1. Name:
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2. Department or College:
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| 3. Approximate percent of time spent on federal “lobbying activities” (including “lobbying contacts” and “efforts in support of such contacts”) during the specified period |
% |
4. Amount of your salary during the specified period: (if reporting any amount during specified period) |
$
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| 5. Line 3 x Line 4: |
$
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| 6. Actual out-of-pocket expenses incurred in connection with federal “lobbying activities” during the specified period: |
$
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| 7. Total expenditures in connection with federal “lobbying activities” during the specified period: (Line 5 + Line 6) |
$
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