicans Legislator Sen Munoz & Sen Martinez House Republicans Sen. Sanchez, Sen. Ulibarri, Sen Griego, Sen. Martinez Sen. Griego, Rep. Martinez Senate Republicans Sen. Mary Jane Garcia
Type
Purpose for which made or incurred 1 dinner 1 reception 1 lunch 1 dinner 1 lunch
9/10/2011 Bull Ring Steakhouse 9/13/2011 Rio Chama Steakhouse 9/19/2011 The Palace Restaurant 9/20/2011 The Bull Ring Steakhouse 10/4/2011 Rio Chama Steakhouse
10/18/2011 Pink Adobe 9/20/2011 The Bull Ring Steakhouse 11/14/2011 Rio Chama Steakhouse
Subtotal Form B:
$1,439.40
2011
Name of Lobbyist or Lobbyist Employer: REPORT DUE: Date X January 15 Type of Event & Location
Luke G. Otero within 48 hours during session Group(s) Invited Total Expenses
2011
2011
NOTE: if you or any of your employers delivered, directly or indirectly, separate political contributions from other contributors of five hundred dollars ($500.00) or more, in the aggregate, for an election to a candidate, campaign, committee, or anyone authorized by a candidate to receive funds on his/her behalf, the law requires disclosure of the names, addresses and occupations of the contributors.
X January 15
TNT Fireworks
Street Address or P.O. Box; City, State & Zip
Fireworks Distributor
Full Name of Contributor
$7,500.00
Tobacco Products
$18,900.00