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 must be submitted electronically on the Council's website at ethics.dls.virginia.gov.

PART I: PRINCIPAL INFORMATION

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

1.NAME OF PRINCIPAL:LegalZoom
Permanent Business Address:101 N. Brand Blvd. 11th Floor Glendale, CA 91203
Business Telephone:3233370183

Please provide the type of business the Principal is engaged in

2.Type of Business:Providing access to quality legal care through the Internet.

Please provide the name of the individual authorizing your employment as a lobbyist. The lobbyist filing this registration MAY NOT be the same as the Principal Officer.
3.NAME OF PRINCIPAL OFFICER:Ken Friedman

Permanent Business Address:101 N. Brand Blvd. 11th Floor Glendale, CA 91203

Business Telephone:3233370183

E-Mail Address:kfriedman@legalzoom.com

Please provide the name of the individual who will retain ALL records, on behalf of the Principal, with respect to your lobbying activities for their organization, if different from the Principal Officer.

4.NAME:Ken Friedman

Permanent Business Address:101 N. Brand Blvd. 11th Floor Glendale, CA 91203

Business Telephone:3233370183

E-Mail Address:kfriedman@legalzoom.com

Permanent business address and telephone number of location where records are stored, if different from above:

101 N. Brand Blvd. 11th Floor Glendale, CA 91203 3233370183

PART II: LOBBYIST INFORMATION

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

1.NAME OF LOBBYIST:Jerry Kilgore

Permanent Business Address:1051 East Cary Street Suite 1420 Richmond, VA 23219

Business Telephone:2024632529

E-Mail Address:jkilgore@cozen.com

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

2.NAME:Jerry Kilgore

Permanent Business Address:1051 East Cary Street Suite 1420 Richmond, VA 23219

Business Telephone:2024632529

E-Mail Address:jkilgore@cozen.com

Permanent business address and telephone number of location where records are stored, if different from above:

1051 East Cary Street Suite 1420 Richmond, VA 23219 2024632529

Identify the subject matter (with as much specificity as possible) for which you expect to lobby

3.SUBJECT MATTER:Matters pertaining to LegalZoom.

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

4.As a lobbyist, you are:

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

If you are employed by the Principal provide your job title

5.JOB TITLE:

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: 1/11/2018 12:06:21 PM Lobbyist Signature: Jerry Kilgore (Electronically Signed:1/11/2018 12:06:21 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.