Lobbyist_2015_R_Alex Cherin (Cherin Group)_011515 City of Long Beach Date Stamp
LOBBYIST RENEWAL FORM
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INSTRUCTIONS 15-
1.
s1. Fill out form Nu/
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: Alex Cherin /The Cherin Group
Filer ID Number: C l- 1� `� ` C a- 3
Renewal for Calendar Year: 2015
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.lon2beach.gov/finance/fees and charges/
➢ Annual Registration Fee: $ 100.00
➢ Late Fee Total(if applicable) $
o �
➢ Total submitted $
Payment Method: El Cash Q Check No:
Verification of Person Responsible for Report Preparation:
Print Name: Alex Cherin
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: 1/15/2015 Signature:
City of Long Beach Lobbyist Renewal Report Form— 10/2012 Page 1 of 1