County of Los Angeles INSTRUCTIONS FOR LOBBYIST EMPLOYER QUARTERLY REPORT AND CEASING ACTIVITY REPORT FORM LOB 8 Chapter 2.160 of the Los Angeles County Code A person or organization, other than a lobbying firm, who employs a lobbyist or contracts with a lobbying firm for economic consideration for the purpose of influencing official County action is a "Lobbyist Employer". A Form LOB 8 must be filed by lobbyist employers for each calendar quarter, regardless of whether the employer has made or incurred any payments during the quarter. In addition, a lobbyist employer must attach to the Lobbyist Employer Quarterly Report (Form LOB 8) a Lobbyist Quarterly Report (Form LOB 6) completed by each in-house employee who is a lobbyist. PERIOD COVERED BY REPORT: The period covered and the filing deadlines for the Lobbyist Employer Quarterly Reports are as follows: PERIOD COVERED January, February and March April, May and June July, August and September October, November and 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 Lobbyist Employer Quarterly Report (Form LOB 8). 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 f o r m s , registrants and their quarterly activity reports are accessible at: http://bos.co.la.ca.us/ American LegalNet, Inc. www.FormsWorkFlow.com LOB808 Rev. 03/09 COUNTY OF LOS ANGELES INSTRUCTIONS FOR COMPLETING THE LOBBYIST EMPLOYER QUARTERLY REPORT AND CEASING ACTIVITY REPORT FORM LOB 8 PERIOD COVERED BY REPORT: The period covered is the calendar quarter. (See the cover sheet of this form for the period covered.) SUMMARY OF PAYMENTS: Enter the total amount paid this period from each section of the report. With respect to campaign contributions, check the box which applies to your activities during the calendar quarter. NOTICE OF TERMINATIN: Check the box if you are terminating all County lobbying activities. Each Lobbyist Employer that, during the quarter, ceased all County lobbying activity which required the filing of the Lobbyist Employer Registration Statement (Form LOB 3) 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 Amendment to Registration Statement (Form LOB 5) if you merely want to delete a lobbyist form your firm's 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 LOB808 Rev. 03/09 COUNTY OF LOS ANGELES OFFICIAL USE ONLY Lobbyist Employer Quarterly Report Form LOB 8 Page of Quarterly Report Covers from _____________ through_____________ Type or Print in Ink Name of Lobbyist Employer Telephone Number & Extension ( Business Address (Number, Street & Suite) City ) State Zip Code Mailing Address (If different than above) City State Zip Code SUMMARY OF PAYMENTS THIS PERIOD A. Total Payments to In-House Employee Lobbyists from (Part II, Section A) B. Total Payments to Lobbying Firms from (Part II, Section B, Column 4) C. Total Activity Expenses from (Part II, Section C) D. Total Other Payments to Influence from (Part II, Section D) $ $ $ $ GRAND TOTAL (A+B+C+D above) CAMPAIGN CONTRIBUTIONS: Part III completed and attached $ No Campaign Contributions made this period NOTICE OF TERMINATION Check this box if this quarterly report constitutes a Termination Report for the Lobbyist Employer. I certify that all activities which require registration under section 2.160.040 of the Los Angeles County Code have ceased for this Lobbyist Employer. All County lobbying activities ceased effective (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 Responsible Officer (Type or Print) Title LOB808 Rev. 03/09 American LegalNet, Inc. www.FormsWorkFlow.com COUNTY OF LOS ANGELES INSTRUCTIONS FOR COMPLETING PART I AND PART II, SECTIONS A & B OF THE LOBBYIST EMPLOYER QUARTERLY REPORT FORM LOB 8 PART I ­ You must list the name and title of any owner, partner, officer, or employee of your organization whose Lobbyist Quarterly Report (Form LOB 6) is attached to this report . Note: This does not include lobbyists who are registered separately as lobbying firms or lobbyists who are employed by lobbying firms with which you contract. PART II ­ PAYMENTS MADE IN CONNECTION WITH LOBBYING ACTIVITIES SECTION A. Payments to In-House Employee Lobbyists: You must enter the total of all payments made in connection with lobbying activities during the quarter to the lobbyists listed in Part I of the report. "Payments" include salary, reimbursement of expenses, or an advance for expenses or a salary advance. (Salary includes gross wages paid, plus any fringe bene