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Registrant Name*
Are you a consultant lobbyist or an in-house lobbyist?*
- Consultant
- In-House
Consulting Lobbyist Information
First Name of Consultant Lobbyist*
Surname of Consultant Lobbyist*
Add the Lobbyist Business Contact information
Address Actions
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Email of Consultant Lobbyist Business*
Phone Number of Consultant Lobbyist Business*
Consulting Lobbyist Firm Information
Please enter information about the firm, if any, which employs to you lobby on behalf of your client.
Are you employed by a firm to lobby on behalf of your client?*
- Yes
- No
What is the name of the firm that employs you to lobby on behalf of your client?
Phone Number of firm that employs you to lobby on behalf of your client:
Email address of the firm that employs you to lobby on behalf of your client
In House Organization
Enter the organization name and details of the organization.
Name Address Actions
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Briefly describe the organization's business activities

Lobbyists

Lobbyist Name	Address	Actions
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Anticipated end date of lobby activities:*
MM slash DD slash YYYY
In-house Lobbyist’s Information
Lobbyists
Provide the name, position title of each in-hoiuse lobbyist for the organization
Name Address Actions
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Anticipated end date of lobbying activities:
MM slash DD slash YYYY
Client Contact Information

Please enter business name and address of the client on who's behalf you are lobbying

Business Name	Address	Actions
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Please enter the phone number of the client on who's behalf you are lobbying
Government Funding Information
Is the client funded in whole or in part by the government or government institution?
- Yes
- No
During the past fiscal year, did any government or government institution fund or partly fund the organization??*
- Yes
- No
Amount:*
Type of Government Institution:*
Government Institution Name*
Private Funding Information
Did your client receive private funding for the purpose of supporting this lobbying activity?*
- Yes
- No
Amount:*
Please enter the name of the source of this private funding*
Control or Direct Organization's Activities Information
Does any individual or organization have control over or direct the organization’s activities and have a direct interest in the outcome of the lobbying activities?
- Yes
- No

List every individual or organization, along with their address, that has control over or directs this organization.

Individual or Organization Name	Address	Actions
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Client’s Controlling or Directing Interests Information
Does any individual or organization have control over or direct the client’s activities and have a direct interest in the outcome of the lobbying activities?
- Yes
- No

Identify each person or organization, along with their address, that to your knowledge has control over or directs the clients activities and who have a direct interest in the outcome of these lobbying activities on the client's behalf.

Individual or Organization Name	Address	Actions
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Contribution to Lobbying Activities
In the client's last fiscal year did any invididual or organization contribute funding towards the lobbying activities on behalf of the client?
- Yes
- No
List the names and addresses of these individuals and/or organizations:
Name Address Actions
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In your organizations' last fiscal year did any organization contribute funding towards the lobbying activities on behalf of your organization?
- Yes
- No
List the names and addresses of all such organizations:
Name Address Actions
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Senior Officer Contact Information
Name of the Senior Officer
First Name Surname
Address of Senior Officer
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email of Senior Officer
Organization Information
Enter the Name and Address of the Organization
Name Address Actions
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Phone of the Organization
Email of the Organization
Provide a general description of the membership or your organization*
This includes: Whether or not your organization is a partnership, or a sole proprietorship: if it is a business, trade, industry, professional or voluntary organization, a union or labour organization, a chamber of commerce or a board of trade, an association, a charitable or non-profit organization, a society, a coalition, or interest group, or if it is a government other than the Government of New Brunswick
First name and Surname of the other officers of the organization
First Last
Is your organization a corporation?
- Yes
- No
Please provide the First and Surnames of each of the directors of the corporation
First Last
Subsidiary Business Contact Information
Enter the name and business address of each corporation controled by your organization that, to your knowledge, has a direct interest in the outcome of your lobbying activities.
Name Address Actions
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Controlling Corporation Business Information
Enter the name and business address of each corporation that controls your corporation
Name Address Actions
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Government Funding Information
Does your client receiving funding from any Government or Government Agency?
- Yes
- No
List the name of any Government or Government Agency that funds or partially funds your client
Lobbyist Information
Coalition Information
Is the client a member of a coalition?
- Yes
- No
List all the individuals, organizations and/or companies who have formed a coalition for these lobbying activities:
Name Address Actions
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Is the organization a member of a coalition?
- Yes
- No
List all the individuals, organizations and/or companies who have formed a coalition for this project:
Name Address Actions
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Government Institutions
Choose all the government institutions the lobbyist has, or expects to lobby.
- Aboriginal Affairs
- Agriculture, Aquaculture and Fisheries
- Ambulance NB/EM/ANB Inc.
- Anglophone North School District
- Anglophone East School District
- Anglophone South School District
- Anglophone West School District
- Cannabis NB Ltd.
- District Education Council Anglophone North
- District Education Council Anglophone East
- District Education Council Anglophone South
- District Education Council Anglophone West
- District Education Council Francophone Nord-ouest
- District Education Council Francophone Nord-est
- District Education Council Francophone Sud
- Economic and Social Inclusion Corporation
- Economic Development and Small Business
- Education and Early Childhood Development
- Emergency Measures Organization
- Environment and Local Government
- Executive Council Office
- Finance
- Financial and Consumer Services Commission
- Games of La Francophonie
- Francophone nord-ouest school district
- Francophone nord-est school district
- Francophone sud school district
- Health
- Horizon Health Network
- Housing
- Intergovernmental Affairs
- Justice and Office of the Attorney General
- Kings Landing Corporation
- Labour and Employment Board
- Midwifery Council of New Brunswick
- M.O.R.E. Services Inc.
- natural Resources and Energy Development
- New Brunswick Arts Board
- New Brunswick Community College (NBCC)
- New Brunswick Credit Union Deposit Insurance Corporation
- New Brunswick Energy Marketing Corporation
- New Brunswick Energy & Utilities Board
- New Brunswick Health Council
- New Brunswick Human Rights Commission
- New Brunswick Insurance Board
- New Brunswick Legal Aid Services Commission
- New Brunswick Liquor Corporation
- New Brunswick Museum
- New Brunswick Police Commission
- New Brunswick Power Corporation
- New Brunswick Public Library Service
- New Brunswick Research and Productivity Council
- New Brunswick Women’s Council
- Office of the Premier
- Opportunities NB
- Post-Secondary Education,Training and Labour
- Premier’s Council on Disabilities
- Public Safety
- Regional Development Corporation
- Service New Brunswick
- Social Development
- Team New Brunswick (Canada Games)
- Tourism, Heritage and Culture
- Transportation and Infrastructure
- Treasury Board
- Village Historique Acadien
- Vitalité Health Network
Ministers
Has, or does the lobbyist expect to, lobby any New Brunswick provincial government Ministers?
- Yes
- No
Has the organization lobbied or expects to lobby, any New Brunswick provincial government ministers?
- Yes
- No
Ministers (in their respective portfolios) the lobbyist has lobbied, or expects to lobby. Select all the ministers the lobbyist has or expects to lobby.
- Blaine Higgs, Premier, President of Executive Council
- Bruce Fitch, Minister of Social Development
- Trevor Holder, Minister of Post-Secondary Education, Training and Labour
- Hugh John (Ted) Flemming, Q.C., Minister of Justice and Public Safety/Office of the Attorney General
- Dorothy Shephard, Minister of Health
- Arlene Dunn, Minister of Economic Development and Small Business/Opportunities NB/Aboriginal Affairs/Immigration
- Margaret Johnson, Minister of Agriculture, Aquaculture and Fisheries
- Mary Wilson, Minister of Service New Brunswick
- Daniel Allain, Minister of Local Government and Local Governance Reform
- Gary Crossman, Minister of Environment and Climate Change/Regional Development Corporation
- Jill Green, Minister of Transportation and Infrastructure
- Ernie Steeves, Minister of Finance and Treasury Board
- Dominic Cardy, Minister of Education and Early Childhood Development
- Mike Holland, Minister of Natural Resources and Energy Development
- Blaine Higgs, Minister of Intergovernmental Affairs
- Tammy Scott-Wallace, Minister of Tourism, Heritage and Culture
- Glen Savoie, Minister responsible for La Francophonie
Members of the Legislative Assembly
Have any of the lobbyists already lobbied, or expect to lobby, any Member of the New Brunswick Legislative Assembly?
- Yes
- No
Has the organization lobbied, or does it expect to lobby any Members of the New Brunswick Legislative Assembly?
- Yes
- No
Select all the Members of the New Brunswick Legislative Assembly the lobbyist has lobbied, or expects to lobby.
- Andrea Anderson-Mason, Q.C. (PC)
- Arlene Dunn (PC)
- Benoît Bourque (L)
- Bill Hogan (PC)
- Bill Oliver (PC)
- Blaine Higgs (PC)
- Chuck Chiasson (L)
- Daniel Allain (PC)
- Daniel Guitard (L)
- David Coon (G)
- Denis Landry (L)
- Dominic Cardy (PC)
- Dorothy Shephard (PC)
- Eric Mallet (L)
- Ernie Steeves (PC)
- Francine Landry (L)
- Gary Crossman (PC)
- Gilles LePage (L)
- Glen Savoie (PC)
- Greg Turner (PC)
- Guy Arseneault (L)
- Hugh J.A. (Ted) Flemming, Q.C. (PC)
- Isabelle Thériault (L)
- Jacques LeBlanc (L)
- Jake Stewart (PC)
- Jean-Claude (JC) D’Amours (L)
- Jill Green (PC)
- Kathy Bockus (PC)
- Chuck Chiasson (PC)
- Keith Chiasson (L)
- Kevin Arseneau (G) French (PV)
- Kris Austin (PA) French (AG)
- Lisa Harris (L)
- Margaret Johnson (PC)
- Mary Wilson (PC)
- Megan Mitton (G)
- Michelle Conroy (PA)
- Mike Holland (PC)
- R. Bruce Fitch (PC)
- René Legacy (L)
- Richard Ames (PC)
- Robert Gauvin (L)
- Robert McKee (L)
- Roger Melanson (L)
- Ross Wetmore (PC)
- Ryan P. Cullins (PC)
- Sherry Wilson (PC)
- Tammy Scott-Wallace (PC)
- Trevor A. Holder (PC)
Other Senior Public Office Holders
Has the organization lobbied, or does it expect to lobby, any other Senior Public Office Holder?
- Yes
- No

Please enter the information for all Senior Public Office Holders the lobbyists have, or expect to lobby.

Position Title	Government Institution:	Actions
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Communication Techniques
Select all the techniques of communication that were used/expect to be used in the course of lobbying activities.
- Grassroots communications
- Informal communication
- Meetings
- Phone Calls
- Presentations
- Written communication whether in hard copy or electronic format
Details of the Lobbying Activity
Describe the focus of the lobbying activities:*
Does the above represent an accurate and complete account of your lobbying activities?
- Yes
- No
If no, please provide further details:
Subject Matters
Subject Matters. Please select all that applies to your lobbying activities.
- Aboriginal Affairs
- Agriculture, Aquaculture and Fisheries
- Arts and Culture
- Budget
- Cannabis
- Children and Youth
- Colleges and Universities
- Conservation
- Constitutional Issues
- Economic Development
- Education
- Employment and Training
- Energy
- Environment
- Financial Institutions
- Fisheries
- Forestry
- Government Procurement
- Health
- Highways
- Hospitals
- Housing
- Human Resources
- Immigration
- Industry
- Infrastructure
- Information Technology
- Insurance
- Justice and Enforcement
- Labour
- Liquor Control
- Long-Term Care Services for Seniors
- Lotteries and Gaming
- Manufacturing
- Mining
- Municipalities
- Pay Equity
- Pension and Benefits
- Privatization and Outsourcing
- Regional Development
- Research and Development
- Science and Technology
Categories
Please check all that applies to your lobbying activities:
Grant, contribution or financial benefit*
- Yes
- No
Legislative Proposal, Bill or Resolution*
- Yes
- No
Amendment of a regulation*
- Yes
- No
Development, amendment or termination of any policy or program*
- Yes
- No
Directive, Guideline or Decision*
- Yes
- No
Order in Council*
- Yes
- No
Certification
I certify that the information contained in this return is true and accurate to the best of my knowledge and belief.
Signature of Senior Officer (Please Type)*
Signature of Consultant Lobbyist (Please Type)*
Date*
MM slash DD slash YYYY

Members’ Conflict of Interest
Conflict of Interest
- The Act and Regulation
- General Information
Lobbyist Registry
Public Advisories & News Releases
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Name
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Lobbyist Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Does this lobbyist hold a contract for providing paid advice to a department or another government institution?
- Yes
- No
Please select the department or government institutions

Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Does this lobbyist hold a contract for providing paid advice to a department or another government institution?
- Yes
- No
Please select the department or government institutions

Business Name
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Description of Business Activities

Individual or Organization Name
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Address
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Government Institution: