Lobbyist Registration Form

Completed

Lobbyist Signature Date: 12/24/2019

Employer Signature Date: 12/30/2019

Registration Year: 2020

Lobbying Start Date: 01/10/2020

Filer First Name: Theodore

Filer Middle Name:

Filer Last Name: Popely

Lobbyist Information

First Name: Theodore

Middle Name:

Last Name: Popely

Business Name: Theodore W. Popely, PC

Voter Registration District: 27N - Basher

Permanent Mailing Address: 645 G Street 524

City, State Zip: Anchorage, Alaska 99501

Phone: 9073512210

E-mail: tedpopely@yahoo.com

Fax:

Legislative Mailing Address: 645 G Street 524

City, State Zip: Anchorage, Alaska 99501

Phone:

E-mail: tedpopely@yahoo.com

Fax:

Spouse/Domestic Partner of Legislative Employee or Public Official?: No

Employee / Client Information

Employer: Grover Gaming

Contact Person First Name: Scott

Contact Person Middle Name:

Contact Person Last Name: Henneman

Address: 3506 NE Greenville BLVD

City, State Zip: Greenville, North Carolina 27834

Phone: 4026590899

E-mail: shenneman@grovergaming.com

Fax:

Compensation

Will you perform other services in addition to lobbying for the employer or client named on this registration?
No

Will you engage in Administrative Lobbying on behalf of the client/employer?
Yes

Will you engage in Legislative Lobbying on behalf of the client/employer?
Yes

What is the nature of your compensation? Contract Lobbyist: Annual Fee

Amount: $75,000.00

Will you be Reimbursed for Expenses?
Yes

Will you receive other compensation?
No

Lobbying Interests

Matters relating to gaming equipment and supplies

Qualification or Waiver

Does Not Apply

Affirmation

Pursuant to AS 09.63.010, by signing this document I affirm, under penalty of perjury, that:

I have completed the appropriate training course administered by the Commission within the last 12 months [AS 24.45.041(b)];
I have not been previously convicted of a felony involving moral turpitude [AS 24.45.041(b)];
I am not prohibited from registering as a lobbyist by AS 24.45.121(c), (d), or (e);


13693 Lobbyist Registration Form Completed Lobbyist Signature Date: 12/24/2019 Employer Signature Date: 12/30/2019 Registration Year: 2020 Lobbying Start Date: 01/10/2020 Filer First Name: Theodore Filer Middle Name: Filer Last Name: Popely Lobbyist Information First Name: Theodore Middle Name: Last Name: Popely Business Name: Theodore W. Popely, PC Voter Registration District: 27N - Basher Permanent Mailing Address: 645 G Street 524 City, State Zip: Anchorage, Alaska 99501 Phone: 9073512210 E-mail: tedpopely@yahoo.com Fax: Legislative Mailing Address: 645 G Street 524 City, State Zip: Anchorage, Alaska 99501 Phone: E-mail: tedpopely@yahoo.com Fax: Spouse/Domestic Partner of Legislative Employee or Public Official?: No Employee / Client Information Employer: Grover Gaming Contact Person First Name: Scott Contact Person Middle Name: Contact Person Last Name: Henneman Address: 3506 NE Greenville BLVD City, State Zip: Greenville, North Carolina 27834 Phone: 4026590899 E-mail: shenneman@grovergaming.com Fax: Compensation Will you perform other services in addition to lobbying for the employer or client named on this registration? No Will you engage in Administrative Lobbying on behalf of the client/employer? Yes Will you engage in Legislative Lobbying on behalf of the client/employer? Yes What is the nature of your compensation? Contract Lobbyist: Annual Fee Amount: $75,000.00 Will you be Reimbursed for Expenses? Yes Will you receive other compensation? No Lobbying Interests Matters relating to gaming equipment and supplies Qualification or Waiver Does Not Apply Affirmation Pursuant to AS 09.63.010, by signing this document I affirm, under penalty of perjury, that: I have completed the appropriate training course administered by the Commission within the last 12 months [AS 24.45.041(b)]; I have not been previously convicted of a felony involving moral turpitude [AS 24.45.041(b)]; I am not prohibited from registering as a lobbyist by AS 24.45.121(c), (d), or (e);