Lobbyist Registration Form

Completed

Lobbyist Signature Date: 01/04/2016
Employer Signature Date: 01/06/2016
Registration Year: 2016
Lobbying Start Date: 01/05/2016

Filer First Name: Frank
Filer Middle Name:
Filer Last Name: Bickford

Lobbyist Information

First Name: Frank
Middle Name:
Last Name: Bickford
Business Name: Bickford Pacific Group

Voter Registration District: 26M - Huffman

Permanent Mailing Address: 208 North Franklin St.
City, State Zip: Juneau, Alaska 99801
Phone: 907-632-1268
E-mail: bpgalaska@gmail.com
Fax:

Legislative Mailing Address: 208 North Franklin St.
City, State Zip: Juneau, Alaska 99801
Phone: 9076321268
E-mail: bpgalaska@gmail.com
Fax:

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

Employee / Client Information

Employer: Dave & Buster's of Alaska, Inc.
Contact Person First Name: Jill
Contact Person Middle Name:
Contact Person Last Name: Valachovic
Address: c/o Jill Valachovic, 2481 Manana Drive
City, State Zip: Dallas, 75220
Phone: 2143579588
E-mail: jill_valachovic@daveandbusters.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: $65,000.00

Will you be Reimbursed for Expenses?
Yes

Will you receive other compensation?
No

Lobbying Interests

Restaurant, Amusement

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);