DAKOTA_COMMUNICATIONS_2013-2 Date Stamp
City of Long Beach &� r,
LOBBYIST SEMI-ANNUAL REPORT '
14 JAN IS PM 1: 4
INSTRUCTIONS
1. Fill out form
2. Sign and date
3. File with the City Clerk by due date with payment enclosed, along with any applicable late fees.
Long Beach City Clerk's Office
333 W. Ocean Blvd.
Long Beach, CA 90802
Tel. 562 570-6101
7 t
❑ This is the semi-annual report for
(LobbyistName) ' (Filer ID number)
Due on: (❑ July 15 January 15)
❑ This is an amendment of the report filed on
Section I- 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)cavy out
lobbying on its behalf, in an aggregate amount of fifty (50)hours 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—clb.cc.lbysemi-annual 11/28/2011 Page 1 of 5
City of Long Beach
,��? LOBBYIST SEMI-ANNUAL REPORT
PART B. Eegistradon Update&Fees Due:
Each registrant shall also pay$25.00 per client for whom lobbying is undertaken for compensation in excess of
$500.00.
List new clients(clients that have not been previously reported):
e
Number of new clients registered:
f�
Client Registration total:
Make checks payable to "City of Long Beach".
PART C. Verification of Person Responsible for Report Preparation:
Print Name:
Title:
Address:
Daytime Telephone Nlumber:
Email:
I have used all reasonable diligence in preparing this report. I have reviewed all the sections and to the best of my
knowle(Ige the informalion contained herein is true and complete.
I certify under ItY n("perjury under the laws
ID number
City of Long Beach Lobbyist Semi-Annual Report Form—clb.ce.lbysemi-amival 11/28/2011 Page 2 of 5
City of Long Beach
LOBBYIST SEMI-ANNUAL REPORT
Section 2 - Client Information—
• List all clients(old and nel,l).for whom lobbying activity occurred during this reporting period.
Client Name CliontAddress Telephone Nature of City Official or Item(s)of legislative or Name(s)of each person
Number Business Employee administrative action the employed or retained by
Contacted lobbyist is seeking to the lobbyist that lobbied
influence on behalf of the on behalf of client:
client:
Filer name: Filer ID number Date
City of Long Beach Lobbyist Semi-Annual ReportFonn—clb.ce,lbysemi-animal 11/28/2011 Page 3 of5
City of Long Beach
4� LOBBYIST SEMI-ANNUAL REPORT
Section 3 — Business or Organization Lobbyist Client Information
Name of person items of municipal, legislative or administrative action sought City Official or Employee
conducting lobbying to influence Contacted
activities
Filer name: Filer ID number Date
City of Long Beach Lobbyist Semi-Annual Report Porus—cIbxdbysemi-annual 11/28/2011 Page 4 of 5
City of Long Beach
ti
`sye4,, LOBBYIST SEMI—ANNUAL REPORT
Section 4- Expenditure Lobbyists
List ifems of immieipal, legislative,or administrative action the lobbyist is seeking to influence:
Her nime: Filer ID number Date
City of Long Beach Lobbyist Semi-Annual ReportForm—clb.ce.lbysemi-annual 11/28/2011 Page 5 of 5