Lobbyist_2018_R_Michael Recupero Date Stamp
City of Long Beach
DECLARATION OF TERMINATION
Download Form
INSTRUCTIONS
1. Fill out form
2. Sign and date
3. Mail to: Long Beach City Clerk's Office
333 W. Ocean Blvd.
Long Beach, CA 90802
Tel. (562) 570-6101
O Lobbyist termination declaration for: Michael Recupero /
(Lobbyist Name) (Filer ID number)
Covering dates from: 8/1/2017 to: 1/10/2018
Section 1- Information About All Filers
(ALL LOBBYISTS MUST COMPLETE SECTION ONE)
PART A. Her Information:
Name of Filer: Michael Recupero
Business Address:
Description of the Nature of your Business or Organization: Governmental relations.
PART B. Verification of Person Responsible for Report Preparation:
Print Name: Michael Recupero
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: 1/10/2018 Signature:
City of Long Beach Lobbyist Registration Report Form—clb.cc.lbyterm Revised 10/2012 Pagel of 2