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Lobbyist_2015-rKenSpiker
Date Stamp City of Long Beach {$" t = „ r LOBBYIST RENEWAL FORM d" JAS! 1! e �inr 1FoOd rm 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 © 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: 2015 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. htti)://w)vw.lonl4beacii.14oN,/finance/fees and charges/ Annual Registration Fee: $ 100.00 Late Fee Total(if applicable) $ ➢ Total submitted $ 100 Payment Method: ® Cash Check No: Verification of Person Responsible for Report Preparation: Print Name: Greg Spiker Title: President & 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 fore oing is true and correct, ' Date: 1-7-15 Signature: City of Long Beach Lobbyist Renewal Report Form—10/2012 Page I of 1