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VIRGINIA CONFLICT OF INTEREST AND ETHICS ADVISORY COUNCIL

Lobbyist Registration Form (Rev. 10/2016)

There is a $100 fee required for registration (local government employees are exempted from this fee). This form can be submitted electronically on the Council's website at ethics.dls.virginia.gov or mailed to:

Secretary of the Commonwealth
Attn: Lobbyist Specialist
1111 East Broad Street, 4th Fl.
Richmond, Virginia 23219

PART I: PRINCIPAL INFORMATION

Please provide the name of the Principal for which you intend to lobby

Please list the full name(s), business address(es), and telephone number(s) of all other individual(s) that are registered to lobby on behalf of the Principal identified in Part I, item 1.



Please provide the name of the Lobbyist registering to represent the Principal listed in Part I, item 1
  1. 1.Tracy M. Baynard

  2. 1750 Tysons Boulevard Suite 1800 Tysons Corner, VA 22102

  3. 7037125083

  4. tbaynard@mwcllc.com


  5. Please provide the name of the individual who will retain ALL records, on behalf of the Lobbyist, with respect to your lobbying activities for the Principal identified in Part I, item 1, if different from the Lobbyist listed in Part II, item 1

  6. 2.Molly B. Togna

  7. McGuireWoods Consulting LLC 800 E. Canal Street Richmond, VA 23219

  8. 804.775.1937

  9. mtogna@mwcllc.com


Identify the subject matter (with as much specificity as possible) for which you expect to lobby
  1. 3.Higher education, economic development, legislation and energy policy issues concerning George Washington University

  2. Describe your relationship with the Principal listed in Part I, item 1 (check only one):

  3. 4.

  4. Employed (on the payroll of the principal)
  5. Retained (compensated but not on the payroll of the principal)
  6. Not Compensated (not compensated but expenses may be reimbursed)

  7. If you are employed by the Principal provide your job title

  8. 5.

I, the undersigned lobbyist, do state that the information furnished on this registration statement and on any and all accompanying statements attached thereto, is to the best of my knowledge and belief, complete and accurate.

Date: 5/2/2017 3:41:35 PM       Lobbyist Signature: Tracy Baynard (Electronically Signed:5/2/2017 3:41:35 PM )

Note: Pursuant to § 2.2-423, a principal may elect to waive the principal signature requirement on disclosure filings by submitting a signature waiver form to the Virginia Conflict of Interest and Ethics Advisory Council after this registration form has been approved.
Virginia Conflict of Interest and Ethics Advisory Council