HomeMy WebLinkAboutForm 635 10-20-15 I
✓ REPORT OF LOBBYIST EMPLOYER
(Government Code Section 86116) PAGE 1 OF 4
or
FIREPORT OF LOBBYING COALITION
(2 Cal.Code of Regs.Section 18616.4)
FORM 635 IMPORTANT: Lobbying Coalitions must attach a
1993 completed Form 635-C to this Report.
REPORT COVERS PERIOD FROM 07/01/15 THROUGH 09/30/15 FOR OFFICIAL USE ONLY
CUMULATIVE PERIOD BEGINNING 01101/2016 A
TYPE OR PRINT IN INK
For information required to be provided to you pursuant to the Information Practices Act of 1977,see b*nwUm B
Manual an Labbling Qisclosure Provisions gf the Ea&iW_1&form Act.
NAME OF FILER:
Seal Beach, City of
BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) TELEPHONE NUMBER;
211 8th Street Seal Beach CA 90740 562 )431-2527
PART I-LEGISLATIVE OR STATE AGENCY ADMINISTRATIVE ACTIONS ACTIVELY LOBBIED DURING TM PERIOD
(See instuctions on reverse.)
Nothing to report.
ElIf more space is needed,check box and attach continuation sheets.
SUMMARY OF PAYMENTS TITIS PERIOD
A. Total Payments to In-House Employee Lobbyists(Part 111,Section A,Column 1)............................................ $ 0.00
B. Total Payments to Lobbying Finns(Part 111,Section B,Column 4)...................................................................$ 4,166
C. Total Activity Expenses(Part 111,Section Q........................................................................................................$ 0.00
D. Total Other Payments to Influence(Part 111,Section D)......................................................................................S 0.00
GRAND TOTAL(A+B+C+D above).................................................................................................S 4,166
E. Total Payments in Connection with PUC Activities(Part 111,Section E) ..................................................... S 0.00
F. Campaign Contributions: ❑Part IV completed and attached No campaign contributions made this period
FV
VERIFICATION
I have used all reasonable diligence in preparing this Report. I have reviewed the Report and to the best of my knowiedge the informa-
tion contained herein and in the attached schedules 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.
Executed 01(Date) At(City and State) By(Signature o.LH;t;plqycr or Responsible Officer)
i( a0lis Seal Beach, CA
Name of E/hployer oV Responsible Officer(Type or Print)
Jill Ingram City Manager
PAGE 2 OF 4
NAME OF FILER: Seal Beach, City of PERIOD COVERED:07/01/15-09/30/15
PART II-PARTNERS,OWNERS,AND EMPLOYEES WHOSE"LOBBYIST REPORTS"(FORM 615)ARE ATTACHED TO THIS
REPORT (See instructions on reverse.)
Nam and Title Name and Title
If more space is needed,check box and attach continuation sheets.
PART III-PAYMENTS MADE IN CONNECTION WITH LOBBYING ACTIVITIES
A. PAYMENTS TO IN-HOUSE EMPLOYEE LOBBYISTS (2)
(See instructions on reverse. Also enter the Amount This Period Amount This Cumulative Total
(Column 1)on Line A of the Summary of Payments section on page 1.) Period To Date
B. PAYMENTS TO LOBBYING FIRMS(Including Individual Contract Lobbyists)
(2) (3) (4) (5)
Name and Address of Lobbying Fees& Reimbursements Advances or Total Cumulative
Firm/Independent Contractor Retainers of Expenses Other Payments This Period Total to Date
(attach explanation)
Townsend Public Affairs, Inc. 4,166 41166 21 ,664
1401 Dove Street,Suits 330,Newport Beach,CA 92660
TOTAL THIS PERIOD(Column 4)
If more space is needed.check box and attach Also enter the total of Column 4 on Line B of the
continuation sheets. Summary of Payments section on Me 1. 4111:6611
PAGE 3 OF 4
NAME OF FILER: Seal Beach, City of PERIOD COVERED:07/01/15-09/30/15
C. ACTIVITY EXPENSES(See instructions on reverse.)
Name and Official Position Description of Total
Date Name and Address of Payee of Reportable Persons and Consideration Amount
Amount Benefiting Each of Activity
F] If more space is needed,check box and attach TOTAL SECTION C(Activity Expenses) $
continuation sheets. Also enter the total of Section C on Line C of 0.00
the Summary of Payments section on page 1.
D. OTHER PAYMENTS TO INFLUENCE LEGISLATIVE OR ADMINISTRATIVE ACTION
❑NOTE: State and local government agencies do not complete this section. Check box and complete
Attachment Form 640 instead,
1. PAYMENTS TO LOBBYING COALITIONS(NOTE: You must attach a completed $
Form 630 to this Report.) $
2. OTHER PAYMENTS TOTAL SECTION
D(I+2)Also $
enter the total of
Section D on Line
D of the Summary OW00
of Payments
section on page 1.
E PAYMENTS IN CONNECTION WITH ADMINISTRATIVE TESTIMONY IN RATEMAKING PROCEEDINGS $
BEFORE THE CALIFORNIA PUBLIC UTILITIES COMMISSION Also,enter the total of Section E on line E of the
Summary of Payments section on page 1. (See instructions on reverse.) 0.00
4
PAGE 4- OF
NAME OF FILER: Seal Beach, City of PERIOD COVERED: 07/01/15-09/30/15
PART IV-- CAMPAIGN CONTRIBUTIONS MADE(Monetary and non-monetary campaign contributions of$100 or more
made to or on behalf of state candidates,elected state officers and any of their controlled committees,or committees supporting such
candidates or officers must be reported in A or B below.)
A. If the contributions made by you during the period covered by this report,or by a committee you sponsor,are contained
in a campaign disclosure statement which is on file with the Secretary of State,report the name of the committee and its
identification number,if any,below.
Name of Major Donor or Recipient Committee Which Identification Number if
Has Filed A Campaign Disclosure Statement: Recipient Committee:
B. Contributions of$100 or more which have not been reported on a campaign disclosure statement,including contributions
made by an organization's sponsored committee,must be itemized below.
Date Name of Recipient I.D.Number if Amount
Committee
$ 0.00
It more space is needed,check box and attach continuation sheets.,
NOTE- Disclosure in this report does not relieve a filer of any obligation to file the campaign
disclosure statements required by Gov.Code Section 84200,et seq.