2014-rGwenButterfield Date Stamp
City of Long Beach 'E C EI
CITY fl, ti
LOBBYIST RENEWAL FORM
14 JAS
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
U This is the Renewal Registration Report due January 1.5 for:
Lobbyist Name: Gwen Butterfield
Filer ID Number: 11-011
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.
httl2://www.longbeach.gov/flnance/fees and charges/
➢ Annual Registration Fee: $ 100.00
➢ Late Fee Total(if applicable) $ 0
➢ Total submitted $ 100.00
Payment Method: El Cash Check No: 5988
Verification of Person Responsible for Report Preparation:
Print Name: Louis G. Baglietto
Title: Partner
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.
Date: / Signature: -
of 1