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LOUISIANA BOARD OF ETHICS Mail: P.O.Box 4368, Baton Rouge, LA 70821 Fax: 225-381-7271 Upload: https://eap.ethics.1a.gov/FileUpload SCHEDULE A: CONTRACTS PARTIES TO CONTRACT: ❑Public Servant ❑ Legal Entity-Name: ❑ Spouse of Public Servant ❑Immediate Family Member-Name: NAME OF STATE GOVERNMENT: ADDRESS: CITY,STATE,ZIP: VALUE OF CONTRACT: TERM OF CONTRACT: PARTIES TO CONTRACT: []Public Servant ❑ Legal Entity-Name: ❑ Spouse of Public Servant ❑Immediate Family Member-Name: NAME OF STATE GOVERNMENT: ADDRESS: CITY,STATE,ZIP: VALUE OF CONTRACT: TERM OF CONTRACT: PARTIES TO CONTRACT: ❑Public Servant ❑ Legal Entity-Name: ❑ Spouse of Public Servant EJ Immediate Family Member-Name: NAME OF STATE GOVERNMENT: ADDRESS: CITY,STATE,ZIP: VALUE OF CONTRACT: TERM OF CONTRACT: PARTIES TO CONTRACT: ❑Public Servant ❑ Legal Entity-Name: ❑ Spouse of Public Servant El Immediate Family Member-Name: NAME OF STATE GOVERNMENT: ADDRESS: CITY,STATE,ZIP: VALUE OF CONTRACT: TERM OF CONTRACT: Revised December 2021 Form 411 www.ethics.1a.gov