COUNTY OF LOS ANGELES INSTRUCTIONS FOR COMPLETING THE LOBBYING FIRM QUARTERLY REPORT AND CEASING ACTIVITY REPORT FORM LOB 7 Chapter 2.160 of the Los Angeles County Code The Lobbying Firm Quarterly Report (Form LOB 7) must be completed by registered lobbying firms for each calendar quarter regardless of the level of activity of the firm, and whether or not the firm has received or made any payments to influence official County action during the quarter. REMINDER: An individual contract lobbyist (sole proprietor) is a lobbying firm. The firm must attach a Lobbyist Quarterly Report (Form LOB 6) for each partner, owner or employee of the lobbying firm who qualifies as a lobbyist. PERIOD COVERED BY REPORT: The period covered and the filing deadlines for the Lobbying Firm Quarterly Reports are as follows: PERIOD COVERED January, February and March April, May and June July, August and September October, November, December FILING DEADLINE April 30 st July 31 st October 31 st January 31 th IMPORTANT: A late filing fee of $25 per day will be assessed for the first ten days a report is filed beyond the due date. The late filing fee will then increase to $50 per day for the second ten days; and thereafter, the late filing fee will be $75 per day until the filer comes into compliance with the provisions of the lobbyist ordinance or the date that other sanctions or penalties are imposed, which may include, but are not limited to, a civil liability in the amount of up to $5000, an administrative fine of up to $5000 and a noncompliance fee of up to $5000. NOTE: If you are using this form to terminate your registration, it must be filed within 10 days of ceasing all County lobbying activities. If a report is sent by first class mail, it is considered received on the date of the postmark. Filing deadlines that fall on a Saturday, Sunday or official County holiday are extended to the next regular business day. No fee is required for filing a Lobbying Firm Quarterly Report (Form LOB 7). FILE THIS FORM WITH ORIGINAL SIGNATURE WITH THE: Executive Officer of the Board of Supervisors County of Los Angeles Kenneth Hahn Hall of Administration 500 W. Temple Street, Room 383 Los Angeles, California 90012 (213) 974 -1093 INTERNET ACCESS The Los Angeles County Lobbyist Ordinance, rules, operational procedures, registration/ reporting forms, registrants and their quarterly activity reports are accessible at: http://bos.co.la.ca.us/ Rev. 12/07 American LegalNet, Inc. www.FormsWorkflow.com COUNTY OF LOS ANGELES INSTRUCTIONS FOR COMPLETING THE LOBBYING FIRM QUARTERLY REPORT AND CEASING ACTIVITY REPORT FORM LOB 7 PERIOD COVERED BY REPORT: The period covered is the calendar quarter. (See the cover sheet of this form for the period covered.) Part I ­ List all owners, partners, officers, and employees whose Lobbyist Quarterly Reports (Form LOB 6) are attached to this report, or who engaged in direct communication during the period: · If an owner, partner, officer or employee of the lobbying firm qualifies as a "lobbyist", you must attach a Lobbyist Quarterly Report (Form LOB 6) completed by that individual, and you must list that individual's name in Part I of the Form LOB 7. NOTE: Do not include lobbyists who are employed by lobbying firms with which you subcontract. Also list any owner, partner, officer or employee of the lobbying firm who does not qualify as a "lobbyist" but who, on at least five separate occasions during the reporting period, engaged in direct communication with county officials for the purpose of influencing official action. Do not include employees of your firm whose actions were purely clerical. · SUMMARY OF PAYMENTS: Enter the total amount received and paid this period from each section of the report. NOTICE OF TERMINATION: Check the box if you are terminating all County lobbying activities. Each Lobbying Firm that, during the quarter, ceased all County lobbying activity which required the filing of the Lobbying Firm Registration Statement (Form LOB 1) must complete the Notice of Termination section of this form to terminate its registration and its reporting obligations. You are required to report any reportable activities that occurred during the quarter up to the termination date. You must file this report within 10 days of ceasing all activities. NOTE: Use Amendmen to Registration Statement ( F o r m L O B 5 ) if you merely want to delete a lobbyist from your firm's t registration. VERIFICATION: The report must be verified and signed by the person who is designated on the firm's registration statement as the responsible officer of the firm. American LegalNet, Inc. www.FormsWorkflow.com COUNTY OF LOS ANGELES OFFICIAL USE ONLY Lobbying Firm Quarterly Report/Ceasing Activity Report Form LOB 7 Page ________ of _________ Quarterly Re port Covers from Type or Print in Ink Name of Lobbying Firm: Telephone Number & Extension: through Business Address (Number, Street & Suite): City: State: Zip Code: Mailing Address (If different than above): City: State: Zip Code: Part I ­ List the name and title of each owner, partner, officer and employee of the firm who qualifies as a lobbyist. (Be sure to attach a Form LOB 6 for each lobbyist listed.) Also list and check the box next to each person who does not qualify as a lobbyist but who, on at least five (5) separate occasions during the report period, engaged in direct communication with County officials to influence County action (see instructions). Name, Title Name, Title SUMMARY OF PAYMENTS A. GRAND TOTAL PAYMENTS RECEIVED: $ ( From Subtotals in Part II ) NOTICE OF TERMINATION Check this box if this quarterly report constitutes a Termination Report for this lobbying firm I certify that all activities which require registration under Section 2.160.030 of the Los Angeles County Code have ceased for this lobbying firm. B. TOTAL ACTIVITY EXPENSES: (From Part III, Section A, 3) $ $ C. TOTAL PAYMENTS TO OTHER: LOBBYING FIRMS (From Part III, Section B) All County lobbying activities ceased effective D. GRAND TOTAL PAYMENTS MADE: (B and C above) $ (DATE) VERIFICATION I have used all reasonable diligence in preparing this Statement. I have reviewed this Statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on (Date): At (City and State): By (Signature of Responsible Officer): Name of Respons