| Clerk of the House of Representatives Legislative Resource Center B-106 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 |
01/02/2013
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| 2. House Identification |
39855
| Senate Identification |
40008055
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REGISTRANT Organization/Lobbying Firm Self Employed Individual
| 3. Registrant | Organization |
Global Policy Initiatives
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| Address |
1098 Georgetown Way
| Address2 |
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| City |
Vernon Hills
| State |
IL
| Zip |
60061
| Country |
USA
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| City |
Washington
| State |
DC
| Zip |
20004
| Country |
USA
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| 5. Contact name and telephone number | International Number |
| Contact |
Mr. Jay K. Footlik
| Telephone |
2022581060
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jay@globalpolicyinitiatives.com
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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 |
DLA Piper US LLP (for Al Jazeera America Holdings I, Inc.)
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| Address |
500 8th Street, NW
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| City |
Washington
| State |
DC
| Zip |
20004
| Country |
USA
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| City |
| State |
| Zip |
| Country |
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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.
| Name | Covered Official Position (if applicable) | ||
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First
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Last
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Suffix
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| Jay K. | Footlik |
LOBBYING ISSUES
11. General lobbying issue areas (Select all applicable codes).
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COM
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12. Specific lobbying issues (current and anticipated)
Informational communications regarding client's cable television channel.
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 actively participates in and/or in whole or in major part supervises, plans, 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. |
| Internet Address: |
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| Name | Address | Principal Place of Business | ||||||||
| Street | ||||||||||
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Al Jazeera America Holdings I, Inc.
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1627 K Street, N.W., 11th Floor
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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. |
| Address | Ownership | |||||
| Name | Street | Principal place of business | Amount of contribution | |||
| (city and state or country) | for lobbying activities | ||||
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TV Roundabout Bin Omran
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Al Jazeera Media Network (parent of org. noted on Line 13)
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0.00
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100
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State of Qatar
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0.00
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0
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| Signature |
Digitally Signed By: Jay K. Footlik
| Date |
02/19/2013
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