Name:	Association of Urban ADAMHS Boards
Real Party In Interest:
Type of industry:	Local Governmental Entity
Address:	447 East Broad Street
Address 2:
City:	Columbus
State:	OH
Zip Code:	43215
Contact Person:	David Royer
Phone:	614-224-1057
E-Mail:	droyer@adamhfranklin.org

III. Brief description of the type of legislation to which the Legislative Agent's engagement relates:
Legislative activities related to issues impacting mental health and addiction services in Ohio.
IV. Categorical listing of principal business or activity of Employer:
-County/Local Government
-Medical/Hospital/Health Care
-Social Svc/Human Svc
-Trade Association
V. I am a state employee/officer registering on behalf of my public agency, other than an institution of higher education:
NOT CHECKED