HomeMy WebLinkAboutWestound Strategic Partners Lobbyist RegistrationPUBI..IC D'SCLOSURE COMMISSION
yt ,
711 CAPITOL WAY RM 206
PO BOX 40908
.,,..: OLYMPIA WA 98504-0908
(360) 753-1111
TOLL FREE 1-877-601-2929
1. Lobbyist Name
LOBBYIST REGISTRATION
WESTOUND STRATEGIC PARTNERS LLC
Permanent Business Address
500 PACIFIC AVE. #540
PO BOX 1404
City
BREMERTON
State
WA
2. Temporary Thurston County address during legislative session
NONE
Zip
98337
3. Employer's name and address (person or group for which you lobby)
MASON COUNTY (ATTN: TERRI JEFFREYS - CHAIR, BOARD OF COUNTY COMMISSIONERS)
411 N. 5tn STREET, SHELTON, WA 98584
4. Name and address of person having custody of accounts, receipts, books or other documents which substantiate
lobbyist reports. (Person responsible for producing the Lobbyist employer's annual L-3 report.)
CHRIS TIBBS (SEE ADDRESS #1)
5. What is your pay (compensation) for lobbying?
2,000 per year
Other: Explain:
(hour, day, month, year)
6. Are you reimbursed for lobbying expenses? Explain which expenses.
❑ Yes: $ per
❑ Yes: I am reimbursed for expenses.
No: I am not reimbursed for expenses.
O.
7. How long do you expect to lobby for this organization?
® Permanent lobbyist
THIS SPACE FOR OFFICE USE
LI
(12114)
Business Telephone Numbers
Permanent ( 360 ) 850-8034
Temporary ( )
Cell Phone ( )
or Pager
E-Mail Address
CHRIS@WESTSOUNDSP.COM
Employer's occupation, business or description of
purpose of organization
COUNTY GOVERNMENT
E-Mail Address
TERRIJ@CO. MASON. WA. US
Description of employment (check one or more boxes)
■
els
Full time employee [] Sole duty is lobbying
Part time or temporary employee Cj Lobbying is only a part
Contractor, retainer or similar agreement of other duties
❑ Unsalaried officer or member of group
Does employer pay any of your lobbying expenses directly?
If yes, explain which ones.
❑ Only during legislative session ❑ Other, Explain:
8. Is your employer a business or trade association or organization which lobbies on behalf of its members or a representative entity which lobbies on behalf of
associations, or organizations? If "yes," attach a list showing the name and address of each member or funder who has paid fees, dues or other payments over businesses, groups,
the past two years or is expected to pay over $1,450 this year, p Y$ ,450 during either of
ED No Yes. However, no member or funder has paid, pays, or is expected to pay over $1,450.
■
❑ Yes. The list is of parties attached
9. Does your employer have a connected, related or closely affiliated political action committee which will provide funds for you to make political contributions `n
to fund raising events? If so, list the name of that political action committee. chiding purchase tickets
E] No
❑ Yes. Name of the committee is;
10. If lobbyist is a company, partnership or similar business entity which employs others to perform actual lobbying duties, list name of eachperson who will lobby.
390-20-
143 and 144 for instructions.) bby. (See WAC
CHRIS TIBBS
11. Areas of interest. Lobbying is most frequent before legislative committee members Remarks:
or state agencies concerned with following subjects:
CODE
01 ❑
02❑
03 ❑
04
05
06 ❑
■
■
07 ❑
08
1
SUBJECT
Agriculture
Business and consumer affairs
Constitutions and elections
Education
Energy and utilities
Environmental affairs - natural
resources - parks
Financial institutions and
insurance
Fiscal
CERTIFICATION:
statement..
CODE SUBJECT
09 ■ Health Care
10 ❑ Higher education
11 ■ Human services
12 ❑ Labor
13 ❑ Law and justice
14 jZ Local government
15 ❑ State government
18 I Technology
17 ■ Transportation
18 ❑ Other - Specify:
hereby certify that the above is a true, complete and correct
12,./LOBBYIS.T'S SIGNATURE
j
'DC l: 1 (rev. 321,..4
DATE
EMPLOYER'S AUTHORIZATION: Confirming the employment authority to lobby described
in this registration statement.
EMP OYER'S SI
TERM JEFFRE?�,1 H R BOARD OF COUNTY COMMISSIONER
TU / , NAME TYPED OR PRINTED, AND TITLE DATE
I
i5titc
NOT VALID UNLESS SIGNED BY BOTH