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Cuneen_Company_CUP_REGISTRATION_2022_01_11Gty of Cuperi ine Lobbyist Registration & Reporting Page 1 of a Total Number of Pages including additional pages 1191 CITY OF CUPERTINO LOBBYIST REGISTRATION & REPORTING FORM CUPERTINO )CMC CH. 2.100) TYPE OF REPORT (check all that apply) U ❑ Initial Registration JAN 1 1 2022 0 Annual Renewal (filed annually by January 15) ( :O Termination, effective date: CUPERTINO CITY C ❑ Amendment, filed on date: Amendment explanation: ❑ Quarterly Report (CMC 2.100.100) (check one below) ❑ 1st quarter -January Ito March 31(filed by April 15) ❑ 2nd Quarter -April 1 to June 30(filed by July 15) ❑ 3rd Quarter -July l to September 30(filed by October 15) ❑ 4th Quarter -October l to December 31(flled by January 15) 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 Telephone Email Business Address City State Zip Code Cunneen San Jose CA 95125 Cupertino Business gL-OD0059 License Number City of Cupertino Lobbyist Registration & Reponing Page 2 of 8 Za Federal Employer Identification Number(FEIN) 87-0734429 Specify how the Contract Lobbyist, Business or Organization Lobbyist, or the Expenditure Lobbyist entity is organized: Q 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 business: Jim Cunneen (Leslie Rodriguez is an advocate for Cunneen Company as an independent contractor) 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 REPORT FOR EACH CATEGORY OF LOBBYIST 9 CONTRACT LOBBYIST (CIVIC 2.100.090(a)) CLIENT INFORMATION Client Name, Verizon Address, and n Francisco CA 94105 Telephone Number Effective Date of Representation 01/0112022 City of Cupertino Lobbyist Registration & Reporting Page 3 of 8 Specify the nature and purpose of the client's business Communications Company 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). Government affairs representation, wireless infrastructure approvals Name of each person working for the Contract Lobbyist that is engaged in lobbying activity on behalf of the client: Jim Cunneen, Leslie Rodriguez 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 (CIVIC 2.100.090(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 legislative of administrative action(s) the business or organization lobbyist seeks to influence (Attach additional pages if necessary.) ❑ EXPENDITURE LOBBYIST (CIVIC 2.100. 090(c)) City of Cupeaino Lobbyist Registration & Reporting Page 4 of 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 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 2.100.090) 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 Cupertino Lobbyist Registration & RepoNng Page 5 of 8 (Attach a separate page providing all of the above information for additional contributions as needed.) INDEPENDENT EXPENDITURES (CIVIC 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 for additional expenditures as needed.) FUNDRAISING ACTIVITY (CIVIC 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 Name(s) 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 CupeNno Lobbyist Registration & Reporting Page 6 of 6 Note: only donations totaling more than $1000 in the aggregate per calendar year must be disclosed. CONTACTS WITH CITY OFFICIALS OR CITY OFFICIALS -ELECT (CMC 2.100.090(i)) Name(s) of City Official(s) or City Officials) -Elect contacted Date(s) of Contact Methods(s) of Contact Approximate Number of Contacts during calendar year: ❑ One Contact ❑ Two to Five Contacts ❑ Six to Ten Contacts ❑ Eleven or More Contacts ACTIVITY EXPENSES (CMC 2.100.090(k)1 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 include Gifts, honoraria, consulting fees, salaries and other forms of Compensation, but do not include campaign contributions. 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 Cupertino Lobbyist Registration 8 Reporting 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 $ Total Payment Due With Report $ 178.96 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 N07F' 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 by the Lobbyist identified above to make this veriflcatlon. 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)1 Print Name dim Cunneen Title Owner Telephone Number — City of Cupertino Lobbyist Registration & Reporting Page 8 of 8 NOW- Digitally signed by Jim Cunneen Signature Date: 2022.01.10 11:38:27-08'00' Executed on: (month, day, year) 01/10/2022 APPENDIX A: Cupertino Municipal Code Ch. 2.100,