Amy_Chan_CUP_1st SEMI ANNUAL REPORT_ 2024_08_01City of Cupertino
Lobbyist Registration & Reporting
Page 1 of 6
ICI CITY OF CUPERTINO
CUPERTINO LOBBYIST REGISTRATION & REPORTING FO
(CMC CH. 2.100)
TYPE OF REPORT (check all that apply)
f Initial Registration \`
Annual Renewal (filed annually b January 15)
Termination, effective date:
��
❑ Amendment, filed on date: \
Amendment explanation:
AUG -1 2024LL—
D
CUPERTINO CITY CLERK
_Semi-annual Report (CMC 2.100.100) (check one below)
1st Semi-annual Report - January 1 to June 30 (filed by July 15)
2nd Semi-annual Report - July 1 to December 31 (filed by January 15)
LOBBYIST INFORMATION
Are you a:
Contract Lobbyist
❑ Organization Lobbyist
Note: Contract Lobbyist and Organization Lobbyist are defined in CMC 2.100.030.
Name of Lobbyist
Telephone Number
Business Address
(Number and Street)
City
State
Zip Code
A Q �(--��
'
Cupertino Business ' `J
License Number
DBA
Federal Employer
Identification
Number (FEIN)
City of Cupertino
Lobbyist Registration & Reporting
CCU' `Il � 1 17 L �m " ` 4 l/ 1 �, Pag�,2 of 6
Specify how the Contract Lobbyist or Organization Lobbyist entity is organized:
9
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) oft a sole proprietor or persons with an ownership interest in the
business:E kkj L .1� PS
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 LOBBYIST
,�CONTRACT LOBBYIST (CIVIC 2.100.090(a))
CLIENT INFORMATIO
Client Name,
LP�+��
Address, and
Telephone
Number
Effective Date of
Representation \ ZQZ
City of Cupertino
Lobbyist Registration & Reporting
Page 3 of 6
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).
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tyth,e-C--ortt-ra�L-obbyist--thatAs-engaged--in-.lobbying_actI fty
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ADDITIONAL CLIENTS J, l
If the contract lobbyist represents more than one client, attach a separate page providing all of
the above information for each additional client.
❑ ORGANIZATION LOBBYIST (CIVIC 2.100.090(b))
Name of Organization:
Name of owners, officers or employees conducting Lobbying activities on behalf of
Organization:
Describe the nature and purpose of the organization or association.
The legislative of administrative action(s) the organization lobbyist seeks to influence
(Attach additional pages if necessary.)
City of Cupertino
Lobbyist Registration & Reporting
Page 4 of 6
PAYMENT FOR CONSULTANT OR OTHER SERVICES RENDERED TO CITY, CITY OFFICIALS, ETC.
(CIVIC 2.100. 090(c))
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)
CONTACTS WITH CITY OFFICIALS OR CITY OFFICIALS -ELECT (CIVIC 2.100.090(d))
Name(s) of City Official(s) or /• z 0�
City Official(s) Elect
contacted ?ZSR�)fl �� ' �// 7- Zq
Date(s) of Contact Y �D �-k
Methods(s) of Contact t 0T7-,C
Approximate Number of Contacts during calendar year:
❑ One Contact
Two to Five Contacts
❑ Six to Ten Contacts
❑ Eleven or More Contacts
ACTIVITY EXPENSES (CIVIC 2.100.090(e))
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)
2 g 7Z2-4
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.
City of Cupertino
Lobbyist Registration & Reporting
Page 6 of 6
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 com lete.
Termination Effective: � t --Li3
Print Name
Title
Signature
Executed on:
(month, day, year)
(J &)S;0L
ATTACHMENTS Uv/A—
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 (CIVIC 2.100.080 and see Fee Schedule A — General)
Lobbyist Registration Fee* (January 1- December 31) $
Delinquent Fee $
Total Payment Due With Report $
Registration Fee
Delinquent Fees
$296 86- (11, jq
$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
City of Cupertino
Lobbyist Registration & Reporting
Page 6 of 6
VERIFICATION
I 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 this Lobbyist Report and to the best of my
knowledge the information contained herein is true and complete. (CIVIC 2.100.090(f))
Print Name
Title
Telephone Number
Signature
Executed on:
(month, day, year)
APPENDIX A:
Cupertino Municipal Code Ch. 2.100.