Amy_Chan_CUP_NXT_QUARTERLY_REPORT_2022_10_31CUPERTINO
ECE[VED
O(,T 3 ,022
CUPERTINO CiTY CLERK
City of CuparUno
Lobbyist Reglstmllon & Repa'ilng
Page 1 of 8
Total Number of Pages
Including additlonal pages
CITY OF CUPERTINO
LOBBYIST REGISTRATION & REPORTING FORM
(CMC CH, 2.100)
TYPE OF REPORT (check all that apply)
[3 Initial Registration
Annual Renewal (filed annually by January 15)
g Termination, effective date:
Amendment. filed on date:
Amendment explanation:
Quarterly Report (CMC 2.100,100') (check one below)
1st quarter - January I to March 31 (filed by April 15)
nd Quarter -April 1 to June 30 (filed by July 15)
3rd Quarter - July 1 to September 30 (fited by October 15)
4th Quarter - October I to December 31 (filed byJanuary 15)
LO88YIST INFORMATION
/kre you a:
JContract Lobbyist
lJ BusinessorOrganization Lobbyist
g Expenditure Lobbyist
NOte: COntract LObbyiSt, Business Or Organlzatlon LObbyiSt, and Expenditure LObbytSt are defined in CMC
2.100.030(o)
Zip Code
Cupertino Business
City df CuperUno
Lobbyiat RegistThon & ReporUng
Page 2 of 8
DBA C+4 QOR!6aCtst-?2bTj pu",.
Federal Employer
Identif"ication
Number (FEiN)4(o ;""tobsqq
Specify how the Contract Lobbyist, Business or Organization Lobbyist, or the Expendlture
Lobbyist entity is organized:
Sole Proprietorship
Partnership
Non-Profit Corporation
g For-Profit Corporation
g Other:
If the Lobbyist is a sole proprietor or partnership of fewer than ten (10) persons, state the
If the LObbyiSt iS a COrporatiOn (for-profit or non-profit), state the name(s) of COrpOrate Officers
and the Agent for Service of Process and their respective contact information (if different from
above):
REPORT FOR EACH CATEGORY OF LO8BYIST
CONTRACT LOBBYIST (CMC 2,100.090(a)
aiisr
Effective Date of
Representation <,t,>,x-b A,is-...\
City of Cupertino
Lobbyist Registration & Reporting
Page 3 of 8
Specify the nature and purpose of the client's business
i'%
Describe the legislative or administrative action(s) the Contract Lobbyist was retained to
influence on behalf of the client, and the outcome sought (attach additional pages if
necessary)
P)i '(O eb<hsJ"i
ADDITIONALCLIENTS KJi
If the contract lobbyist represents more than one client, attach a separate page providing all of
the above information for each additional client.
{l BUSINESS OR ORGANIZATION LOBBYIST (CMC z.ioo.ogo(b))
Name of Business
Name of owners, officers or employees conducting Lobbying activities on behalf of Business
or Organization:
Describe the nature and purpose of the business, organization, or association.
The €egfsiative ofadminfstratfve actfOn(S) the busfness Or organization iObbyiSt SeekS tO
influence
(Attach additional pages if necessary.)
IJ txptsorrt,mc cospvi5v(cuc 2.100. 090(C))
City of CuperUno
Lobbyist Reglstratlon & Reporting
Page 4 af 8
Name of
Expenditure
Lobbyist
Name of each person working for the Expenditure Lobbyist that is engaged in lobbying
activity (if applicable):
The legislative of administrative action(s) the expenditure lobbyist seeks to influence
Amount of Payment(s) or
Expenditure(s):
PAYMENT FOR CONSULTANJ OR OTHER SERVICES RENDERED TO CITY, CITY OFFICIAL5, ETC.
Name of Payer
(e.g. City agency, City Officiai
or City Official- elect, ballot
measure committee)
Name of Recipient Lobbyist
Amount of Payments(s)
Date(s) of Payment(s)
CAMPAIGN CONTRIBUTIONS €CMC 2.100.090)
Name of LobbyJst Making or
Delivering Contribution
Name of Contribution
Recipient (Officeholder,
Candidate, or Candidate-
Controlled Committee)
Date of Contribution
Amount of Contribution
riynfCupnrUnn
LuUiyffil R-j-l-llii-& nqOffl%l
%p5of8
(Attach a separate page providing all of the above information for additional contributions
as needed.)
INDEPENDENTEXPENDITURES(CMC2.100.090(@J) 4
Name of Lobbyist Making
Independent Expenditure
Name of City Official or
candidate for City office that
IJ JuliiiJJ liiiiJiJai y ur
Independent Expenditure
Date of Expenditure
Amount of Expendfture
(Attach a separate page providingall ofthe above information foradditional expenditures
as needed.
Name(s) of beneficiary of
Fundraising Activity (City
Official, candidate,
committee, or party)
Name of City Official
requestfng Fundraising
Activity (g applicable)
Date of Fundraising Adivtty
Name's) (ifuuuli;tivLuib whu
made cmtributions in
connection with Fundraising
Adivity
Amount(s) uriuiiliilibL;ui'i
raised in connection with
Fundraising Activity
(Attach a separate pagi piuJJ;i'4ull of the above information for addittonal expenditures as
needed.
DONATIONSTO ORGANlZAnONS MADE AT BEHESTOF €jTYOFF1CIAL OR (CANDiDATE CMC 2.100.090(Q)
Recipient of Donation (for
profit or nonprofit
Organization)
Amount(s) of Donation(s)
Date(s) of DonaUon(s)
City of CuperUno
Lobbyist Registration & Reporting
Page 6 of 8
Note: only donations totaling more than SIOOO in the aggregate per calendar year must be
disclosed.
CONTACTS WITH CITY OFFICIALS OR CITY OFFICIALS-ELECT (CMC 2.100.090(j)
Name(s) of Ctty Official(s) or
City Official(s)-Elect
Methods/s) of Contact
Approximate Number of Contacts during calendar year:
[3 0ne Contact
Two to Five Contacts
Th::Xev'eonToenrvcoonr'ecdosntacts
Beneficiary or recipient(s) of
ACTIVITY EXPENSES (CMC 2.100.090(k))
Beneficiary or recipient(s) of
Activity Expense(s) (City
Official, City Official- elect or
member of his or her
immediate family or
domestic partner)
Amount(s) of Activity
Expense(s)
Date(s) of Activity
Expense(s)
Note: Activity Expenses includeGifts, honoraria, consultingfees, salaries and otherforms of
Compensation, but do not include campaign contributions.
I certify that I have been authorizdd bathe Lobbyist identified above to make this verification. I
have reviewed the requirements of the provisions ofthe Cupertino Municipal Code (Chapter
2.100). I certify under penalty of perjury under the laws of the State of California that I have
reviewed the Notice ofTermination and to the best of my knowledge the information
contained herein is true and complete.
Termination Effective:
C% of CuperUno
Lobbyl,l n,,)l,ffial;gii R n(lpviUiiy
Peg@ 7 dF 8
Print Name
Titlea-
Signature
Executed on:
(month, day, year)
ATT ACHMENTS
Ihave reviewed the lobbyistguidelines and Ihave nothing to report.
Attached to this Report is/are the following:
(if additional space is needed, attdi additional pages with responses to eadi ofthe
above disclosurecategories)
FEES DUE (CMC 2.100.,080 and see Fee Schedule A- General)
LuLiLiy'tSt n48!3trn10n FC'C'* (Januafa7 1- December 31) 6
DelinquentFee S
Total Payment Due With Report S
Dasie*s"dlns € MI rlallnsuan* €iaaeI %ljll!l II Ifl%lll I I %%h €#lilff@q%lltlj% II e%-@
5178.96 525 per day with a
maxof5500
Make checks payable to: City of Cupertino
Send Formsam Pymemto: City of Cupertino
aty Clerk's Office
10300 Torq /mnue
Cupertino, CA 95014
NO71: [gtf% will gpphrm anybbbying actiVaynOtreponmfitheis%S Ofqual%ng as 0 bbbyist
IlnMalregistration fee /sdue within 15 days $erquaNfying as a lobbyist
VERIFICATIQN
requirements ofthc praviiiuib ur Jii Cb@<rUna Mumrizl rnh (('haptpr ? lm). I ziliry yildii peiisilty br 4ijui y
under the laWS Of the Sta!e Of California that i liivi icviivsJ lliL Lulb RepOn and tO the bed Of mq knomedge
the iurunnzljuii uiiilu;!iiJ l'i<rein i5 tNeand anph!atei 4CMC 2.100.090(1)
Print Nome
Title
Telephone Number
:a7i'
C$ of Cupmtlno
Lobbylat ReglatraUon & ReporUng
Rag@Sofa
Signature
Executed on:
(month;day, year}
APPENDIX A:
Cupertino Municipal Code Ch, 2,100,