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Disclosure reporting details
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Client disclosure reporting period:   07/01/2024 - 12/31/2024
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 $4,957.93
WBD Strategies LLC $39,000.00
Total salaries paid $43,957.93
 
Operating Expenses
No operating expenses were filed for this disclosure reporting period.
 
 
Meals, Travel, and Entertainment Expenses
DateLobbyist nameEvent typePayee/VendorAttendeesAmount
12/10/2024  Travel Sarah Jackson – Personal Mileage (Cambridge, MA) Sarah Jackson $38.00
12/10/2024  Travel Technology Square Garage (Cambridge, MA) Sarah Jackson $134.12
    Total amount $172.12
 
Additional Expenses
No additional expenses were filed for this disclosure reporting period.
 
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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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