Lobbyist_2015-ifStefanBorst-Censullo 09252015 Date Stamp
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City
x tyLOBBYIST INITIAL 1 T TI T
First-tithe Filers
Download Form
INSTRUCTIONS
1„ Fill out for
2. Sign and date
3. File it Long Beach City Clerk's Office
333 W. Ocean Blvd.
ZZ Om
Long Beach, CA 90802
1. (562) 570-6101
Stefan Borst-Ce`This i the initial registration istr o report for:
n ulln
(Lobbyist lame)
F
This is an amendment to the initial report filed on:
Filer Identification Number will be assigned by City Clea office after Initialfegistration is fttetl
Sectiono Filers
(ALL.LOBBYISTS MUST COMPLETE SECTION ONE)
PART Ie 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)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 ifthose 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 Lang Teach Lobbyist Initial Registration Report Form—1012012 Mage 1 of
City of Long Beach
LOBBYIST
.I REGISTRATION
PART I1. Filer Information:
Stefan ort,-Censullo
Name of Filer:
Business Address:
Business Fax Number
Description of the Nature of your Business or Organization
Medical Crinis
PART 111. FeesDue:
V Always review current Fee Schedule at.
Initial Registration Fee is$100.00($51.04 if registered on or after June 6) 1
Registration total:
Each registrant shall pay S25.50/client 25.50
For whom lobbying is undertaken for compensation in excess of$500.00. Tient total:
Total Registration Fee(Initial fee+Client fee): $ 76.50
alie checks payable to:
PART . Verification of Person Responsible for Report Preparation:
Print Name: —( 5 C
40
Title '
_�
Daytime Telephone Number: .�-
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:
City of Long Beach Lobbyist Initial Registration Report Form—10/2012 Page 2;of 5
City of Long Beach
LOBBYIST I IT I L REGISTRATION REPORT
Section Information
V List all clients(old and new) for whom lobbying activity occurred during this reporting period.
�e Item{s}of legislative or Pia e(s)of each
Client Telephone Nature of Clients City Official administrative action the person employed or
Name Number Business Client Address or Employee lobbyist Is seeking to retained by the lobbyist
Contacted influence on behalf of the that lobbied on behalf
client of client
Happy
Gonzalez,Suja present ban on the
Lowenthal, medical cannabis indusrt
9 c
f
i r4
i
Stefan orst® en ul'le
Filer name: Filer ID number. Date:
City of Lang Beach Lobbyist Initial Registration Report Form—1291'7/2010 Page 3 of