Lobbyist_2016_R_Ken Spiker and Associates, Inc_012016 Date Stamp
City of Long Beach RECEIVED
LOBBYIST RENEWAL FORMCITY CLERK
i 0T44, 13-ACHE CA
16 JAN 261 '!I!! '!1°r' ""
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: Ken Spiker And Associates, Inc.
Filer ID Number: 10-004
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://www.lonpbeach.eov/finance/fees and charges/
➢ Annual Registration Fee: $ 100.00
➢ Late Fee Total(if applicable) $
➢ Total submitted $
Payment Method: ❑ Cash El Check No: 131
Verification of Person Responsible for Report Preparation:
Print Name: Greg Spiker
Title: President
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 foregoing is true and correct.
Date: January 20, 2016 Signature:
City of Long Beach Lobbyist Renewal Report Form—10/2012 Page 1 of 1