1. Give the name of the person who is the subject of this complaint:

2. If known, give the phone number and address of the person who is the subject of this complaint:
Phone Number:

Address:

City:

State:
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Zip:

3. Please explain why you believe the person or entity you are reporting has violated Indiana Legislative Lobby Law. Provide as many facts as possible, and please note the portion of the lobby law which you think applies to your complaint

4. Please give your full name and personal contact information (so that we may discuss this complaint with you):
Your Name:

Phone Number:

Address:

City:

State:
Alabama Alaska Arizona Arkansas California Colorado Connecticut Dist. of Col. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Missouri Mississippi Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Fed. States Micronesia Guam Marshall Islands Nort Mariana Is. Puerto Rico Virgin Islands Other (Use Address Lines)
Zip:

Date Filed with ILRC