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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