2019_Q3;DELTA_PARTNERS_LLC;ELLIS,DAVIDBy City of Anaheim - Office of the City Clerk at 2:42 pm, Sep 09, 2019[RECEIVED ]
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Mail or in person: Office of the City Clerk
200 S. Anaheim Blvd. Ste. 217, Anaheim, CA 92805; or
Email: tbass@anaheim.net; or Fax: (714) 765-4105
LOBBYIST'S QUARTERLY REPORT OF ACTIVITY
CHECK APPLICABLE REPORTING PERIOD:
OQl: Due April 30 (January 1-March 31)
D Q2: Due July 31 (April 1 -June 30)
0Q3: Due October 31 (July 1-September 30)
OQ4: Due January 31 (October 1-December 31)
PART I -LOBBYIST INFORMATION
NAME OF LOBBYIST (Last, First, M.I.)
David Ellis
BUSINESS EMAIL
dle@delta-partners.com
BUSINESS ADDRESS CITY
NAME OF LOBBYING FIRM (if applicable)
Delta Partners LLC
BUSINESS PHONE (XXX) XXX-XXXX
949-230-2110
STATE ZIP CODE
4040 MacArthur Blvd. Ste. 240 Newport Beach CA 92660
PART II -REPORTING SCHEDULES
Note: Check all applicable .
• No Lobbying Activity
I did not participate or engage in any
form of lobbying during the reporting
period.
Verification
Lobbying Activity/Client Disclosure
Report
Schedule C: Report any form of
lobbying by the lobbying firm/
lobbyist of the City of Anaheim or any
regional agency in which Anaheim has
a voting role during this reporting
period. (Attach Schedule C)
Campaign Cons:tion Report
Schedule D: Report any contributions
made during the reporting period to
the Mayor or any City Council
Member by the lobbying
firm/lobbyist.
(Attach Schedule D)
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
the information contained herein is true and accurate to the best of my knowledge .
SIGNATURE OF LOBBYIST
NAME OF LOBBYING FIRM (if applicable)
Delta Partners LLC
Lobbyist's Quarterly Report of Acti vity (REV 09/13/2017)
PRINT NAME OF LOBBYIST
David Ellis
DATE
9/9/2019
Page_of_
(Firm) Name : Delta Partners LLC
CLIENT DISCLOSURE -SCHEDULE C
CHECK APPLICABLE REPORTING PERIOD:
OQl: Due April 30 (January 1 -March 31)
OQ2: Due July 31 (April 1 -June 30)
OQ3: Due October 31 (July 1-September 30}
OQ4: Due January 31 (October 1 -December 31}
Note: Complete this form for each client in wh i ch five hundred dollars ($500) or more was received in a calendar
month . This form may be duplicated for additional entries.
PART I-CLIENT INFORMATION Total Compensation Lobbyist
Received from Client: $20,000
NAME OF CLIENT (Last , First, M.I.}
Dykema Gossett PLCC
BUSINESS ADDRESS
333 S . Grand Ave. Ste. 2100
PART II -CLIENT DISCLOSURE
BUSINESS NAME
CITY
Los Angeles
BUSINESS PHONE (XXX) XXX-XXXX
213-457-1779
STATE ZIP CODE
CA 90071
SECTION A Describe the local legislative or administrative act io n(s) tha t the lobbying firm/lobbyist supported or opposed during the reporting
period.
SECTION B. 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 NAME OF LOBBYIST
8/2/2019 David Belmer David Ellis
DESCRIBE PURPOSE OF MEETING:
2. DATE OF CONTACT NAME & TITLE OF CITY OFFICIAL OR STAFF CONTACTED NAME OF LOBBYIST
DESCRIBE PURPOSE OF MEETING:
3. DATEOFCONTACT NAME & TITLE OF CITY OFFICIAL OR STAFF CONTACTED NAME OF LOBBYIST
DESCRIBE PURPOSE OF MEETING :
4. DATE OF CONTACT NAME & TITLE OF CITY OFFICIAL OR STAFF CONTACTED NAME OF LOBBYIST
DESCRIBE PURPOSE OF MEETING:
D If more space is needed for Part 11, Section B. -Client Disclosure, check box and attach additional pages.
Client Disclosure -Schedu le C (REV 09/11/2017) Page_of _
(Firm) Name: De lta Partners LLC
CAMPAIGN CONTRIBUTIONS-SCHEDULE D
CHECK APPLICABLE REPORTING PERIOD:
DQl: Due April 30 (January 1-March 31)
D Q2: Due July 31 (April 1 -June 30)
0 Q3: Due October 31 (J uly 1 -September 30)
DQ4: Due January 31 (Octob er 1-De cember 31)
Note: This form is to report campaign contributions made to the Mayor or any City Council Member by the lobbying
fi r m/lobbyist duri ng the reporting period . This form may be duplicated for additi onal entries.
PART I -CAMPA IGN CONTRIBUTIONS
Disclose all campaign contributions by the lobbying firm/lobbyist during the reporting period.
DATE AMOUNT NAME OF CON TRIBUTION RECIP IENT NAME OF LOBBYIST
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D If more space is needed for Part I -campaign Contributions, check box and attach additional pages.
Campa ign Contribution -Schedule D (REV 09/11/2017) Page_of_