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2021_Q1;FSB_PUBLIC_AFFAIRS_INC;AMANTE,JERRYCity of Anaheim OFFICE OF THE CITY CLERK DATE STAMP LOBBYIST’S QUARTERLY RECEIVED: April 30, 2021 REPORT OF ACTIVITY By: City of Anaheim Office of the City Clerk Reporting Period Q1: January 1 – March 31 Q3: July 1 –September 30 5 (Due April 30)(Due October 31) 3132 Year Q2: April 1 – June 30 Q4: October 1 – December 31 (Due July 31) (Due January 31) LobbyistInformation Name of Lobbyist (Last, First, M.I.) Name of Lobbying Firm (if applicable) GTCQvcmjdBggbjst Bnbouf-Kfssz Business Email Business Phone Alternate Phone kbnboufAdpsftusbufhjdhspvq/dpn):5:*447.5611 Business Address CityState Zip Code 31::TTubufDpmmfhfCmweDB:3917 Bobifjn Lobbying Activity/ Campaign 5 No Lobbying Activity LOBBYIST ACTIVITY Client Disclosure ReportContribution Report Did not participate or engage in any Schedule A: Report any form of Schedule B: Report any form of lobbying during the lobbying by the lobbying firm/ contributions made during the reporting period.lobbyist of the City of Anaheim or reporting period to the Mayor or any regional agency in which any City Council Member by the Anaheim has a voting role during lobbying firm/lobbyist during the thereporting period.reporting period. I certify that I have reviewed Ordinance No. 6417, made available on the City of Anaheim’s website and reviewed all applicable lobbying provisions. I declare under penalty of perjury under the laws of the State of California that VERIFICATION the information contained herein is true and accurate to the best of my knowledge. Print Name of Lobbyist Name of Lobbying Firm (if applicable) GTCQvcmjdBggbjst Bnbouf-Kfssz SignatureDate 1503803132 Mail, Email or Fax to: Mail: Office of the City Clerk 200 S. Anaheim Blvd., Suite 217 Anaheim, CA 92805 Email: Theresa Bass, City Clerk (tbass@anaheim.net) Fax: (714)765-4105 OfficeoftheCityClerk · 200S.AnaheimBlvd., Suite217,Anaheim,CA92805 · (714)765-5166 2 4 Lobbyist Quarterly Report of Activity Rev. 01/20 Page _____ of _____ City of Anaheim Bnbouf-Kfssz Name OFFICE OF THE CITY CLERK LOBBYIST’SQUARTERLY This page may be duplicated for additional entries REPORT OF ACTIVITY SCHEDULE A – CLIENT DISCLOSURE Client Information Name of Client (Last, First, M.I.) Name Business Phone )673*865.8348 B3ETqpsut-MMD Lboof-Mbssz Business Address CityState Zip Code 25329BmjtpDu/ DijopIjmmDB:281: $ Total Compensation Lobbyist or Lobbying Firm Received from Client: 55 1 Client Disclosure Describe the local legislative or administrative action(s) that the lobbying firm/lobbyist supported or opposed during the reporting period: OPOF Disclose any form of communication by the lobbying firm/lobbyist during the reporting period. Use a separate entry for each new contact. 1.Date of Contact:Name & Title of City Official or Staff Contacted: OPOF Describe Purpose of Meeting: 2.Date of Contact:Name & Title of City Official or Staff Contacted: Describe Purpose of Meeting: 3.Date of Contact:Name & Title of City Official or Staff Contacted: Describe Purpose of Meeting: 4.Date of Contact:Name & Title of City Official or Staff Contacted: Describe Purpose of Meeting: 5.Date of Contact:Name & Title of City Official or Staff Contacted: Describe Purpose of Meeting: OfficeoftheCityClerk · 200S.AnaheimBlvd., Suite217,Anaheim,CA92805 · (714)765-5166 3 4 Lobbyist Quarterly Report of Activity Rev. 01/20 Page _____ of _____ City of Anaheim Bnbouf-Kfssz Name OFFICE OF THE CITY CLERK LOBBYIST’SQUARTERLY This page may be duplicated for additional entries REPORT OF ACTIVITY SCHEDULE B – CAMPAIGN CONTRIBUTIONS This form is to report campaign contributions made to any member of the City Council bythe lobbying firm/lobbyist during the reporting period. Campaign Contributions Disclose all campaign contributions by the lobbying firm/lobbyist during the reporting period. 1. Date: Name of Contribution Recipient: Amount: Name of Contribution Recipient: 2. Date: Amount: 3. Date: Name of Contribution Recipient: Amount: OPOF 4. Date: Name of Contribution Recipient: Amount: 5. Date: Name of Contribution Recipient: Amount: 6. Date: Name of Contribution Recipient: Amount: 7. Date: Name of Contribution Recipient: Amount: 8. Date: Name of Contribution Recipient: Amount: 9. Date: Name of Contribution Recipient: Amount: OfficeoftheCityClerk · 200S.AnaheimBlvd., Suite217,Anaheim,CA92805 · (714)765-5166 44 Lobbyist Quarterly Report of Activity Rev. 01/20 Page _____ of _____