Name:	Beacon Information Design LLC
Real Party In Interest:
Type of industry:	consulting
Address:	7326 East Evans Road
Address 2:	Suite B
City:	Scottsdale
State:	AZ
Zip Code:	85260
Contact Person:	Tamara Dietrich
Phone:	480-248-7480
E-Mail:	tdietrich@beacon-id.com

III. Brief description of the type of legislation to which the Legislative Agent's engagement relates:
Legislation which would have an impact on the interests of the employer
IV. Categorical listing of principal business or activity of Employer:
-Medical/Hospital/Health Care
V. I am a state employee/officer registering on behalf of my public agency, other than an institution of higher education:
NOT CHECKED