Name of Lobbying Firm (same as registration with the Clerk of the Suffolk County. Fill in the names of the parties and the Index Number.Elected officials, candidates and lobbyists must file semiannual "sworn statements" with the Board stating that no contributions have been knowingly accepted. AFTERNOON , I served the within. Sworn to before me this ______ day of. Print legibly in blue or black ink or type all information. What is your full name? 2. What is your current address? Making an apparently sworn false statement in the first degree is a class E felony.