Fillable 2019 Quarterly Report And Schedules 8-27 19 (City of Oakland)

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2019 Quarterly Report And Schedules 8-27 19 (City of Oakland)

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CITY OF OAKLAND PUBLIC ETHICS COMMISSION
2019 LOBBYIST QUARTERLY REPORT
Please return via email to ethicscommission@oaklandca.gov
Filings sent by mail or fax are also accepted. Send to: Public Ethics Commission
1 Frank H. Ogawa Plaza, 1st Floor, Room 104 Oakland, CA 94612 Fax: (510) 238-3315
Please check one.
No
, I did not engage in any reportable lobbying activity during the reporting period.
Ye
s, I did engage in reportable lobbying activity during the reporting period, and I am
including the pertinent disclosure documents.
I a
m including the following disclosure schedules for each client/employer: Check all that apply.
Schedule A – Statement of Lobbying Activities
Schedule B – Employment Relationships Arranged By A Lobbyist or A Registered Client at the
Lobbyist's Behest
Schedule C – Employment Relationships between a Lobbyist and An Elected City Officeholder or
a Candidate for City Office
Schedule D – Statement of Solicitations for Campaign Contributions
I have used all reasonable diligence in completing this form and attachments. I have reviewed the form and any
attachments and to the best of my knowledge the information contained herein is true and complete.
I declare under penalty of perjury under the laws of the State of California that the information I provided above and on
the attached Disclosure Schedules is true and correct.
Date: __________________________ Signature: ___________________________________________
Full Name:
Name of Lobbyist Firms or Employer:
Lobbyist Firm/Employer Business Address
City, State, Zip Code:
Work Phone:
Work Email:
Q1: Jan. 1 – Mar. 31 2019
(Due April 30)
Q2: April 1 – June 30 2019
(Due July 30)
Q3: July 1 – Sept. 30 2019
(Due October 30)
Q4: October 1 – Dec. 31 2019 (Due
Jan 30 2020)
Reporting Period:
Check one.
If this is an amendment check here:
List all clients or employers: Separate by placing a comma between each one. If you run out of space, please
use another sheet.
CLEAR FORM
CITY OF OAKLAND PUBLIC ETHICS COMMISSION
2019 LOBBYIST DISCLOSURE FORM
SCHEDULE A: Statement of Lobbying Activities
Lob
byist Full Name: ___________________________________________________________
If a
pplicable, Schedule A must be attached to your Quarterly Report and be filed with the Public Ethics no
later than 30 days after the end of each calendar quarter.
Plea
se provide the following information for each client or employer on whose behalf you lobbied during the
period covered by this report. If you lobbied on more than one item of governmental action for any
individual client or employer, please complete a separate Schedule A for each item of governmental
action lobbied on behalf of that individual client or employer.
1. Name and address of the client or employer on whose behalf I lobbied
Client/Employer Name
(Print out full name)
Client Employer Address
City, State and Zip Code
2. Item of governmental action on which I lobbied for the above-named client (i.e. Specific ordinance,
resolution, or action item)
3. Please provide a brief narrative description (no longer than 3 sentences) and choose which position
was advocated on behalf of the client or employer identified above.
Brief narrative description
Position advocated
(choose one from the drop-down menu: Support,
Oppose, Policy Development, Info Briefing, Other)
4. In lobbying on the item identified above, please indicate the name of each city officer you lobbied,
the name and title of each city board member or commissioner you lobbied, and the job title and
office or department of each city employee you lobbied.
Name of City Official/Board member/Dept.
Title of City Official/ Board member/City Employee
5. Total amount of economic consideration received, or entitled to receive, from client or employer
for lobbying activity during the reporting period:
CITY OF OAKLAND PUBLIC ETHICS COMMISSION
2019 LOBBYIST DISCLOSURE FORM
SCHEDULE B: Employment Relationships Arranged By a Lobbyists or a
Registered Client at the Lobbyists’s Behest.
Lobbyist Full Name: ___________________________________________________________
If applicable, Schedule B must be attached to your Quarterly Report and be filed with the Public
Ethics no later than 30 days after the end of each calendar quarter.
Please provide the following information for each elected city officeholder, candidate for elected
city office, designated employee, or member of the immediate family of one of the foregoing
persons, who you, or a registered client at your behest, employed or hired during the period covered
by this report.
If you or a registered client employed or hired more than one city officer, candidate, designated
employee or one of their immediate family members, please complete a separate
Disclosure Form/Schedule B for each person you employed or hired.
1. Name of elected city officeholder, candidate for elected city office, designated employee, or
member of the immediate family of one of the foregoing person you or your registered client
employed or hired:
2. A description of the services actually performed by the employer of hired person:
3. The total payments made during the reporting period identified only by the following
categories: less than $250; between $250 and $1,000; between $1,001 and $10, 000; greater
than $10,000. Check one.
<$250
$250 and $1,000
$1,001 and $10,000
>$10,000
CITY OF OAKLAND PUBLIC ETHICS COMMISSION
2019 LOBBYIST DISCLOSURE FORM
SCHEDULE C: Employment Relationships between a Lobbyist and an Elected City
Officeholder or a Candidate for City Office
Lobbyist Full Name: ___________________________________________________________
I
f applicable, Schedule C must be attached to your Quarterly Report and be filed with the Public
Ethics no later than 30 days after the end of each calendar quarter.
Please provide the following information for each elected city officeholder or candidate for elected
city office who employed or hired you to provide compensated services during the period of time
covered by this report.
I
f you were employed or hired by more than one elected city officeholder or candidate for city office,
please complete a separate Disclosure Form/Schedule C for each officeholder or candidate who
employed or hired you.
1. Name of elected city officeholder or candidate for elected city office who employed or hired
you:
2. A description of the services you actually performed:
3. The total payments made during the reporting period identified only by the following
categories: less than $250; between $250 and $1,000; between $1,001 and $10, 000; greater
t
han $10,000. Check one.
< <$250
$250 and $1,000
$1,001 and $10,000
>$10,000
CITY OF OAKLAND PUBLIC ETHICS COMMISSION
2019 LOBBYIST DISCLOSURE FORM
SCHEDULE D: Statement of Solicitations for Campaign Contributions
Lobbyist Full Name: ___________________________________________________________
If applicable, Schedule D must be attached to your Quarterly Report and be filed with the Public
Ethics Commission no later than 30 days after the end of each calendar quarter.
Please provide the following information for campaign contributions you solicited for the benefit
of a City officeholder, candidate for City office, or committee or fund controlled by such officeholder
or candidate, during the period of time covered by this report.
Contributions Solicited by Lobbyist during the reported period
Date of
Solicitation
Elective City Officer,
Candidate, or Controlled
Committee
Person/Contributor
Solicited
Amount Solicited
Total Amount Solicited
$
Note: A solicitation does not include a request for a contribution made (1) in a mass mailing sent to members
of the public, (2) in response to a specific request for a recommendation, (3) to a gathering which members
of the public may attend, or (4) in a newspaper, on radio or television, or in any other mass media.
If a lobbyist solicits more than fifty (50) individual members or employees of a corporation, union or other
association that is a registered client of the lobbyist -- or all of the individual members or employees of a
corporation, union or other association that is a registered client of the lobbyist -- the lobbyist may choose to
disclose the name of the registered client instead of the names of the persons whom the lobbyist actually
solicited. (See OMC Section 3.20.110(F)).
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2019 Quarterly Report And Schedules 8-27 19 (City of Oakland)

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Completed 18 July 2020

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