County Name Sample Clauses

County Name. State: Governor, and Legislative Leadership Committees Legislative District #s: State Senator and two members of the General Assembly per district. County: Freeholders County Clerk Sheriff {County Executive} Surrogate Municipalities (Mayor and members of governing body, regardless of title): USERS SHOULD CREATE THEIR OWN FORM, OR DOWNLOAD FROM ▇▇▇.▇▇.▇▇▇/▇▇▇/▇▇▇/▇▇▇ A COUNTY-BASED, CUSTOMIZABLE FORM.
County Name. State: Governor, and Legislative Leadership Committees Legislative District #s: State Senator and two members of the General Assembly per district. County: Freeholders County Clerk Sheriff {County Executive} Surrogate Municipalities (Mayor and members of governing body, regardless of title): USERS SHOULD CREATE THEIR OWN FORM, OR DOWNLOAD FROM ▇▇▇.▇▇.▇▇▇/▇▇▇/▇▇▇/▇▇▇ A COUNTY- BASED, CUSTOMIZABLE FORM. ⬜ I certify that the list below contains the names and home addresses of all stockholders holding 10% or more of the issued and outstanding stock of the undersigned. ⬜ I certify that no one stockholder owns 10% or more of the issued and outstanding stock of the undersigned. ⬜ Partnership ⬜ Corporation ⬜ Sole ProprietorshipLimited PartnershipLimited Liability CorporationLimited Liability PartnershipSubchapter S Corporation Name: ▇▇▇▇ ▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇▇▇▇ Home Address: ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇ Home Address: ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇ Name: Name: Home Address: Home Address: Name: Name: Home Address: Home Address: Subscribed and sworn before me this day of , 2 . (Notary Public) My Commission expires: (Affiant) (Print name & title of affiant) (Corporate Seal) ⬜ We take no exceptions/deviations to the general terms and conditions (Note: If none are listed below, it is understood that no exceptions/deviations are taken.) ⬜ We take the following exceptions/deviations to the general terms and conditions. All exceptions/deviations must be clearly explained. Reference the corresponding general terms and conditions that you are taking exceptions/deviations to. Clearly state if you are adding additions terms and conditions to the general terms and conditions. Provide details on your exceptions/deviations below: (Note: Unacceptable exceptions shall remove your proposal from consideration for award. Region 10 ESC shall be the sole judge on the acceptance of exceptions/deviations and the decision shall be final.) Attachment A, Equalis Group Administrative Agreement is used in administering Master Agreements with Region 10 and is preferred by Equalis Group. Redlined copies of this agreement should not be submitted with the response. Should a respondent be recommended for award, this agreement will be negotiated and executed between Equalis Group and the respondent. Respondents must select one of the following options for submitting their response. Respondent agrees to all terms and conditions outlined in each of the Administration Agreemen...
County Name. State: Governor, and Legislative Leadership Committees Legislative District #s:
County Name. State: Governor, and Legislative Leadership Committees Legislative District #s: State Senator and two members of the General Assembly per district. County: Freeholders County Clerk Sheriff {County Executive} Surrogate Municipalities (Mayor and members of governing body, regardless of title): USERS SHOULD CREATE THEIR OWN FORM, OR DOWNLOAD FROM WWW.NJ.GOV/DCA/LGS/P2P A COUNTY-BASED, CUSTOMIZABLE FORM.
County Name. State: Governor, and Legislative Leadership Committees Legislative District #s: State Senator and two members of the General Assembly per district. County: Freeholders County Clerk Sheriff {County Executive} Surrogate Municipalities (Mayor and members of governing body, regardless of title): USERS SHOULD CREATE THEIR OWN FORM, OR DOWNLOAD FROM ▇▇▇.▇▇.▇▇▇/▇▇▇/▇▇▇/▇▇▇ A COUNTY-BASED, CUSTOMIZABLE FORM. I certify that the list below contains the names and home addresses of all stockholders holding 10% or more of the issued and outstanding stock of the undersigned. I certify that no one stockholder owns 10% or more of the issued and outstanding stock of the undersigned. Partnership Corporation Sole Proprietorship Limited Partnership Limited Liability Corporation Limited Liability Partnership Subchapter S Corporation Name: Stockholder Name Name: Stockholder Name Home Address: Home Address Home Address: Home Address Home Address: Home Address Home Address: Home Address Name: Stockholder Name Name: Stockholder Name Name: Stockholder Name Home Address: Home Address Name: Stockholder Name Home Address: Home Address Subscribed and sworn before me this day of , 2 . (Affiant) (Notary Public) (Print name & title of affiant) My Commission expires: (Corporate Seal) - DocuS1gn Envelope ID 5BEB0B11-62F2-44E6-9EB9-D3E667E58FE2 Docusign Envelope ID: 5BD17D20-002C-4E60-8134-4A103B040B1B Uber 2022 us Political Engagement Report Uber's 2022 US Corporate Political Expenditures Uber does not have a federal PAC. Uber makes corporate contributions at the state and local levels where permissible by law. Below are the corporate contributions made in 2022. ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ CA Hl 2022 $4,900 ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ CA Hl 2022 $4,900 ▇▇▇▇▇ ▇▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇ ▇▇▇▇▇▇ CA Hl 2022 $4,900 Committee for a Greater Miami n/a FL Hl 2022 $10,000 Democratic Legislative Campaign Committee n/a n/a Hl 2022 $35,000 Flexibility and Benefits for Massachusetts Drivers Flexibility and Benefits for Massachusetts Drivers ballot measure MA Hl 2022 $5,577,5361 ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ Inaugural Committee n/a VA Hl 2022 $15,0002 ▇▇▇▇▇ ▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇ ▇▇▇▇▇ CA Hl 2022 $2,400 ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ CA Hl 2022 $2,900 ▇▇▇ ▇▇▇▇▇▇▇▇▇ for Assembly 2022 ▇▇▇ ▇▇▇▇▇▇▇▇▇ CA Hl 2022 $2,500 ▇▇▇▇ ▇▇▇▇▇ for Senate 2024 ▇▇▇▇ ▇▇▇▇▇ CA Hl 2022 $2,000 ▇▇▇▇▇▇ ▇▇▇▇▇▇ for State Assembly 2022 ▇▇▇▇▇▇ ▇▇▇▇▇▇ CA Hl 2022 $4,900 ▇▇▇▇▇▇▇ ▇▇...
County Name. Penobscot/Piscataquis Person Completing Form: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ Completion Date: August 2007 HIGH RISK (▇▇-▇▇) ▇▇▇▇▇▇▇▇ LOGIC MODEL • This group is not aware of all of the health risks. People are not educated, are misinformed. Kids don’t understand the difference between a glass of wine and binge drinking • ‘It won’t happen to me’—the risk of addiction doesn’t deter use • Most of the public doesn’t understand the risks of use. We reinforce it through our acceptance • Everything is instant gratification • Kids are going out to get drunk now—not just to have a few drinks • Mothers, young mothers, pregnant women could absorb the health message • Cheap food and alcohol are targeted to college kids, but happy hour specials are expanding to include all age groups • Congregating in bars is a social event—people get together there • Specialty drinks (bright colors, fruity flavors) target young women and new drinkers • They sell small kegs in stores now • College kids buy kegs, sell beer by the cup to others, also sell tickets to pay for keg—winning ticket gets leftover money • Drink specials don’t necessarily matter. If you pregame (drink before going out) you spend less $ at the bar or party. Spending less cash is what college kids are in search of • Maine Distributors needs to support any ideas in this category • Soda not included in bar/happy hour specials • Management of many college-area bars recognize this is an issue and are working with The River Coalition on trainings/awareness etc. • There are more possibilities on campus than off campus. • If you get an OUI you are referred to DEEP classes, if you are employed you can go to EAP, the military has a place for people who need help, but if you don’t fall into any of these categories there isn’t much available beyond AA meetings. Even then the demographics of the meeting might not be yours • Most people don’t have addiction issues but they are hosting or doing something that can be harmful to the community
County Name. State: Governor, and Legislative Leadership Committees Legislative District #s: State Senator and two members of the General Assembly per district. County: Freeholders County Clerk Sheriff {County Executive} Surrogate Municipalities (Mayor and members of governing body, regardless of title): USERS SHOULD CREATE THEIR OWN FORM, OR DOWNLOAD FROM ▇▇▇.▇▇.▇▇▇/▇▇▇/▇▇▇/▇▇▇ A COUNTY- BASED, CUSTOMIZABLE FORM. 2022 political contributions Uber does not have a federal PAC. Uber makes corporate contributions at the state and local levels where permissible by law. Below are the corporate contributions made in 2022. ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ CA H1 2022 $4,900 ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ CA H1 2022 $4,900 ▇▇▇▇▇ ▇▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇ ▇▇▇▇▇▇ CA H1 2022 $4,900 Committee for a Greater Miami n/a FL H1 2022 $10,000 Democratic Legislative Campaign Committee n/a n/a H1 2022 $35,000 Flexibility and Benefits for Massachusetts Drivers Flexibility and Benefits for Massachusetts Drivers ballot measure MA H1 2022 $5,577,5361 ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ Inaugural Committee n/a VA H1 2022 $15,0002 ▇▇▇▇▇ ▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇ ▇▇▇▇▇ CA H1 2022 $2,400 ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ CA H1 2022 $2,900 ▇▇▇ ▇▇▇▇▇▇▇▇▇ for Assembly 2022 ▇▇▇ ▇▇▇▇▇▇▇▇▇ CA H1 2022 $2,500 ▇▇▇▇ ▇▇▇▇▇ for Senate 2024 ▇▇▇▇ ▇▇▇▇▇ CA H1 2022 $2,000 ▇▇▇▇▇▇ ▇▇▇▇▇▇ for State Assembly 2022 ▇▇▇▇▇▇ ▇▇▇▇▇▇ CA H1 2022 $4,900 ▇▇▇▇▇▇▇ ▇▇▇▇ for Assembly 2022 ▇▇▇▇▇▇▇ ▇▇▇▇ CA H1 2022 $2,900 Republican State Leadership Committee n/a n/a H1 2022 $40,000 ▇▇▇▇▇ ▇▇▇▇▇▇ for Senate 2022 ▇▇▇▇▇ ▇▇▇▇▇▇ CA H1 2022 $2,000 ▇▇▇▇▇ ▇▇▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇ ▇▇▇▇▇▇▇ CA H1 2022 $4,900 ▇▇▇▇▇ ▇▇▇▇▇▇▇ for State Senate 2022 ▇▇▇▇▇ ▇▇▇▇▇▇▇ CA H1 2022 $2,500 1Total value of monetary and in-kind contributions. ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ CA H1 2022 $4,900 Washington Coalition for Independent Work Committee n/a WA H1 2022 $229,512 Yes on A, Committee for Safer Streets and Reliable, Accessible Transportation Proposition A (San Francisco) CA H1 2022 $50,000 1910 PAC n/a WA H2 2022 $9,000 Advancing Florida Agriculture n/a FL H2 2022 $5,000 Advocate for Florida Families, Inc. n/a FL H2 2022 $2,500 ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ for Senate 2022 ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ CA H2 2022 $2,500 Building On Your Dreams Political Committee n/a FL H2 2022 $2,500 ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ CA H2 2022 $2,000 ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ for Assembly 2022 ▇▇▇▇▇▇▇ ▇▇▇▇...
County Name. Mariposa County First 5 Commission
County Name. State: Governor, and Legislative Leadership Committees Legislative District #s: State Senator and two members of the General Assembly per district. County: Freeholders County Clerk Sheriff {County Executive} Surrogate Municipalities (Mayor and members of governing body, regardless of title): USERS SHOULD CREATE THEIR OWN FORM, OR DOWNLOAD FROM ▇▇▇.▇▇.▇▇▇/▇▇▇/▇▇▇/▇▇▇ A COUNTY-BASED, CUSTOMIZABLE FORM. PROPOSAL FORM 20: STOCKHOLDER DISCLOSURE CERTIFICATION ☒ I certify that the list below contains the names and home addresses of all stockholders holding 10% or more of the issued and outstanding stock of the undersigned. ☐ I certify that no one stockholder owns 10% or more of the issued and outstanding stock of the undersigned. ☐ Partnership ☒ Corporation ☐ Sole ProprietorshipLimited PartnershipLimited Liability CorporationLimited Liability PartnershipSubchapter S Corporation Stockholders: Name: BlackRock Fund Advisors Name: Stockholder Name Home Address: ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇. Home Address: San Francisco, CA 94105 Home Address: Home Address Name: Stockholder Name Name: Stockholder Name Home Address: Home Address Home Address: Home Address Name: Stockholder Name Name: Stockholder Name
County Name. State: Governor, and Legislative Leadership Committees Legislative District #s: State Senator and two members of the General Assembly per district. County: Freeholders County Clerk Sheriff {County Executive} Surrogate Municipalities (Mayor and members of governing body, regardless of title): USERS SHOULD CREATE THEIR OWN FORM, OR DOWNLOAD FROM ▇▇▇.▇▇.▇▇▇/▇▇▇/▇▇▇/▇▇▇ A COUNTY- BASED, CUSTOMIZABLE FORM. X We take no exceptions/deviations to the general terms and conditions (Note: If none are listed below, it is understood that no exceptions/deviations are taken.) ⬜ We take the following exceptions/deviations to the general terms and conditions. All exceptions/deviations must be clearly explained. Reference the corresponding general terms and conditions that you are taking exceptions/deviations to. Clearly state if you are adding additions terms and conditions to the general terms and conditions. Provide details on your exceptions/deviations below: (Note: Unacceptable exceptions shall remove your proposal from consideration for award. Region 10 ESC shall be the sole judge on the acceptance of exceptions/deviations and the decision shall be final.)