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2019_Q2;FAUBEL_PUBLIC_AFFAIRS;FAUBEL,ROGERPlease 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 LOBBYIST'S QUARTERLY REPORT OF ACTIVITY CHECK APPLICABLE REPORTING PERIOD: OQl: Due April 30 {January 1-March 31) 0 Q2: Due July 31 {April 1 -June 30) D Q3: Due October 31 {July 1-September 30) D Q4: Due January 31 {October 1 -December 31) PART I -LOBBYIST INFORMATION NAME OF LOBBYIST (Last, First, M.1.) Roger S. Faubel BUSINESS EMAIL NAME OF LOBBYING FIRM (if applicable) Faubel Public Affairs BUSINESS PHONE (XXX ) XXX-XXXX roger@faubelpa.com BUSINESS ADDRESS 949-584-4978 CITY 27758 Santa Margarita Pkwy., Suite 343 Mission Viejo 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 Anahe im or any regional agency in which Anahe im has a voting role during this reporting period. (Attach Schedule CJ STATE ZIP CODE CA 92691 • Campaign Contribution Report Schedule D: Report any contributions made duri ng the reporting period to the Mayor or any City Council Member by the lobbying firm/lobbyist. (Attach Schedule OJ 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. Lobbyist's Quarterly Report of Activity (REV 09/13/2017) PRINT NAME OF LOBBYIST Roger S. Faubel DATE July 9, 2019 Page _1_ of _1_ By City of Anaheim - Office of the City Clerk at 1:28 pm, Jul 10, 2019