Name:	Adoption Network Cleveland
Real Party In Interest:
Type of industry:	Adoption
Address:	4614 Prospect Ave.
Address 2:	Suite 550
City:	Cleveland
State:	OH
Zip Code:	44103
Contact Person:	Betsie Norris
Phone:	216-881-7511
E-Mail:	maridah.ahmad@adoptionnetwork.org

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