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HomeMy WebLinkAboutForm 635 10/13/2017x❑ REPORT OF LOBBYIST EMPLOYER (Government Code Section 86116) or ❑ REPORT OF LOBBYING COALITION (2 Cal. Code of Regs. Section 18616.4) FORM 635 1993 IMPORTANT: Lobbying Coalitions must attach a completed Form 635 -C to this Report. REPORT COVERS PERIOD FROM 07 /01/e0n THROUGH 09/30/2017 CUMULATIVE PERIOD BEGINNING 04/01/2017 TYPE OR PRINT IN INK For infinvrmlmn "1111 rr r /fa hepr'ovided la you pursuonl la the lnfiurnolion Anc/ices Ad uJ 1977 e'ee /n/urrnruiun Ahrnurr./ un lnbhriru llirr /onrre Prn isionr n! /bo /'n /( /icrd Ny�u'ur.lr /. SEALL BEACH, CITY OF(IDO 13]6863) and mreep 211 BTH STREET (Nurse) (lip Code) SEAL BEACH, CA 90740 PAGE 1 OF FOR OFFICIAL. USE ONLY A B ( 562) 431 -2527 PART I - LEGISLATIVE OR STATE AGENCY ADMINISTRATIVE ACTIONS ACTIVELY LOBBIED DURING THE PERIOD (See instuctions on reverse.) Legislature and Administration RE: Budget. ❑ If more space is needed, check box and attach continuation sheets. SUMMARY OF PAYMENTS THIS PERIOD A. Total Payments to In -House Employee Lobbyists (Pan III, Section A, Column 1) ........ B. Total Payments to Lobbying Finns (Part III, Section B, Column 4) ............................... C. Total Activity Expenses (Part 111, Section C) ... ............... .......... ...................................... D. 'Ibtal Other Payments to Influence (Part Ill, Section D) .... -......... .................. ..... _........ S a.00 $ 600.00 $ 0.00 $ n no GRAND TOTAL (A +B +C -D above) ................................. ............................... ..............................$ 600.00 E. Total Payments in Connection with PUC Activities Pan 111, Section E ....................... ..... ...................... ......... $ 0.00 F. Campaign Contributions: ❑ Part IV completed and attached x❑ No campaign contributions made this period VERIFICATION I have used all reasonable diligence in preparing this Report I have reviewed the Report and to the beet of my knowledge the informa- tion contained herein and in the attached schedules is true and complete. I cerlify under penalty of perjury under the laws of the State of California that the foregoing Is true and correct Executed on (Date) At (City and Scale) - By (Signamrcuydoytt or Responsible Officer) 10/13/2017 SEAL BEACH, CA t Lm Name of Employer or Responsible Officer (Type or Print) ti�Ie ,JILL R. INGRAM CITY MANAGER 42x900% PACE 2 OF 3 NAM F, OFF[ LER: SEAL BEACH, CITY OF PERIOD COVERED: _09 /01/2017 - 09 /lul2ul "I PART H - PARTNERS, OWNERS, AND EMPLOYEES WHOSE "LOBBYIST REPORTS" (FORM 615) ARE ATTACHED TO THIS REPORT (See instructions on reverse.) Name and l itle Name and Title ❑ If more space is needed, check box and attach continuation sheets. PART HI - PAYMENTS MADE IN CONNECTION WITH LOBBYING ACTMTIES A. PAYMENTSTOIN- HOUSEEMPLOYEELORRYLSTS (See instructions on reverse. Also enter the Amount 'I'his Period (Column 1) on Line A of the Summary of Payments secnnn on page J (I) Amount This Period ( Cumulative Total To Date $ $0.00 S 0.00 R. R4YMEN7S 70 LORRYING FIRMS (Including Individual Contact 1,01hyi ts) Name and Address of Lobbying Firm/Independent Contractor (1) Fees & Retainers (2) Reimbursements of-Expenses (3) Advances or Other Payments (attach explanation) (4) Total This Period S) Cumulative Total to Date TOWNSEND PUBLIC AFFAIRS, INC. 1401 DOVE STREET, SUITE 330 NEWPORT BEACH, CA 92660 600.00 0.00 0.00 600.00 3,000.00 TOTAL TI [IS PERIOD (Column 4) If more space is needed, check box and attach Also enter the total of Column 4 on Line H of the connotation sheets. Ssection I. ary of Payments section on page S 600.00 NAME OF FILER: SEAL BEACH, CITY PAGE 3 OF 3 PERIODCOVERED: 07/01/2017 - 09/3012937 C. 4CT1P7TFEXFENSEY(Svv insnuctions nn reverse.) Date Name and Address of Payee Name and Official Position Description of Total of Reportable Persons and Consideration Amount Amount Benefiting Each of Activity ❑ 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 the Summary of Payments section on page 1. 0 - 00 O. O T 7M R PA FMF NT S T O /NFL UE N CF L E Gl SL , f T I FE O R A D. i f l N7 S T R A T 71�F A CT7 O N S o.00 I. PAYMENTS TO LOBBYING COALfI'IONS (NOTE: You must attach a completed Form 630 to this Report.) $ 0.00 i 2.OTHER PAYMENTS (NOTE: You must attach a completed Form 640 to this Report.) 'DOTAL SECTION D (I � 2) Also $ enter the total of Section D en Line D of the Summary of payments D A0 section on page I. F„ PAYMENTS /NCONNF.CT/ON#7TIlADM7MSTRATIFE TES' TLHONY /NRATEMAiY/NGPROCF.'FD/NGS $ BEFORE TIIEC4LIFORN74 PUff"CU77L77IESC0AfAlISS7ON Also, enter the total of Section C on Line E of the Summary of Paymenic section on page I. (See instructions on reverse.) 0.00