2024_Q3A; PRIEST, TODD; TODD PRIEST AND ASSOCIATES
DATE STAMP
City of Anaheim
OFFICE OF THE CITY CLERK
Dec. 5, 2024
LOBBYIST FORM
(Registration/Amendment/Notice of Termination)
(Lobbyist's Quarterly Report of Activity - 2024 Quarter 3, Amendment 1)
12
4
InitialAnnual
Termination
3
o
Amendment
(as Lobbyist)
RegistrationRegistration
Date Qualified as Lobbyist:Year:Date of Amendment:Date of Termination:
2301503135
3135
Check if Modifying Lobbyist Information
Section A - LobbyistInformation
Name of Lobbyist (Last, First, M.I.):Name of Lobbying Firm (if applicable):
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Business Email:Business Phone:Alternate Phone:
!UpeeAupeeqsjftu/dpn):5:*398.33:8
Business Address:City:State:Zip Code:
!Q/P/!CPY!2132!!Dpspob!efm!NbsDB:3736
By my signature below, I certify that I have reviewed Section 1.11.070 (Lobbyist Registration, Reporting, and
Regulation) of the Anaheim Municipal Code and declare under penalty of perjury under the laws of the State
of California that the information contained herein is true and accurate. I acknowledgethat I will comply with
the requirements of lobbyist, retainand provide business records for the City Auditor’s review, and cooperate
with the City with regard to any audit performed. I understand that this form is subject to review and any
knowing or intentional errors or omissions may be subject to criminal penalties.
Print Name of Lobbyist:Name of Lobbying Firm (if applicable):
!Upee!Qsjftu!Upee!Qsjftu!boe!Bttpdjbuft
Signature:Date:
2301503135
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
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CC 1008 Rev 01/24 – Lobbyist FormPage _____ of _____
City of Anaheim
Qsjftu-!Upee
OFFICE OF THE CITY CLERK
Name
LOBBYIST’SQUARTERLY
REPORT OF ACTIVITY
SCHEDULE B – CAMPAIGN CONTRIBUTIONS
This form is to report campaign contributions made to any member of the City Council by the lobbying firm/lobbyist during the
reporting period.
Campaign Contributions
Disclose all campaign contributions by the lobbying firm/lobbyist during the reporting period.
1. Name of contribution recipient:
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Date:Amount:
1:02203135%!35:/11
2. Name of contribution recipient:
Date:Amount:
3. Name of contribution recipient:
Date:Amount:
4. Name of contribution recipient:
Date:Amount:
5. Name of contribution recipient:
Date:Amount:
6. Name of contribution recipient:
Date:Amount:
7. Name of contribution recipient:
Date:Amount:
8. Name of contribution recipient:
Date:Amount:
OfficeoftheCityClerk · 200S.AnaheimBlvd., Suite217,Anaheim,CA92805 · (714)765-5166
33
CC 1009 Rev 01/24 - Lobbyist Quarterly Report of Activity Page _____ of _____