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2. Lobbyist Name
4. Lobbyist's Principal or Employer Name
6. Location of Meeting (if face-to-face)
8. Name of Person or Entity For Whom/Which You Are Lobbying
10. Elected Official's Name*

    1. Mayor Deborah J Tarrant
    2. Vice Mayor Irene Kirdahy
    3. Commissioner Vicky Feaman
    4. Commissioner Barbara Baldasarre
    5. Commissioner Jane Reiser
12. Name(s) of Any Person(s) Attending the Meeting
14. Mode of Communication*

    1. In-Person
    2. Telephone
    3. Email
    4. Text
16. Date of Meeting
18. Time of Meeting
20. Subject Matter of Meeting
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field