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DAKOTA COMMUNICATIONS 2013 RENEWAL Date Stamp , .. City of Long Beach LOBBYIST RENEWAL FORMi INSTRUCTIONS 1. Fill out form 2. Sign and date 3. File with: Long Beach City Clerk's Office 333 W. Ocean Blvd. Long Beach, CA 90802 Tel. 562 570-6101 i O This is the Renewal Registration Report due January 15 for: Lobbyist Name: Dakota Communications/ Rick Taylor Filer ID Number: CLB12-020 Renewal for Calendar Year: 2013 Registration Fees: Persons subject to the registration requirements of this ordinance shall pay an annual fee of one hundred dollars($100.00). The applicable fee is due at the time of registration renewal. Payment will be deemed delinquent thereafter.Late Fees will be assessed on a per day basis in accordance with Long Beach Municipal Code 2.80, and the most recent Fee Schedule approved by Long Beach City Council. http://www.longbeach.2ov/finance/fees and charges/ ➢ Annual Registration Fee: $ 100.0 ➢ Late Fee Total(if applicable) $ Total submitted $ 100.00 Payment Method: 0 Cash 0 Check No: 22283 'i Verification of Person Responsible for Report Preparation: Print Name: Rick Taylor Title: Partner Address: I have used all reasonable diligence in preparing this report. I have Date: 1/16/13 Signature: City of Long Beach Lobbyist Renewal Report Form—10/2012 Page 1 of 1