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Indiana Lobby Registration Commission
10 W Market St, Ste 1760
Indianapolis, Indiana 46204
Phone: (317) 232-9860
Fax: (317) 233-0077
Confirmation number: 101834
Type of Statement : Original
Reporting Period & Year : 2nd period 2012
(May 1st 2012 to October 31st, 2012)
Terminate Registered Lobbyist Status : 
Reporting as :  compensated

REPORT OF LOBBYIST ACTIVITY

Questions? Read Indiana Code 2-7-3-1 through 2-7-3-5 or call the Commission office at (317) 232-9860.

Registered lobbyist are required by law either to file activity report twice year or to terminate their registrations. Lobbyists filing activity reports after the deadlines of May 31, 2012 and November 30, 2012, will be charged a late fee of $100 per day, per report, not to exceed $4,500 per report. Mailed reports are considered filed on the date of the canceled postmark.

NOTE: A lobbyist who both receives compensation for lobbying and who also compensates another person to lobby shall only file a separate activity report for each person whom he receives payment for lobbying.

  Section A - Registrant Information
1. Full Legal Name of Lobbyist:
Kiely, Patrick J
2. Preferred mailing address:
business
3. Complete residence address and phone number:
9134 Bay Port Circle

Indianapolis IN 46236
(317)823-1968
4. Complete business address and phone number:
2400 One American Square
Box 82012
Indianapolis IN 46282-0013
(317)632-2474
5. Full name, title and phone number of person completing this report:
Jenny Knoebel
Executive Assistant
(317)713-5916
6. List the persons responsible for the activities of the registrant:
Name Title Address/Phone Number
7. Describe any changes in names, addresses, telephone numbers or other information provided by the registrant on the registration form for the current year:
  Section B - Employer/Client of the Registrant (only a compensated lobbyist completes this section)
1. Name of client:
Indiana Manufacturers Association
2. Complete business address:
One American Square
Suite 2400, Box 82012
Indianapolis IN 46282
3. Business phone number:
3176322474
4. Type of business:
Trade Association
  Section C - Lobbying Expenditures
Pursuant to IC 2-7-3-1, a compensated lobbyist shall file a seperate activity report relating to each person from whom he receives payment for lobbying. Employer lobbyists shall file one activity report. However, a lobbyist who both receives compensation for lobbying and also compensates another to lobby shall only file separate activity reports for each person from whom he receives payment for lobbying.
  1st Reporting Period Value 2nd Reporting Period Value Total Value (both reporting periods)
1. Total compensation paid to employees and contract lobbyists for performing lobbying services:
(For compensated lobbyist & independent lobbyist, the Lobbyist Handbook contains instructions for Line 1.)
0.00  0.00  0.00 
2. Total reimbursement to others who perform lobbying services: 0.00  0.00  0.00 
3. Receptions, except expenses reported on Line 6 or 7: 0.00  0.00  0.00 
4. Entertainment, including meals, but excluding expenses reported on Line 6 or 7: 0.00  0.00  0.00 
5. Gifts to legislative persons, except gifts reported on Line 7: 0.00  0.00  0.00 
6. Expenditures made for a function or activity to which all members of a legislative body are invited: 0.00  0.00  0.00 
7. Total entertainment expenditures and gifts reported in Section E: 0.00  0.00  0.00 
8. Registration and late fees: 0.00  0.00  0.00 
9. All other expenditures made for lobbying that have not been reported on other lines: 0.00  0.00  0.00 
10. Total lobbying expenditures (add lines 1 through 9): 0.00  0.00  0.00 
11. If reporting only as a compensated lobbyist, or as both a compensated and an employer lobbyist, you may subtract all of line 10, except for expenses incurred to lobby on your own behalf or expenses that were not attributed to any client: 0.00  0.00  0.00 
12. NET FIGURE (subtract line 11 from line 10)" 0.00  0.00  0.00 
  Section D - Affidavit of Non Legislative Income
List the names of each member of the general assembly from whom the lobbyist has received an affidavit required under IC 2-2.1-3-3.5.
  Section E - Certain Entertainment Expenses and Gifts
Report entertainment expenses, including meals and gifts, that benefit a specific legislative person and that total more than $50 in one day or more than $250 during the reporting year.
Name of legislative person Identify the transaction 1st Reporting Period Value 2nd Reporting Period Value
  Section F - Lobbying Interests

Please identify the topics you anticipate will be associated with your lobbying efforts. Check all the appropriate boxes and write down additional topics and specific legislation:

Accounting Advertising Agriculture
AIDS Alcoholic Beverages Arts
Aviation Banking Budget
Business Casino Gaming Children's Issues
Civil Justice Commerce Community
Construction Consumer County Government
Courts Crime Victim Assistance Criminal Justice
Disabled Domestic Violence Economic Development
Education Elderly Energy
Engineering Environment Finance
Fire Fighters Gaming Health Care
Historic Preservation Homeless Hospitals
Housing Human Services Industry
Infrastructure Insurance Judiciary
Labor Law Enforcement Legislative Ethics
Licensure Local Government Managed Care
Medicaid/Medicare Medical Records Mental Health
Motor Vehicles Municipalities Natural Resources
Nursing Homes Other Pari-Mutuel
Pension Funds Pharmaceuticals Physical Fitness
Prevention of Child Abuse Property Tax Public Safety
Railroad Real Estate Regulation
Reproductive Rights Retail Riverboat Gambling
Safety Salaries State Government
Taxation Teachers Technology
Telecommunications Tobacco Transportation
Utilities Wagering Waste Management
Welfare Women's Issues Workers' Compensation

Description:
Specific Legislation:
  Section G - Sworn Statement

PLEASE NOTE: This activity report must include an electronic signature of the registrant, or when the registrant is an Employer Lobbyist, the signature of one of the persons listed in SECTION C of the Employer Registration as the responsible party, as described in the Memorandum of Understanding submitted by the registrant and approved by the Commission.


I understand the law requires lobbyists to obtain and preserve all documents necessary to substantiate their activity reports for four (4) years from the date of filing, and that lobbyists are required to make these materials available for inspection upon the request of the Indiana Lobby Registration Commission.

I swear, under penalties for perjury, that the answers and statements provided in this activity report were made by me and that these answers and statements are true and complete to the best of my knowledge and belief.

Name:  Patrick Kiely    Title: President



Date: November 26, 2012