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 _____