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Lobbyist Entry *

1

Lobbyist

Company

Beneficiary Type

Parent Company
Subsidiary
Coalition

Subsidiary

Parent Company

Coalition Information

Communication Methods

Check the methods of communications that you have used or expect to use in the course of your activities:

Have you lobbied, or do you expect to lobby, a member of the Legislative Assembly in the member’s capacity as a member, or a person of the member’s staff? *

Yes
No

Which Members of the Legislative Assembly or senior public officials (name or title) do you intend to lobby? *

Member of the Legislative Assembly or senior public official *

What is the focus of your lobbying activity? *

Please select from the drop down menu. You may select more than one

(i) the development of any legislative proposal by the Government of New Brunswick or by a member of the Legislative Assembly,
(ii) the introduction of any public bill or any resolution in the Legislative Assembly or the passage, defeat or amendment of any public Act or any resolution that is before the Legislative Assembly,
(iii) the making or amendment of a regulation as defined in the Regulations Act,
(iv) the development, amendment or termination of any policy or program of the Government of New Brunswick,
(v) a decision by the Executive Council to transfer from the Crown for consideration all or part of, or any interest in or asset of, any business, enterprise or institution that provides goods or services to the Crown or to the public,
(vi) a decision by the Executive Council, a committee of the Executive Council or a minister of the Crown to have the private sector instead of the Crown provide goods or services to the Crown, and
(vii) the awarding of any grant, contribution or other financial benefit by or on behalf of the Crown

Now that you have selected the focus of your lobbying above, please provide a meaningful description of what is being lobbied

NOTE: (A failure to provide sufficient information could result in a removal of your registration as lobbyist under the Act, in which case you could be deemed not to have submitted a return. (s.35(2))

Add Member(s) of the Legislative Assembly or senior public officials

Has your client/employer received any government funding (federal, provincial and/or municipal) in the government's previous fiscal year? *

Yes
No

Name of government or government agency:

Amount of funding received (in Can$)

Has an entity or organization (or individual on its behalf) provided funding to support this lobbying activity in the entity's or organization's previous fiscal year? *

Yes
No

Name of entity, organization or individual

Business Contact Information

Is your payment, either in whole or in part, contingent on the success of the this undertaking? *

Yes
No

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Certification *

I certify that the information contained in this return is true to the best of my knowledge and belief.

Certification Date *

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