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2012-2PoliticalConsultingMgnt Date Stamp City of Long Beach LOBBYIST SEMI-ANNUAL DEPORT Download Form 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 This is the semi-annual report for: David Carlat (Lobbyist Name) ✓ Filer Identification Number: CLB12-019 (Filer ID number) ✓ Report Due on: 0 July 1 January 1 This is an amendment of the report filed on: Section 1- Information About All Filers (ALL.LOBBYISTS MUST COMPLETE,SECTION ONE) PART A. Type of Lobbyist: Contract lobbyist:A person who engages in lobbying on behalf of one or more clients(acting individually or through agents, associates,employees or contractors)and who has received or has entered into an agreement for compensation of$3,200 or more ("threshold compensation")for engaging in lobbying during any consecutive three-month period, (Complete Sections 1 and 2.) Business or organization lobbyist: Any business or organization,whose owner(s),officers(s)or employee(s)catty out lobbying on its behalf,in an aggregate amount of fifty(50)howl or more within any three month period,whether or not such officers or employees are specifically compensated to engage in lobbying; provided that the activities of officers shall be considered lobbying only if those officers receive compensation by the business or organization beyond reimbursement for their reasonable,travel,meals or incidental expenses. (Complete Sections 1 and 3.) Expenditure lobbyist: A person who makes payments or incurs expenditures of five thousand dollars($5,000)or more during any calendar year in connection with carrying out public relations, advertising or similar activities with the intent of soliciting or urging, directly or indirectly,other persons to communicate directly with any City Official in order to attempt to influence legislative or administrative action. The five thousand dollar($5,000)threshold shall not include:(a)compensation paid to contract lobbyists or employees of lobbying; or (b)dues payments, donations,or other economic consideration paid to an organization,regardless of whether the dues payments,donations or other economic consideration are used in whole or in part to lobby. (Complete Sections 1 and 4.) City of Long Beach Lobbyist Semi-Annual Report Form—10/2012 Page 1 of 5 City of Long Beach LOBBYIST SEMI-ANNUAL REPORT PART B. Registration Update&Fees Due: ✓ Always review current Fee Schedule at:http://www.longbeach.gov/ttnance/fees and charges/ Each registrant shall also pay$25.50 per client for whom lobbying is undertaken for compensation in excess of $500.00. List new clients (clients that have not been previously reported): Number of new clients registered: 0 Client Registration total fees: $ 0.00 Make checks payable to: City of Long Beach. -----------------------------------------------__-v----------------------------—---—----------------------------d--a------------- PART C. Verification of Person Responsible for Report Preparation: p p p Print Name: David Carlat Title: President Address, City, State,Zip: I have used all reasonable diligence in preparing this report. I have reviewed all the sections and to the best of my knowledge the infonnation contained herein is true and complete. I certify under penalty of perjury larder the laws of the State of California that the foregoing is true and correct. 1 /10/1. 3 Date: Filer ID No.: , � City of Long Beach Lobbyist Semi-Annual Report Form—10/2012 Page 2 of 5 „rCity of Long Beach LOBBYIST SEMI-/ANNUAL REPORT SOCA 2 - Client Information — ✓ List all clients(old and new)for whom lobbying activity occurred during this reporting period. Item(s) of legislative or Name(s)of each Telephone Nature of City Official or administrative action the person employed or Client Name Client Address Number Business Employee lobbyist is seeking to retained by the Contacted influence on behalf of lobbyist that lobbied the client: on behalf of client: Pennbrooke Chief of Staff Lending Institution Christopher Wilson Filer name: Filer ID No. L Date 1 /10/13 City of Long Beach Lobbyist Semi-Annual Report Foran—10/2012 Page 3 of S City of Long Beach LOBBYIST SEMI-ANNUAL REPORT Section 3 — Business or Organization Lobbyist Client Information Name of person conducting Items of municipal, legislative or administrative action sought to influence City Official or Employee Contacted lobbying activities Filer name: Carlat CarFiler ID No. 1 Date t / I OL3 City of Long Beach Lobbyist Semi-Annual Report Form—10/2012 Page 4 of 5 City Long Beach LOBBYIST SEMI-ANNUAL REPORT Section - Expenditure Lobbyists List items of municipal,legislative, or administrative action the lobbyist is seeking to influence: Filer name: Carlat Filer ID No. ( Date / 0 City of Long Beach Lobbyist Semi-Annual Report Form—10/2012 Page 5 of 5