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JBBYIST DISCLOSURE REPORT
(FORM 25)
Board of
Return this form to: :
Ethics
The Board of Ethics ?
Suite 530
205 West Randolph Street
Chicago, II. 60606
Please read the enclosed Instruction and Information Sheet for Lobbyists before filling out this form. Terms
marked with an asterisk are defined in the Information Sheet. Registered lobbyists must file a notarized
Disclosure Report semi-annually, no later than January 20th and July 20th of each year, and at the
termination of lobbying activities.
Simon & Spitalli
(Name of Lobbyist)
55 W Wacker Dr, #702
TL
(Business Address)
Chicago
(City)
(Stare)
60601
(Zip)
(312) 641-110.0
(Business Telephone Number)
I.
REPORTING PERIOD FOR EXPENDITURES* AND COMPENSATION*
6 months preceding January 20
6 months preceding July 20
(Check the appropriate box)
From..
Date of previous report
Date of termination of lobbying
.. .
. .. .
II.
EXPENDITURES
List the total amount of expenditures made on behalf of your client/principal which were directly
related to lobbying agencies* of the City of Chicago.
A. Office Expenses
-0-
B. Compensation to Others
- 0-
C. Public Education, Advertising
and Publication
D. Meals, Travel and Lodging
-U-
E. Other Expenses (Including Gifts)
-0 -
TOTAL OF A-E
-0-
III. EXPENDITURES EXCEEDING $250
For any single expenditure over $250 that is included in the totals in Section II above, provide the
information requested below. If you have made no such expenditures, check where indicated.
A. Date of the expenditure
B. Amount of the expenditure
C. Purpose of the expenditure
D. Name and address of the beneficiary/recipient of the expenditure
E. Nature of the business of the beneficiary/recipient
F. Legislative or administrative action in connection with which the expenditure was made
51561 4560
OR
* I have made no single expenditure over $250. JAW JAY
. .. .

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