Lobbyist_2019_I_Altria Client Services_102419 V i E<;
OFFICE OF THE iYSf {
1H, Ch
CITY CLERK
SERVING LONG BEACH SINCE 1897 2019 OCT
29 AM 9-' 56
For Official Use Only
LOBBYIST REGISTRATION & REPORTING FORM Page 1 of 3
Initial Registration Annual Renewal(filed annually by Jan. 15th) TerminationDate of Termination:
(See Section II)
❑Amendment To: Filed On:
Semi-Annual Period 0 1st Semi-Annual Period(January 1st-June 30th) 2nd Semi-Annual Period (July 1st-December 31st)
SECTION I
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.
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.
EXPENDITURE LOBBYIST:
A person who makes payments or incurs expenditures of five thousand dollars($5,000)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($5,000)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.
Name of Primary Contact/Filer Thomas Maddux
Title Senior Director, Local Government Affairs
E-mail Phone Number (
Name of Business/Organization Altria Client Services and Its Affiliates
Address
E-mail Phone Number (
Description of the Nature of your Business or Organization:
Tobacco
Updated 9/25/2019 LOBBYIST REGISTRATION&REPORTING FORM
i
City Clerk of Long Beach
LOBBYIST REGISTRATION & REPORTING FORM
Page 2 of s
SECTION II
d
❑ I certify that I have been authorized by the Lobbyist identified above to make this verification, I have reviewed the requirements of the
provision of the Long Beach Municipal Code(LBMC Chapter 2.08-Lobbyists). I certify under penalty of perjury under the laws of the
State of California that I have reviewed this Termination and to the best of my knowledge the information contained herein is true and
complete.
Print Name: Title:
Signature: Date:
SELECT ALL THAT ARE APPLICABLE
Registration Registration Reduced Fee Registration Fee for Additional Registration Late
Fee$115/Year $58/Year Clients$28/Client Fee$29.05/Day
Total $ 558,00
Lobbyists Fees are subject to change on a quarterly basis. Please see the Current Fee Schedule to apply the correct fees.
MAKE CHECKS PAYABLE TO:
CITY OF LONG BEACH
FORMS AND PAYMENT CAN BE SENT TO:
CITY OF LONG BEACH-C/O OFFICE OF THE CITY CLERK
333 WEST OCEAN BLVD.-LOBBY LEVEL-LONG BEACH, CA 90802
NOTE:Late fees will apply to any lobbying activity not reported after the 15 days of qualifying as a lobbyist
I I have reviewed the lobbyist guidelines and I have nothing to report. I have indicated as such in SECTION III for this period.
Attached to this report is SECTION III,which lists the current activity for this period.
A
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.
Print Name: Dar rin imTitle: Designated Agent for Filer
Signature: Date:
Updated 9/25/2019 LOBBYIST REGISTRATION&REPORTING FORM
City Clerk of Long Beach
LOBBYIST REGISTRATION & REPORTING FORM
Page 3 of 3
SECTION III I have reviewed the lobbyist guidelines and I have nothing to report. 0
No=
Client Name Client Address Client Phone Lobbyist(s) Item(s) Discussed City Contact(s)
N/A
Updated 9/25/2019 LOBBYIST REGISTRATION&REPORTING FORM