DIANE_RIPLEY_2014-Termination Date Stamp
City of Long Beach RECEIVED
CITY CL"-'-RK
DECLARATION OF TERMINATION L 07 i IG F ,k.r,t H� C b,
14
JAN I P oa,w d,Forr '+
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
C9) Lobbyist termination declaration for: Diane Ripley 1 CLB-11-017
(Lobbyist Name) (Filer ID number)
Covering dates from: July 1, 2013 to: December 31, 2013
Section 1 Information About All Filers
(ALL LOBBYISTS MUST COMPLETE SECTION ONE)
PART A. Filer Information:
Name of Filer: Diane Ripley
Business Address:
Business Fax Number:
Description of the Nature of your Business or Organization: Public Relations
PART B. Verification of Person Responsible for Report Preparation:
Print Name: Diane Ripley
Title: Owner
Address: same
Daytime Telephone Number: Same
I have used all reasonable diligence in preparing this
Date: Tuesday, January 14, 20 signature:
City of Long Beach Lobbyist Registration Report Form—c1b,cc.1byterm Revised 10/2012 Page 1 of 2
City sof Long Beach
DECLARATION OF TERMINATION
Section 2 - Client Termination Information
E
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
NIA NIA N/A N/A N/A
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Filer name Diane Ripley Filer ID Number CL13-11-017 Date Tuesday, January I
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City of Long Beach Lobbyist Registration Report Form—clb.cc.lby-term Revised 10/2012 Page 2 of 2