Open Government Commission
2180 Milvia Street
Berkeley, CA 94704
(510) 981-6900
www.cityofberkeley.info | FCPC@cityofberkeley.info
Page 1 of 2
LOBBYIST REGISTRATION FORM
(Berkeley Municipal Code Chapter 2.09 – Lobbyist Registration and Regulations)
No person shall act as local governmental lobbyist before registering as a local governmental lobbyist with
the Open Government Commission, through the office of the City Clerk. Lobbyists are further required to
file a Quarterly/Annual Disclosure of Lobbying Activities no later than 30 days after the end of
the reporting period. BMC 2.09.060
PART 3. LOBBYIST’S CLIENTS
The name, business address, and business telephone number of each client for whom the local
governmental lobbyist attempts or receives compensation to influence any proposed or
pending governmental action of the City. BMC 2.09.060 B.3. Attach additional information, if
needed.
PART 1. IDENTIFY THE LOBBYIST
NAME OF LOBBYING FIRM OR EMPLOYER
LOBBYING FIRM OR EMPLOYER BUSINESS ADDRESS
PART 2. TYPE OF REGISTRATION
(Please Check all that Apply)
Initial Lobbyist Registration
Annual or Renewal Lobbyist Registration
Amendment to Lobbyist Registration
Termination of Lobbying Activities
□ 501(c)(3) or 501(c)(4) – Must Attach
Determination Letter
□ Lobbying Firm with Four or Fewer Employees
$500 fee required, except qualified non-profits.
Official Use Only