SAMPLE AUTHORIZATION LETTER

Re: Authorization

I hereby certify that I, NAME, am the Principal Officer of COMPANY XYZ, INC, and that I am

duly authorized to execute and deliver this Authorization. I hereby authorize and designate the following

employee(s) to lobby on behalf of COMPANY XYZ, INC. effective DATE, before all officials, bodies

and instrumentalities of the City of New York during calendar year YEAR:

1. EMPLOYEE NAME

2. EMPLOYEE NAME

3. EMPLOYEE NAME

________________________

NAME

PRINCIPAL OFFICER

COMPANY XYZ, INC.