Issues Mobilization Request Form Date Dollar amount requested Board or Committee requesting funds Contact Address City, State, Zip Phone Email * Purpose of funding request: Background of issue: Position: Support Oppose Significance of the issue's affect on the real estate industry statewide or nationwide: Proposed course of action: Assess the odds of the issue passing or failing: Overall costs involved: How will the requested funds be used? How much money is your Local Board prepared to commit? How will or have these specific funds been used? What other organizations are involved in support of your position taken on this issue? Has a coalition been formed? What is your position in said coalition? Has coalition made a financial contribution? Yes No If yes, what amount? Explain how these funds will be used: List the groups/organizations that oppose your position: How well organized is the opposition? How well funded? What is the opposition's strategy and tactics? Has any staff member of the Ohio or National Association been notified or been involved? Yes No If no, please explain why: If yes, please identify staff member and explain their involvement: I will send a campaign follow-up report to the Ohio Issues Mobilization Committee within 30 days. Local Board President Local Board Executive Officer OAR Committee Chairman OIMC District Representative For more information, contact Paul Glass at 614.225.6221. Please print this form then fax it to: 614.228.2601. Spam Control