RICHARD MONTGOMERY_2013 TERMINATION Date Stamp
° City of Long Beach
DECLARATION OF TERMINATION
MAN� + AN 1 5 Atli: Ao*v-tload Form
INSTRUCTIONS
1. Fill out form
2. Sign and date
3. Mail to: Long Beach City Clerk's Office
333 W. Ocean Blvd.
Long Beach, CA 90802
Tel. (562)570-6101
O Lobbyist termination declaration for: Richard Montgomery / CLB11-016
(Lobbyist Name) (Filer ID number)
Covering dates from: January 15, 2013 to: January 14, 2014
Section 1- Information About All Filers
(ALL LOBBYISTS MUST COMPLETE SECTION ONE)
PART A. Filer Information:
Name of Filer: Richard Montgomery
Business Address:
Description of the Nature of your Business or Organization: Government Affairs
PART B. Verification of Person Responsible for Report Preparation:
Print Name: Richard Montgomery
Title: Principal
Address:
I have used all reasonable diligence in preparing this
City of Long Beach Lobbyist Registration Report Form—c1b.cc.1byterm Revised 10/2012 Page 1 of 2
4 City of Log Beach
t
DECLARATION OF TERMINATION
Section 2 - Client Termination Information
All Declarations of Termination must list all client lobbying activities that occurred between the end of the last semi-annual reporting eriod and the date of the termination.
Nature of City
Client Name Client Address "telephone Number Business Official/Employee
Contacted
United Independent Taxi Drivers taxi i Shuttle services i Erik Sund
Filer name:
Richard Montgomery Filer ID Number CLB11-016 Date 1/13/2013
City of Long Beach Lobbyist Registration-Report Form—clb.cc.lbyterm Revised 10/2012 Page 2 of 2