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Clerk of the House of Representatives Legislative Resource Center 135 Cannon Building Washington, DC 20515 http://lobbyingdisclosure.house.gov |
Secretary of the Senate Office of Public Records 232 Hart Building Washington, DC 20510 http://www.senate.gov/lobby |
LOBBYING REGISTRATION
Lobbying Disclosure Act of 1995 (Section 4)
| 1. Effective Date of Registration | 2-24-2020 |
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| 2. House Identification | 36049 |
Senate Identification | 75570 |
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REGISTRANT Organization/Lobbying Firm Self Employed Individual
| 3. Registrant | Organization | J M Burkman & Associates |
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| Address | 1599 North Colonial Terrace |
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| City | ARLINGTON |
State | VA |
Zip | 22209 |
Country | USA |
4. Principal place of business (if different than line 3)
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| 5. Contact name and telephone number | International Number |
| Contact | Mr. JACK BURKMAN |
Telephone | 7035243209 |
jackburkman2016@gmail.com |
CLIENT A Lobbying Firm is required to file a separate registration for each client. Organizations employing in-house lobbyists should check the box labeled “Self” and proceed to line 10. Self
| 7. Client name | Peter Pocklington (760) 861-402 |
| Address | 41865 Boardwalk Ave Ste 204 |
| City | Palm Desert |
State | CA |
Zip | 92211 |
Country | USA |
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LOBBYISTS
10. Name of each individual who has acted or is expected to act as a lobbyist for the client identified on line 7. If any person listed in this section has served as a “covered executive branch official” or “covered legislative branch official” within twenty years of first acting as a lobbyist for the client, state the executive and/or legislative position(s) in which the person served.
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| Jack | Burkman | | |
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LOBBYING ISSUES
11. General lobbying issue areas (Select all applicable codes).
GOV |
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12. Specific lobbying issues (current and anticipated)
Political counsel re White House matters.
AFFILIATED ORGANIZATIONS
13. Is there an entity other than the client that contributes more than $5,000 to the lobbying activities of the registrant in a quarterly period and either participates in and/or in whole or in major part supervises or controls the registrant’s lobbying activities?
| No --> Go to line 14. | Yes --> Complete the rest of this section for each entity matching the criteria above, then proceed to line 14. |
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FOREIGN ENTITIES
14. Is there any foreign entity
a) holds at least 20% equitable ownership in the client or any organization identified on line 13; or
b) directly or indirectly, in whole or in major part, plans, supervises, controls, directs, finances or subsidizes activities of the client or any organization identified on line 13; or
c) is an affiliate of the client or any organization identified on line 13 and has a direct interest in the outcome of the lobbying activity?
| No --> Sign and date the registration. | Yes --> Complete the rest of this section for each entity matching the criteria above, then sign the registration. |
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CONVICTIONS DISCLOSURE
15. Have any of the lobbyists listed on this report been convicted in a Federal or State Court of an offense involving bribery,
extortion, embezzlement, an illegal kickback, tax evasion, fraud, a conflict of interest, making a false statement, perjury, or money laundering?
| Signature | Digitally Signed By: Jack Burkman |
Date | 3/4/2020 8:21:44 PM |