VA Lobbyist Principal Signature Waiver Form, 2016 June 23
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FullscreenPRINCIPAL SIGNATURE WAIVER FORM Per § § 22-423, a principal authorizing officer may elect to waive the principal signature on disclosure filings submitted by its regi d lobbyist. q' If you are a principal and would like to waive your signature requirement, you must submit a waiver form to Council staff. Please use one form for each lobbyist who represents you. Please return the completed form to: Virginia Conflict of Interest and Ethics Advisory Council Attn: Michelle LeGates 201 N. 9" St. 2" Floor Richmond, VA 23219 Phone (804) 786-3591 Fax (804) 371-8705 miegates@dls.virginia.gov Date: \ i Ze, VELA Name of PRINCIPAL: Vi an 5 ae Abort TES te Ve Suet} fently (Print) Name of Principal Officer: * Aehael E, Baie (Print) Name of Lobbyist: Vi Wg me ae U (Print) As principal, I hereby waive the signature requirement on the lobbyist disclosure statement for the above-referenced lobbyist. oe” Principal Officer: Zz pa Z Ai (Signature)
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CC BY-NC-SA 4.0 - Date Uploaded:
- January 3, 2026
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