Lobbyist_2016_R&S1_Stefan Borst-Censullo_011516 Date Stamp
City of Long Beach E�;EY Ela
CITY CLERK
LOBBYIST RENEWAL FORM LOFeG CE'CH- "t'
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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: Stefan Borst-Censullo
Filer ID Number: 15-031
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.longbeach.2ov/finance/fees and chary-es/
Annual Registration Fee: $ 100.00
➢ Late Fee Total(if applicable) $
➢ Total submitted $
Payment Method: ✓❑ Cash ❑ Check No:
Verification of Person Responsible for Report Preparation:
Print Name: Stefan Borst-Censullo
Title: Lead Attorney
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 true and correct.
1/15/2016
Date: Signature:
City of Long Beach Lobbyist Renewal Report Form— 10/2012 Page 1 of 1
Date Stamp
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LOBBYIST SEMI-ANNUAL REPORT Dovirilbar5 Ph 3. 0r
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
Stefan Borst-Censullo
This is the semi-annual report for:
(Lobbyist Name)
15-031
✓ Filer Identification Number:
(Filer ID number)
✓ Report Due on: 0 July 15 January 15
0 This is an amendment of the report filed on:
Section 1- Information About All Filers
(ALL LOBBYISTS MUST COMPLETE SECTION ONE)
PART A. 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 if those 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(S5,000) 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(55,000)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 Long Beach Lobbyist Scmi-Annual Report Form—10/2012 Page 1 of 5
2
City of Long Beach
LOBBYIST SEMI-ANNUAL REPORT
PART B. Registration Update& Fees Due:
✓ Always review current Fee Schedule at:http://www.longbeach.gov/finance/fees_and_charges/
Each registrant shall also pay$25.50 per client for whom lobbying is undertaken for compensation in excess of
$500.00.
List new clients(clients that have not been previously reported):
Number of new clients registered: D Client Registration total fees: $ 100
Make checks payable to: City of Long Beach.
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PART C. Verification of Person Responsible for Report Preparation:
Print Name:
Title:
Address, City, State,Zip:
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.
1/15/2016 15-031
Date: Signature: Filer ID No.:
City of Long Beach Lobbyist Semi-Annual Report Form—10/2012 Page 2 of 5
- .
City of Long Beach
LOBBYIST SEMI-ANNUAL REPORT
Section 2 - Client Information —
✓ List all clients(old and nen)for whom lobbying activity occurred during this reporting period
Items)of legislative or Name(s)of each
Telephone Nature of City Official or administrative action the person employed or
Client Name Client Address Number Business Employee lobbyist is seeking to retained by the
Contacted influence on behalf of lobbyist that lobbied
the client: on behalf of client:
Happy Cousins
Alan Gafford, medical cannabis
John Edmond,
Celina Luna,
Johnathan
Kraus,
Rex
Richardson,
Mark Taylor
Stefan Borst-Censullo 15-031 1/15/2016
Filer name: Filer ID No. Date
City of Long Beach Lobbyist Semi-Annual Report Form-10/2012 Page 3 of 5
ilw
City of Long Beach
0 LOBBYIST SEMI-ANNUAL REPORT
Section 3 — Business or Organization Lobbyist Client Information
Name of person conducting Items of municipal,legislative or administrative action sought to influence City Official or Employee Contacted
lobbying activities
Filer name:
Stefan Borst-Censullo 15-031 1/15/2016
Filer ID No. Date
City of Long Beach Lobbyist Semi-Annual Report Form—10/2012 Page 4 of 5
City of Long Beach
LOBBYIST SEMI-ANNUAL REPORT
Section 4- Expenditure Lobbyists
List items of municipal,legislative,or administrative action the lobbyist is seeking to influence:
Filer name:
Stefan Borst-Censullo 15-031 1/15/2016
Filer ID No. Date
City of Long Beach Lobbyist Semi-Annual Report Form—10/2012 Page 5 of 5
Em
Name of Filer STEFAN BORST-CENSULLO Filer ID CIF,
LB 15-032k
Lobbyist Type Contract Lobbyist Initial Filing Date 9/24/2015
i
City of Long Beach-Lobbyist Summary Data Form