Tobacco Documents Online

/'InUC OeC'lOnlll! CAM/AI .n mla+s. a.w. w.. «+.n wa.wm. Mw-+ 5eaf 7/230C) EMPLOYER OF LOBBYIST MONTHLY POLITICAL CONTRIBUTION REPORT mplE'~oy er's Name (se Complete Company. ssodation, Union or Entity Name) The Tobacco Institute aiNng ress 777 - 108th Avenue N.E., Suite 2230 City lat~- copy Bellevue, WA 98004 U eii-p 'iod ng ei ( onl ear During ntributlon(s) Occurred) 8 July, 1990 E Who Must File Report: Employers of lobbyists registered in Washington Stale making one or more conhNwtions, including Inkind con- trNwaons, during one calendar month totaling more than $100 to a candklate for state or local ofras, an elecled state or local osicial. an osioer or employee of any public agency, or a political conwni8ee. Empbyer IxnMbuBons msde throlqh and reported by a regislered 1ob bylsi or an employer-alNeafed PAC are not raporfabfe on an L-3c What Must Be Reported: Contribulions, Indudirlg a loan, gilt, deposit, subscriplion, lorgivemiss of Indebledness, Ifonalion, advance, pledge, payment, or bansfer of anything of value, induding personal and professional services loa less than fuA consideration. CoMrlbu lions to campaign accounts and public o8ice fund accounts are reportat>le. When Is The Report Filed: Within 15 days after the last day of each calendar month during which reportabie conlributions were made. Reporls are considered filed as of the post mark or hand-0elivery date to POC. Itemize contributions that alone, or together with other eontrfbu8ons to the same redpisnl, total over $100 during the calendar monlh specified above. If space provided is Insutllcient, use additional L-3c forms or 817 x/1" wflNe paper. DATE OF CONfRIBUTION NAME AND ADDRESS OF RECIPIENT DESCRIPTION OF t:ONT1sBUT1ON' AMOUNT OR VALUE' 7/9/90 Rep. Box Max Vekich E Cosmopolis, WA 9853 Monetary Cam ai n Account $300.00 -- 7/9/90 Sen. Box Gary A. Nelson 735 Lynnwood,WA 98046 Monetary Cam ai n Account $200.00 7/9/90 _ Rep. Box Lorraine Hine 98851 Des Moines 98198 Monetary Cam ai n Account $200.00 ~ 7/17/90 Rep. Joseph E. King Box 2581 Olympia, WA 98507 Monetary Campaign Account $200.00_ 7/17/90 Rep. 3283 Peter Kremen N.Shore Road Bellingh Monetary Campaign Account $100.00 7/17/90 Rep. Patricia Scott Box 2190 Everett, WA 9820 Monetary Cam ai n Account $100.00 •Srr rcVlr'w,- fnr IlelailR. Ceniticalitm~, I certify that Ihe infnmretion enrltaineJ heain is Ime and eomplele to Nmnr nnd lillc of pcrsrnm aulhorizrd to sign an rtnplnyrr'x hehalf Itype m prinl) Paul A. Jacobson R_e_gional Vice President I1R' I'mn'1. 1,~IM1AIIII1' ?/6 _7/90 TNWL 0045291

J Lf',~- ,~: : l Description of Contribution Monelary Monetary contributions are those made in cash or by check, money order or other negotiable Instru- ment. If total in amount column represents aggregate total given that recipient during the month (I.e., more than one contribution), indicate the date and amount of each contribution figured Into the total. For contributions given to Incumbent candidates and elected officials, Indicate whether the contribu- tion is for the recipient's campaign account or public oHice account. In-Kind Donated goods or services quality as reportable contributions. in-kind conlribullons Include such things as discounts on products or services, free transportation, free or reduced-rate office space, personal services, polling services, professional assistance to campaign managers and help with preparation of political advertising. Amount or Value of Contribution If the aggregate amount or value contributed to one recipient tcandidate, elected official, agency ol- ficer or employee, or political committee) during a calendar month was over $100 -- end the aggre- gate contribution was not reported by your lobbylst on hls/her monthly report or the aggregate contribution was not made through and reported by your affiliated PAC -- put the total contribuled In the Amount or Value column and provide the other required Information. In-Kind Value in-kind contributions at the amount you actually paid for the donated item or service or, if no purchase was made, value them at Iheir fair market value. Fair market value Is the amount a well- informed buyer or lessee. willing but not obligated to buy or lease, would pay; and what a well-in- formed seller, or lessor, willing but not obligated to sell or lease, would accept. TNWL 0045292 _