2015- ifJimmyBlackman Date Stamp
City of Long Beach RC`E IV E D
CITY CLI-:PK
LOBBYIST INITIAL REGISTRATION REMO �rC' CIS, C ®
First-time Filers 15 AUG I I AM If-. I 6.wnload Form
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
OThis is the initial registration report for: Jimmy Blackman
(Lobbyist Name)
0 This is an amendment to the initial report filed on:
Filer Identification Number will be assigned by City Clerk office after Initial Registration is filed.
Section I- Information About All Filers
(ALL LOBBYISTS MUST COMPLETE SECTION ONE)
PART I. 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 I and 2.)
0 Business or organization lobbyist: Any business or organization,whose owner(s),officers(s)or employee(s)carry 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 I 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 I and 4.)
City of Long Beach Lobbyist Initial Registration Report Form-10/2012 Page 1 of 5
City of Long Beach
y
LOBBYIST INITIAL REGISTRATION REPORT
PART II. Filer Information:
Name of Filer: Jimmy Blackman
Business Address:
Description of the Nature of your Business or Organization: Government & Public Relations Firm
PART III. Fees Due:
✓ Always review current Fee Schedule at. http://www.longbeach.gav/finance/fees and charges!
Initial Registration Fee is $100.00($51.00 if registered on or after.Tune 30th) 51.00
Registration total: $
Each registrant shall pay$25.50/client 25.50
For whom lobbying is undertaken for compensation in excess of$500.00. Client total: $
Total Registration Fee(Initial fee+Client fee): $ 76.
Make checks payable to: / of Long Bear
PART IV. Verification of Person Responsible for Report Preparation:
Print Name: Jimmy Blackman
Title:
President
Address, City, State,Zip:
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: August 7, 2015
City of Long Beach Lobbyist Initial Registration Report Form—10/2012 Page 2 of 5
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City of Long Beach
LOBBYIST INITIAL REGISTRATION REPORT
Section 2 - Client Information —
✓ List all clients(old and new) for whom lobbying activity occurred during this reporting period.
Item(s)of legislative or Name(s)of each
Client Telephone Nature of Clients City Official administrative action the person employed or
Name Client Address Number Business or Employee lobbyist is seeking to retained by the lobbyist
Contacted influence on behalf of the that lobbied on behalf
client of client
LB Firefighters
to LB Firefighters,
Jimmy Blackman August 7, 2015
Filer name: Filer ID number: Date:
City of Long Beach Lobbyist Initial Registration Report Form—12/17/2010 Page 3 of 5