Lobbyist_2014-rKenSpiker Date Stamp
City of Long Beach R 'IyD
CITY CLERK
0t i"; 0A
. LOBBYIST RENEWAL FORM �, ��
14 JAN
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
O This is the Renewal Registration Report due January 15 for:
Lobbyist Name: Ken Spiker And Associates, Inc.
Filer ID Number: 10-004
Renewal for Calendar Year: 2014
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.
➢ Annual Registration Fee: $ 100.00
➢ Late Fee Total(if applicable)
➢ Total submitted $ 100.00
Payment Method: 0 Cash 0 Check No:
Verification of Person Responsible for Report Preparation:
Print Name: Greg Spiker
Title: President and CEO
Address:
I have used all reasonable diligence in preparing this report. I have reviewed all the sections and to the best of my
knowledge the information contained herein is true and complete.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
�
01/06/2014 Date: Signature.
City of Long Beach Lobbyist Renewal Report Form—10/2012 Page 1 of 1