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Rev. 12/2016Page___of___Page(s)LOBBYIST REPORT FORMS SPACE FOR OFFICE USE ONLY ANNUALState of IdahoSEMIANNUALLawerence Denney19 JAN 03 PM 04:23To Be Filed By:Secretary of StateL29052SECRETARY OF STATE

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The 16-1474 document 00117612247 page is a specific form used for reporting certain information required by a governmental agency, typically related to tax or regulatory compliance.

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The purpose of the 16-1474 document 00117612247 page is to collect specific data necessary for compliance with legal and regulatory requirements.

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Information that must be reported includes identification details of the filer, financial data pertinent to the form, and any other required disclosures as specified by the issuing authority.

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