Lobbyist_2016-rManattPhelpsPhillips Date Stamp
City of Long Beach a �.�;
CIT v' CI-Er�K
LOBBYIST RENEWAL FORM G r
6 JAN -1 AM 9;04oad Form
INSTRUCTIONS .J
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: Manatt, Phelps & Phillips, LLP
Filer ID Number: 12-018
Renewal for Calendar Year: 2016
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:/hvww.lon2beach.gov/finance/fees and chariles/
➢ Annual Registration Fee: $ 100.00
➢ Late Fee Total(if applicable) $
➢ Total submitted $ 100.00
Payment Method: 0 Cash E Check No:
Verification of Person Responsible for Report Preparation:
Print Name: Randall W. Keen, Esq.
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.
1 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date: J aouaf Ui J 0[ Signature.
City of Long Beach Lobbyist Renewal Report Form— 10/2012 Page I of 1