GOVERNMENT OF THE DISTRICT OF COLUMBIA BOARD OF ETHICS AND GOVERNMENT ACCOUNT ABILITY

Yea r_2_01_2 _ _ _ WASHINGTON, D.C. 20001

Iii Original LOBBYIST ACTIVITY REPORT * 0 Amendment (See next page for instructions) ID# LOB00011 2389

Type of Report: r:xJ January __ If you are fil ing a January Report, please indicate whether you

intend to lobby in the upcoming calendar year. DYes iiNo

[] July ___ _

1. (a) Registrant' s Name Daimler/Mercedes-Benz USA (b) Daytime Phone 202-649-4511

(c) Permanent Address 1717 Pennsylvania Avenue , NW, #825, Washington, DC 20006

(Street Address) (City, State, Zip Code)

Number

(d) Temporary Address (while lobbying)

(Street Address) (City, State, Zip Code)

2. Lobbyist (s) Working for Registrant: Attach a Supplemental Sheet if additional space is needed.

(a) Name Adam Johnson (b)Name ___ _____ ___ _ _ _ _ _ _ _ _

Address 1717 Pennsy lv ania Ave , NW, #825 Address '-------~-~~----------

(Street Address) (Street Address)

W a shington, DC 20006

(City, State, Zip Code) (City, State, Zip Code)

Daytime Phone Num ber_2_0_2_ -6_ 4 _9_-_4_5_1_1 ____ _ _ _ Daytime Phone Number _________ _____ _

3. Person Compensating Registran t

(a) Name ___ _ _ __________________________ _ (b) Daytime Phone Num ber ----------------------------

(c)

Address ____________ ~--------------------------------------------~~~--~~~~-------(Street Address) (City, State, Zip Code)

(d) Nature of 13usiness __________________________________________________________________________ _

4. Terms of Compensation: (a)._M __ o_n_t_h_ly~-,-------------­Salary

(b) Permanent

Duration of Employment

5. Identi fy malter(s) by subject and formal designation on which the lobbyist/registrant expects to lobby. Attach a Supplemental Sheet if additional space is needed.

On b e half of c ar2go car sharing services - - establishing and expansion of service

* REMI NDE R - Each new o r p reviously registered Lobbyist must file a Lobbyist Regist ration Form by Janua ry 151h of each year.

Rev. 12/201 2 BEGA For m

6. Identify the official and title, if known, in the Executive or Legislative Branch with whom the registrant has had oral or written communication during the reporting period relating to lobbying activities, and the date that communication was made. Attach a Supplemental Sheet if additional space is needed.

arne Sam Zimbabwe, Associate Dir, DDOT

arne Jim Sebastian , DDOT

arne Anna Mclaughlin, DDOT

Name Benito Perez I Alice Kelly , DDOT

Name Jonathan Kass, Aide, Councilmbr Wells

arne Drew Newman, Aide to Councilmbr Cheh

Date 12/5/2012

Date 12/5/2012

Date 12/5/2012

Date 12/5/2012

Date 12/5/2012

Date 12/5/2012

7. Total compensat ion/receipts paid to the Lobbyist for lobbying during the reporting period:$ _1_4_6_2_._0_0 ______ _ (Schedule A) 0

8. Total of other compensation/receipts received for lobbying services and compensation paid to others: $ _______ _ (Schedule A-1) 0

9. Total amount of Loans received by the Lobbyist in connect ion with lobbying during the reporting period: $ _ _ _ ___ _ (Sched ule A-2)

I 0. Total receipts (Add Lines 7, 8, and 9) $1462.00

I I. Total of expenditures made for purposes of lobbying during the reporti ng period: $ _0 _______ ___ _ (Schedule B) 0

12. Total of other expenditures related to lobbying activities: $ ----- ------(Schedule B-1) 0

I 3. Total expenditures (Add Lines II and 12) $ ----- ------

BOARD OF ETHICS AND GOVERNMENT ACCOUNTABILITY LOBBYIST/EMPLOYEE LOBBYIST'S ACTIVITY REPORT PAGE OF

SCHEDULE A- COMPENSATION/RECEIPTS PAID TO THE LOBBYIST FOR LOBBYING:

YEAR: 2012

TypoofRoport: ~January __ _ DJuly __ _

Period Covering:_0_7i_01_12_0_12 _____ through 12/31/2012

I OBBYIST/EMPLOYl::E LOBBYIST'S NAME· Adam Johnson ~ -· COM PENSATION/RECEIPTS PAID FOR LOBBY! G (AMOUNTS MAY BE ROUNDED OFF TO WHOLE

DOLLARS)

EMPLOYER'S AME, ADDRESS AND TELEPIIO E NUMBER FEES/COMPENSATION)

Daimler/Mercedes-Benz USA 1717 Pennsylvania Avenue. NW. #825 Washington. DC 20006 Tel: 202-649-4511

FEES/RETAINER I COMPENSATION I I I $ 1$ I I I

EMPLOYER'S NAME, ADDRESS AND TELEPIIONE NUMBER FEES/COMPENSATION)

FEES/RETAIN ER I COMPENSATION I I I $ 1$ I I I

EMPLOYER'S , AME, ADDRESS AND TELEPHO E UMBER FEI::S/COI\1 PEN SA T ION)

FEES/RETAIN ER I COMPENSATION I I I $ 1$ I I I

E 1£>LOYER'S NAME, ADDRESS A D TELEPHONE NUMBER Fl::ES/COM PEN SA T l ON)

FEES/RETAINER! COMPENSATION! I I $ I$ I I I

TOTAL RECEIPTS RECEI VED FOR LOBBYI NG (CARRY TOTAL FORWARD TO LINE 7)

CJ I F MORE SPACE IS NEEDED, CI-IECK BOX AND ATTACII SUPPLEMENTAL SIIEET

(SEE NEXT PAGE FOR I NSTRUCTIONS) Rev 12/2012

TOTAL THIS PERIOD

1462.00

$

TOTAL TillS PERIOD

$

TOTAL TH IS PERIOD

$

TOTAL HilS PERIOD

~

$

CUMULATIVE TOTAL

FEES/COMPE SA T ION

5091 .00

$

~UMULATIVE TOTAL FEES/COMPENSATION

$

f'UMULATIVE TOTAL

FEES/COMPENSATION

$ r u MULATIVE TOTAL

FEES/COMPE SA TION

$

$5091.00

BEGA Form

BOARD OF ETHICS AND GOVERNMENT ACCOUNT ABILITY LOBBYIST/EMPLOYEE LOBBYIST'S ACTIVITY REPORT PAGE 1 OF

SCHEDULE A-1 --LOBBYIST COMPENSATION/RECEIPTS RECEIVED FOR LOBBYIST SERVICES AND COMPENSATION PAID TO OTHERS:

YEAR: 2012

Type of Report: ~January ___ OJuly __ _ Period Covering:_o_7t_o1_t2_o_12 ___ ___ through 12/31/2012

LOBBYIST/ EMPLOYEE LOBBYIST'S NAME · Daimler/Mercedes-Benz USA

OTII ER COM PENSATION/RECEIPTS RECEIVED BY THE LOBBYIST AND/OR LOBBYIST EMPLOYEE AND PAID BY THE COMPENSATING REGISTRANT FOR LOBBYIST ACTIVITIES IN TH E DISTRICT

TOTAL T I-ll S CUMULATIVE EMPLOYER'S NAME ADDRESS AND TELEPHONE NUMBER PERIOD TOTAL

ADVERTISING & PERSONAL TRAVEL COMPENSATION OTHER OFFICE EXPENSES PUB LICATION EXP EXPENSES EXPENSES TO OTHER EXPENSES

$ $ $ ~ :b :!>

TOTAL THIS C UM ULATIVE EMPLOYER'S NAME, ADDRESS, AND TELEPHONE NUMBER PERIOD TOTAL

ADVERTISING & PERSONAL TRAVEL COMPENSATION OTHER OFFICE EXPENSES PUBLICATION EX P EXPENSES EXPENSES TO OTHER EXPENSES

$ $ $ ~

TOTAL THIS ~UMULATIVE EMPLOYER'S NAME, ADDRESS, AND TELEPHONE NUM BER PERIOD TOTAL

ADV ERTISING & PERSONAL TRAVEL COMPENSATION OTHER OFF ICE EXPENSES PUBLICATION EX P EXPENSES EXPENSES TO OTHER EXPENSES

$ $ $ $

TOTAL T HIS C UMULATIVE EMPLOYER'S NAME, ADDRESS, AND TELEPHONE NUMBER PERIOD TOTAL

ADVERTISING & PERSONAL TRAVEL COM PEN SA TIOf\ OTHER OFFICE EXPENSES PU BLICATION EXP EXPENSES EXPENSES TO OTHER EXPENSES

$ $ $ $

TOTAL OTHER COMPENSATION/ RECEIPTS RECEIVED FOR LOBBYING $ $

(CARRY TOTAL FORWARD TO LINE 8) c:J IF MORE SPACE IS NEEDED, CHECK BOX AND ATTACH SUPPLEMENTAL SHEET A- I

(SEE NEXT PAGE FOR INSTRUCTIONS) REV. 12/2012 BEGA Form

BOARD OF ETHICS AND GOVERNMENT ACCOUNTABILITY LOBBYIST/EMPLOYEE LOBBYIST'S ACTIVITY REPORT PAGE 1 OF 1

SCHEDULE A-2 LOANS RECEIVED BY THE LOBBYIST YEAR: 2o12

Type of Report: til January __ _ D July __ _

Period Covering:_0_71_01_12_0_12 _____ th rough 12/31/2012

LOBBYIST/EMPLOYEE LOBBYIST NAME· Daimler/Mercedes-Benz USA

LOANS RECEIVED IN CO 'NECTION WITI-1 LOBBYING ACTIVITY.

TOTAL LOANS TillS PERIOD CUMULATIVE LOAN TOTAL

EMPLOYER'S NAME ADDRESS AND TELEPI-IONE NUMBER

LOAN I l $ 1$ $ $ I

TOTAL LOANS THIS PERIOD ~UMULATIVE LOAN EMPLOYER'S NAME ADDRESS AND TELEPI-IONE NUMBER TOTAL

LOAN I I $ 1$ $ $ I

TOTAL LOA NS TH IS PERIOD CUMULATIVE LOAN EMPLOYER'S NAME, ADDRESS AND TELEPHONE NUMBER TOTAL

LOAN I I $ 1$ $ $ I $ ~

EMPLOYER'S NAME, ADDRESS AND TELEPI-IONE NUMBER lfOTAL LOANS TillS PERIOD ~UMULA TIVE LOAN TOTAL

LOAN I I $ I$ $ $ I lb

TOTAL LOANS RECEIVED FOR THE PERIOD (CARRY TOTAL FORWARD TO LINE 9)

$ 0 IF MORE SPACE IS NEEDED, CHECK BOX AND ATTACH SUPPLEMENTAL SHEET

SEE REVERSE SIDE FOR I NSTRUCTIONS

REV. 12/20 12 BEGA Form

BOARD OF ETHICS AND GOVERNMENT ACCOUNTABILITY COMPENSATI NG REGISTRANT'S ACTIVITY REPORT PAGE 1 OF 1 --

SCHEDULE B - EXPENDITURES PAID BY COMPENSATING REGISTRANT TO THE LOBBYIST YEAR: 2012

Type of Report: Ill January __ _ DJuly __ _

Period Covering: _0_7f_01_12_0_12 _____ through 12/31/2012 ~ I~./ COMPENSATING REGISTRA T'S AME: Daimler/Mercedes-Benz USA ./ ---------------------------- -------------------PAYMENTS MADE IN CONNECTION WITH LOBBYING ACTIVITIES N/A

f'\CTIVITY EXPENSES INCURRED, OR PAID BY THE COMPENSATING REGISTRANT TO THE LOBBYIST AND/OR IN-HOUSE EMPLOYEE L0l3l3YIST FOR ACTIVITIES RELATIVE TO LOBI3YING ACTI VITIES IN THE DISTRICT OF COLUMBIA.

DATE NAME AND ADDRESS OF PAYEE PURPOSE OF COMPENSATION

TOT AL EXPENDITURES PAID FOR LOBBYI NG (CARRY TOTAL FORWARD TO LINE II)

0 IF MORE SPACE IS NEEDED, CH ECK BOX AND AITACH SUPPLEM ENTAL SHEET (SEE NEXT PAGE FOR INSTRUCTIONS)

REV. 12/201 2

I$

I$

$

$

$

$

I$

I$

$

TOTAL THIS CUMULATIVE PERIOD TOTAL

I$

$

$

I$

I$

$

$

$

$

BEGA Form

BOARD OF ETHICS AND GOVERNMENT ACCOUNTABILITY LOBBYIST/COMPENSATING REGISTRANT'S ACTIVITY REPORT PAGE OF 1

SCHEDULE B-1 -- OTHER EXPENDITURES YEAR: 2012

Type of Report: 00 January __ _ DJuly __ _

Period Covering: 07/01 /20 12 through 12/31/2012

cmvtrENsAn Nc RI!:GISTRANT's NAME: Daimler/Mercedes-Benz USA

OTIIER ACTIVITY EXPENSES INCURRED, OR PAID BY TilE COM PENS/\ TING REG ISTRANT TO THE LOBBYIST AND/OR IN-HOUSE EMPLOYEE LOBBYIST FOR ACTIVITES RELATIVE TO LOBBYING ACTIVITIES IN THE DISTRICT.

T YPE OF COMPENSATION PA ID (LOANS. CONTRIBUTION,

DATE N AME OF RECIPIENT DESCRI PTION OF CONSIDERATION GIFT, IIONORARIA. ETC.) >AYMENT

TOTAL OTHEREXPENDITURES PAID FOR LOBBYI NG (CARRY TOTA L FORWARD TO LINE 12)

0 I F MORE SPACE IS l'iEEDED, CHECK BOX AND ATTACH SUPPL EMENTAL SHEET TO SCHEDULE B-1

OTAL

$

$

$

$

$

$

$

$

[j] I F YOU I-lAVE NOT PAID, I CURRED, OR ARRANGED ANY OTHER ACTIVITY EXPENSES DURI NG T HE PERIOD, CHECK THE BOX TO INDICATE THAT YOU HAVE NOTHING TO REPORT

REV. 12/2012 BEGA Form

BOARD OF ETHICS AND GOVERNMENT

ACCOUNT ABILITY

LOBBYIST ACTIVITY REPORT 2012 SCHEDULE C YEAR __ _

(See next page for Instructions)

Type of Report~ January X D July __ _

. . 07/01/2012 12/31/2012 Covenng Penod through-------

Daimler/Mercedes-Benz USA LOBBYIST/COMPENSATING'S REGISTRANT'S NAME:---------

DATE NAME NATURE OF EMPLOYMENT WITH

REGISTRANT

I, the undersigned, declare under oath and on penalty of perjury that the statements conta ined on this Lobbyist Activity Report are to the best of my knowledge, true, correct, and complete.

Signature of Registrant (or, if not an individual, an authorized officer or agent* of registrant must sign).

*The lobbyist retained by contract to provide lobbying services may not sign on behalf of the compensating registrant.

Su!L~i{b3 and sworn to before me on this _1_0_t_h ___ ~anua~~ 1

My commission ExpireU.uoaJ. Kalouo.teh ~~~ ~ Notary Public, District of COlumbia My Commission Expires 11/14/2015

REV. 12/2012 BEGA Form