Lobbyist_2014_R_Alex Cherin (Cherin Group)_011514 Date Stamp
City of Long Beach RECEIVED
CITY CLERK
LOBBYIST RENEWAL FORM L O OG' n 7_ CH, CA
14 JAN
ownload Form i
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: The Cherin Group /Alex Cherin
Filer ID Number: !� —G a3
Renewal for Calendar Year: 2014
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://ti«vw.Ion2beach.gov/finance/fees and charges/
➢ Annual Registration Fee: $ 100.00
➢ Late Fee Total(if applicable) $
➢ Total submitted $ 100.00
Payment Method: Cash ❑ Check No:
Verification of Person Responsible for Report Preparation:
Print Name: Alex Cherin/The Cherin Group
Title: Owner
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: 1/15/2014 Signature: �--
City of Long Beach Lobbyist Renewal Report Form—10/2012 Page 1 of 1