2018_Q3;DEVELOPMENT_ADVISORS_LLC;HASKINS,JOSH City of Anaheim
Office of the City Clerk
Please submit completed form(s)to:
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
QUARTERLY REPORT OF ACTIVITY
CHECK APPLICABLE REPORTING PERIOD:
Q1: Due April 30 (January 1 - March 31) Q3: Due October 31 (July 1 - September 30)
Q2: Due July 31 (April 1 - June 30) Q4: Due January 31 (October 1 - December 31)
(REV 09/13/2017) Page ____ of ____
PART I LOBBYIST INFORMATION
NAME OF LOBBYIST (Last, First, M.I.) NAME OF LOBBYING FIRM (if applicable)
BUSINESS EMAIL BUSINESS PHONE (XXX) XXX-XXXX
BUSINESS ADDRESS CITY STATE ZIP CODE
PART II REPORTING SCHEDULES
Note: Check all applicable.
No Lobbying Activity Lobbying Activity/Client Disclosure
Report Campaign Contribution Report
I did not participate or engage in any
form of lobbying during the reporting
period.
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)
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)
Verification
I certify that I have reviewed 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 PRINT NAME OF LOBBYIST
NAME OF LOBBYING FIRM (if applicable) DATE
RECEIVED: 02/07/19