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Apple_Inc__CUP_REGISTRATION_2022_04_18City of Cupertino Lobbyist Reglstragon & Reporting Page 1 of a Total Number of Pages B Including additional pages �J� CITY OF CUPERTINO LOBBYIST REGISTRATION & REPORTING FORM CUPERTINO (CMC CH. 2.100( TYPE OF REPORT (check all that apply) ❑ Initial Registration Q Annual Renewal (filed annually by January 15) ❑ Termination, effective date: ❑ Amendment, filedondate: Amendment explanation: ❑� Quarterly Report (CMC 2.100.100) (check one below) El LJ lst quarter -January l to March 31(filed by April 15) IIIILLLL--����----JJJJ 2nd Quarter- April l to June 30(filed by July 15) 3rd Quarter -July Ito September 30 (filed by October 15) ❑� 4th Quarter- October Ito December 31(filed by January 15) Section 1 APR 1 0 2022 CUPERTINO CITY CLERK LOBBYIST INFORMATION Are you a: ❑ Contract Lobbyist ❑� Business or Organization Lobbyist ❑ Expenditure Lobbyist Note: Contract Lobbyist, Business or Organization Lobbyist, and Expenditure Lobbyist are defined in CMC 2.100.030(o). Name of Lobbyist Apple Inc Telephone Email Business Address City Sausalito State CA Zip Code 94965 Cupertino Business 1588 License Number City of Cupertino Lobbyist Registration 8 Reporting Page 2 of 8 DBA Federal Employer Identification Number (FEIN) 942494110 Specify how the Contract Lobbyist, Business or Organization Lobbyist, or the Expenditure Lobbyist entity is organized: ❑ Sole Proprietorship ❑ Partnership ❑ Non -Profit Corporation ❑� For -Profit Corporation ❑ Other: If the Lobbyist is a sole proprietor or partnership of fewer than ten (10) persons, state the name(s) of the sole proprietor or persons with an ownership interest in 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): Timothy Cook, Luca Maestri, Katherine Adams; Agent for Service: Dernn Um, 28 Liberty Ship Way, Suite 2815, Sausalito, CA 94965 3111P16i1 ❑ CONTRACT LOBBYIST (CMC 2.100.090(a)) CLIENT INFORMATION Client Name, Address, and Telephone Number Effective Date of Representation City of Cupertino Lobbyist Registration & RepoNng Page 3 of 8 Specify the nature and purpose of the client's business 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). Name of each person working for the Contract Lobbyist that is engaged in lobbying activity on behalf of the client: ADDITIONAL CLIENTS If the contract lobbyist represents more than one client, attach a separate page providing all of the above information for each additional client. ❑- BUSINESS OR ORGANIZATION LOBBYIST(CMC 2.100.090(b)) Name of Business Apple Inc. Name of owners, officers or employees conducting Lobbying activities on behalf of Business or Organization: Gary Chao, Rod Diridon, Rebecca Tolentino Describe the nature and purpose of the business, organization, or association. Technology The legislative of administrative action(s) the business or organization lobbyist seeks to influence Permits and licensing; Other matters before the Mayor, City Council, City Board, City _Commission, Task Force or city -associated Joint Powers Authority (Attach additional pages if necessary.) EXPENDITURE LOBBYIST (CIVIC 2.100. 090(c)) City of Cupertino Lobbyist Registration & Reporting Page 4 of 8 Name of Expenditure Lobbyist Name of each person working forth 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 CONSULTANT OR OTHER SERVICES RENDERED TO CITY CITY OFFICIALS ETC (CIVIC 2.100.090(d)) Name of Payer (e.g. City agency, City Official or City Official- elect, ballot measure committee) Name of Recipient Lobbyist Amount of Payments(s) Date(s) of Payment(s) CAMPAIGN CONTRIBUTIONS (CIVIC 2.100090) Name of Lobbyist Making or Delivering Contribution Name of Contribution Recipient (Officeholder, Candidate, or Candidate - Controlled Committee) Date of Contribution Amount of Contribution City of CupeNno Lobbyist RegistraSon & Repoohng Page 5 of 8 (Attach a separate page providing all of the above information for additional contributions as needed.) INDEPENDENT EXPENDITURES (CMC 2.100.090(g)) Name of Lobbyist Making Independent Expenditure Name of City Official or candidate for City office that is intended beneficiary of Independent Expenditure Date of Expenditure Amount of Expenditure (Attach a separate page providing all of the above information foradditional expenditures as needed.) FUNDRAISING ACTIVITY (CMC 2.100.090(h)) Name(s) of beneficiary of Fundraising Activity (City Official, candidate, committee, or party) Name of City Official requesting Fundraising Activity (if applicable) Date of Fundraising Activity Names) of contributors who made contributions in connection with Fundraising Activity Amount(s) of contributions raised in connection with Fundraising Activity (Attach a separate page providing all of the above information for additional expenditures as needed.) DONATIONS TO ORGANIZATIONS MADE AT BEHEST OF CITY OFFICIAL OR (CANDIDATE CMC 2.100.090(i)) Recipient of Donation (for profit or nonprofit Organization) Amount(s) of Donation(s) Date(s) of Donation(s) City of cw.,tino Lobbyist Registration & Reporting Page a of 8 Note: only donations totaling more than $1000 in the aggregate per calendar year must be disclosed. CONTACTS WITH CITY OFFICIALS OR CITY OFFICIALS -ELECT CIVIC 2 100 090(il) Name(s) of City Official(s) or City Officials) -Elect contacted Date(s) of Contact Methods(s) of Contact mrz,.,onaa,,,wvauvaa,.,rcmz,.,omrz,,a u,. uarzt 11.1. unam,um "1.. rzea,. raz,m Meetings (scheduled), Event, Phone (unscheduled) Approximate Number of Contacts during calendar year: ❑ One Contact ❑ Two to Five Contacts ❑ Six to Ten Contacts ❑EI Eleven or More Contacts ACTIVITY EXPENSES (CMC 2.100.090(k)l Beneficiary or recipient(s) of Activity Expense(s) (City Official, City Official- elector 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 include Gifts, honoraria, consulting fees, salaries and other forms of Compensation, but do not include campaign contributions. Section 4 TERMINATION (2.100.060) 1 certify that I have been authorized by the Lobbyist identified above to make this verification. I have reviewed the requirements of the provisions of the Cupertino Municipal Code (Chapter 2.100). 1 certify under penalty of perjury under the laws of the State of California that I have reviewed the Notice of Termination and to the best of my knowledge the information contained herein is true and complete. Termination Effective: City of Cupeaino Lobbyist Registration & Reponing Page 7 of 8 Print Name Title Signature Executed on: (month, day, year) ATTACHMENTS I have reviewed the lobbyist guidelines and I have nothing to report. Attached to this Report is/are the following: (If additional space is needed, attach additional pages with responses to each of the above disclosure categories) FEES DUE (CMC 2.100.080 and see Fee Schedule A — General) Lobbyist Registration Fee* (January 1- December 31) $ 178.96 Delinquent Fee $ 500.00 Total Payment Due With Report $ 678.96 Registration Fee Delinquent Fees $178.96 $25 per day with a max of $500 Make checks payable to: City of Cupertino Send Forms and Payment to: City of Cupertino City Clerk's Office 10300 Torre Avenue Cupertino, CA 95014 NOTE: Late fees will apply to any lobbying activity not reported after the 15 days of qualifying as a lobbyist 'Initial registration fee is due within 15 days after qualifying as a lobbyist VERIFICATION I certify that I have been authorized bythe Lobbyist identified above to makethis verification. I have reviewed the requirements of the provisions of the Cupertino Municipal Code (Chapter 2.100).1 certify under penalty of perjury under the laws of the State of California that I have reviewed this Lobbyist Report and to the best of my knowledge the information contained herein is true and complete. (CMC 2.100.090(1)) Print Name Darrin Lim Title Authorized Agent for Filer Telephone Number (415)903-2800 City of Cupedino Lobbyist Registration 6 Reporting Papa 0 of 8 Signature Executed on: OEM -- (month, day, year) 04/15/2022 APPENDIX A: Cupertino Municipal Code Ch. 2.100.