2014-rLouisBagliettto Date Stamp
City of Long Beach
R 'EI Y�D
LOBBYIST RENEWAL FORM C!-`'k a
14 JAN j {� o ba �arrrr
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: Lou Baglietto
Filer ID Number: 11-012
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.
http://www.lonebeach.i!ov/rinance/fees apd char es/
➢ Annual Registration Fee: $ 100.00
➢ Late Fee Total(if applicable) $ 0
➢ Total submitted 100.00
Payment Method: n 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
)
City of Long Beach Lobbyist Renewal Report Form—10/2012 Page 1 of 1