OFFICE OF THE SECRETARY OF STATE, C.Delbert Hosemann, Jr. Lobbyist's Client Annual Report FORM C

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Lobbying Form Library "R" - Registration Empower MS Logged in by / Date "E" - Mid Session 01-25-2018 "E" - End-of-Session "A" - Lobbyist Annual Report Lobbying Year 2017 "C" - Client Annual Report Follow directions for extensions Lobbying Beginning Begin: (No Earlier - Jan. 1) 01-01-2017 Lobbying Ending End: (1) Lobbyists who register on or before February 25th must file a Mid-Session "E" and End-of-Session "E". (No Later - Dec. 31st) 12-31-2017 (2) Lobbyists who register from February, 26th, through sine die must file an End-of-Session "E". (3) All Lobbyists must file an "A", Lobbyist's Annual Report, and all clients must file a "C". File Number # LC20180281

SECTION A. Identification 1. Lobbyist's Client (Full Name) Empower MS 2. Physical Address (required) City (or County) State Zip 741 Avignon Drive STE C Ridgeland MS 39157 3. Mailing Address City (or County) State Zip 741 Avignon Drive STE C Ridgeland MS 39157 4. Permanent Phone # E-mail Fax [email protected] 5. Cycle Year 6. Type of Report 2017 Form C Section B: Administrative Operation Costs 7. List below the names of all LOBBYISTS registered by you during this 8. Total compensation for all Lobbyists calendar year and total compensation for each lobbyist. if activity as identified in Item 7-B. $8,550.00 terminated before December 31, indicate the termination date. Lobbyist Name Certificate No. Early Term. Date Compensation 9. Reimbursement(s) to Lobbyists Grant Callen L20170154 Dec 31, 2017 $6,300.00 $0.00 Elyse Marcellino L20170646 Dec 31, 2017 $2,250.00 10. Overhead 7-B Total: $8,550.00 $0.00

11. Direct Payments $0.00 12. Lobbying Expenses $0.00

13. Urging Others to communicate (advertising, direct mail, etc.) $0.00

14. TOTAL (8-13) $8,550.00

SECTION C: Payments to Public Officials / Employees Disclose amount of compensation for each category. 16. Gifts, loans, honorariums, 15. Food or Beverages, Travel, Lodging, and 19. TOTAL, SECTION C Entertainment. This does NOT include Any other thing of value Receptions -See Section D for Receptions. $0.00 $0.00 $0.00 SECTION D: Itemized Expenditure and Receptions Recipient Recipient's Office Title Date Place Provider Description Value/Cost Sillers Building, Cory Wilson Representative Nov 13, 2017 Governor's confrence Empower MS lunch from Newks $15.00 room Sillers Building, lunch from Sal & Gray Tollison Senator Nov 09, 2017 Governor's confrence Empower MS $20.00 Mookies Pizza room Sillers Building, lunch from Sal & Nicky Branning Senator Nov 09, 2017 Governor's confrence Empower MS $20.00 Mookies Pizza room Gary Jackson Senator Nov 14, 2017 Bol Empower MS $1.77 Sillers Building, lunch from Mcalisters Gary Jackson Senator Nov 14, 2017 Governor's confrence Empower MS $11.00 Deli room Sillers Building, William Denny Representative Nov 13, 2017 Governor's confrence Empower MS Lunch from Newks $13.00 room dinner at Tico's Steak Charles Busby Representative Sep 18, 2018 Tico's Steak House Empower MS $122.54 House dinner at Tico's Steak Representative Nov 02, 2017 Tico's Steak House Empower MS $109.31 House dinner at Tico's Steak Representative Sep 18, 2018 Tico's Steak House Empower MS $122.54 House breakfast at Cracker Deborah Dixon Representative Nov 28, 2017 Cracker Barrel Empower MS $10.78 Barrel Sillers Building, lunch from Mcalisters Representative Oct 24, 2017 Governor's confrence Empower MS $15.00 Deli room Sillers Building, Lunch from Broad Mark Baker Representative Oct 26, 2017 Governor's confrence Empower MS $15.00 Street Baking Co room Sillers Building, Jim Beckett Representative Nov 14, 2017 Governor's confrence Empower MS Lunch from Newks $13.00 room Bob's Steak & Chop dinner at Bob's Steak & Representative Nov 29, 2017 Empower MS $66.50 Nashville Chop in Nashville, TN Sillers Building, Mac Hudleston Representative Nov 13, 2017 Governor's confrence Empower MS Lunch from Newks $13.00 room Bob's Steak & Chop dinner at Bob's Steak & Stacy Wilkes Representative Nov 29, 2017 Empower MS $66.50 Nashville Chop in Nashville, TN Bob's Steak & Chop dinner at Bob's Steak & Steve Hopkins Representative Nov 29, 2017 Empower MS $66.50 Nashville Chop in Nashville, TN Sillers Building, lunch from Sal & Chad McMahan Senator Nov 09, 2017 Governor's confrence Empower MS $20.00 Mookies Pizza room dinner at Tico's Steak Representative Sep 18, 2018 Tico's Steak House Empower MS $122.54 House Sillers Building, lunch from Mcalisters Lydia Chassaniol Senator Nov 14, 2017 Governor's confrence Empower MS $11.00 Deli room Sillers Building, Roun McNeal Representative Nov 13, 2017 Governor's confrence Empower MS Lunch from Newks $13.00 room Sillers Building, Noah Sanford Representative Nov 13, 2017 Governor's confrence Empower MS Lunch from Newks $13.00 room dinner at Tico's Steak John Moore Representative Nov 02, 2017 Tico's Steak House Empower MS $109.31 House dinner at Tico's Steak Brad Touchstone Representative Nov 02, 2017 Tico's Steak House Empower MS $109.31 House dinner at Tico's Steak Representative Sep 18, 2018 Tico's Steak House Empower MS $122.54 House dinner at Tico's Steak Representative Nov 02, 2017 Tico's Steak House Empower MS $109.31 House Sillers Building, Lunch from Broad Donnie Scoggins Representative Oct 26, 2017 Governor's confrence Empower MS $15.00 Street Baking Co room Sillers Building, lunch from Mcalisters Gray Tollison Senator Nov 14, 2017 Governor's confrence Empower MS $11.00 Deli room Sillers Building, Lunch from Broad John Moore Representative Oct 26, 2017 Governor's confrence Empower MS $15.00 Street Baking Co room Sillers Building, Ray Rogers Representative Nov 13, 2017 Governor's confrence Empower MS Lunch from Newks $13.00 room Sillers Building, Lunch from Broad John Corley Representative Oct 26, 2017 Governor's confrence Empower MS $15.00 Street Baking Co room Sillers Building, Shane Aguirre Representative Nov 13, 2017 Governor's confrence Empower MS Lunch from Newks $13.00 room Public Service dinner at Tico's Steak Sep 18, 2018 Tico's Steak House Empower MS $122.54 Commissioner House dinner at Tico's Steak Randy Boyd Representative Sep 18, 2018 Tico's Steak House Empower MS $122.54 House Sillers Building, Andy Gipson Representative Nov 13, 2017 Governor's confrence Empower MS lunch from Newks $15.00 room Sillers Building, Ashley Henley Representative Nov 13, 2017 Governor's confrence Empower MS Lunch from Newks $13.00 room Gray Tollison Senator Oct 30, 2017 Boure Empower MS lunch at Boure $24.21 Sillers Building, Lunch from Broad Trey Lamar Representative Oct 26, 2017 Governor's confrence Empower MS $15.00 Street Baking Co room dinner at Tico's Steak Representative Sep 18, 2018 Tico's Steak House Empower MS $122.54 House lunch at Soul Shine Cory Wilson Representative Sep 18, 2017 Soulshine Pizza Factory Empower MS $17.58 Pizza Factory Bob's Steak & Chop dinner at Bob's Steak & Jeff Guice Representative Nov 29, 2017 Empower MS $66.50 Nashville Chop in Nashville, TN Sillers Building, Lunch from Broad Brad Touchstone Representative Oct 26, 2017 Governor's confrence Empower MS $15.00 Street Baking Co room dinner at Tico's Steak John Moore Representative Sep 18, 2018 Tico's Steak House Empower MS $122.54 House Sillers Building, Lunch from Broad Representative Oct 26, 2017 Governor's confrence Empower MS $15.00 Street Baking Co room dinner at Tico's Steak Jeff Guice Representative Nov 02, 2017 Tico's Steak House Empower MS $109.31 House Sillers Building, Representative Nov 13, 2017 Governor's confrence Empower MS lunch from Newks $15.00 room Sillers Building, lunch from Mcalisters Representative Oct 24, 2017 Governor's confrence Empower MS $15.00 Deli room Sillers Building, lunch from Mcalisters Chris Massey Senator Nov 14, 2017 Governor's confrence Empower MS $11.00 Deli room Sillers Building, lunch from Mcalisters John Moore Representative Oct 24, 2017 Governor's confrence Empower MS $15.00 Deli room Sillers Building, Dana Criswell Representative Nov 13, 2017 Governor's confrence Empower MS lunch from Newks $15.00 room Sillers Building, John Moore Representative Nov 13, 2017 Governor's confrence Empower MS Lunch from Newks $13.00 room Sillers Building, lunch from Sal & Philip Moran Senator Nov 09, 2017 Governor's confrence Empower MS $20.00 Mookies Pizza room dinner at Tico's Steak Stacy Wilkes Representative Nov 02, 2017 Tico's Steak House Empower MS $109.31 House Sillers Building, lunch from Sal & Sally Doty Senator Nov 09, 2017 Governor's confrence Empower MS $20.00 Mookies Pizza room Sillers Building, lunch from Mcalisters Representative Oct 24, 2017 Governor's confrence Empower MS $15.00 Deli room Sillers Building, Representative Nov 13, 2017 Governor's confrence Empower MS Lunch from Newks $13.00 room breakfast at Broad John Moore Representative Aug 11, 2017 Broad Steet Baking Co. Empower MS $9.81 Street Baking Co. Sillers Building, Representative Nov 13, 2017 Governor's confrence Empower MS Lunch from Newks $13.00 room Sillers Building, John Moore Representative Nov 13, 2017 Governor's confrence Empower MS lunch from Newks $15.00 room Bob's Steak & Chop dinner at Bob's Steak & Larry Byrd Representative Nov 29, 2017 Empower MS $66.50 Nashville Chop in Nashville, TN dinner at Tico's Steak Representative Nov 02, 2017 Tico's Steak House Empower MS $109.31 House Sillers Building, lunch from Mcalisters Josh Harkins Senator Nov 14, 2017 Governor's confrence Empower MS $11.00 Deli room Sillers Building, Lunch from Broad Hank Zuber Representative Oct 26, 2017 Governor's confrence Empower MS $15.00 Street Baking Co room Sillers Building, lunch from Mcalisters Tracy Arnold Representative Oct 24, 2017 Governor's confrence Empower MS $15.00 Deli room lunch at Martin's BBQ Juan Barnett Senator Nov 29, 2017 Martin's BBQ Joint Empower MS $15.00 Joint Sillers Building, lunch from Mcalisters Representative Oct 24, 2017 Governor's confrence Empower MS $15.00 Deli room Sillers Building, Representative Nov 13, 2017 Governor's confrence Empower MS lunch from Newks $15.00 room Sillers Building, lunch from Sal & Kevin Blackwell Senator Nov 09, 2017 Governor's confrence Empower MS $20.00 Mookies Pizza room Sillers Building, lunch from Sal & Angela Hill Senator Nov 09, 2017 Governor's confrence Empower MS $20.00 Mookies Pizza room TOTAL, this page: $2,795.14

29. Itemize information for all receptions as defined in §5-8-11 (7) (a), Miss. Code Ann. (1972). Date Place/Location Est. No. Public Officials Est. Total Attendance Total Reception Cost Total, Reception Costs $0.00 Lobbyist's Client Signature I certify that the above information is true and correct, according to my knowledge, information and belief.

Print name here Grant Callen Signature Grant Callen Date Jan 26, 2018

. PENALTY NOTIFICATION: Miss. Code Ann. §5-8-21 (1972)provides that a conviction for violation of the lobbying law, for the first offense, carries a penalty of a maximum of six (6) months in jail and a fine of One Thousand Dollars ($1,000); and for subsequent offenses a maximum of three (3) years in the penitentiary and a fine of Five Thousand Dollars ($5,000).