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Disclosure reporting details
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Client disclosure reporting period:   01/01/2024 - 06/30/2024
Authorizing Officer name Evann Whitelam
Title Designated Agent for Filer
Business name Form Energy, Inc.
Address c/o 2350 Kerner Boulevard   Suite 250
City, state, zip code San Rafael, CA 94901         
Country US
Business interest High Technology
 
Compensation/Salaries Paid
Lobbyist or Entity nameSalaries
Sarah Jackson $13,521.63
WBD Strategies LLC $39,000.00
Total salaries paid $52,521.63
 
Operating Expenses
No operating expenses were filed for this disclosure reporting period.
 
 
Meals, Travel, and Entertainment Expenses
No meals, travel, or entertainment expenses were filed for this disclosure reporting period.
 
Additional Expenses
Date fromDate toLobbyist nameRecipient nameExpenseAmount
02/29/2024 02/29/2024   Holiday Inn Lodging $181.66
05/24/2024 05/24/2024   Cambria Hotel Lodging $362.86
    Total amount $544.52
 
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William Francis Galvin Secretary of the Commonwealth of Massachusetts
One Ashburton Place
Boston, MA   02108

1-800-392-6090
cis@sec.state.ma.us

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