HomeMy WebLinkAbout801 Form Parks & Rec - Earth Day SponsorshipPayment to Agency Report A Public Document
1. Agency Name
City of Cupertino
Division, Department, or Region (if applicable)
Parks and Recreation
Street Address
10300 Torre Ave., Cupertino CA 95014 Cl
Area Code/Phone Number Email
408-777-1312 laurens(c�cupertino.gov
Agency Contact (name and title)
Lauren Sapudar, City Clerk
2. Donor Name and Address
❑ Individual
Last Name
First Name
Date Stamp
RECEIVED
MAY 2 1 2026
'ERTINO CITY CI
PAYMENT TO AGENCY REPORT
For Official Use Only
❑ Amendment (explain in comment section)
Date of Original Filing:
(month, day, year)
❑Other
Various Vendors
Name
Address City State Zip Code
Monetary donations for Parks and Recreation 2026 Earth Day Sponsorship.
If "Other" is marked, describe the entity's business activity (if business) or its nature and interests.
If applicable, identify the name of each source and the amount(s) received by the donor for this payment:
(See attached itemized list) $ $
Name Amount Name Amount
3. Payment Information (Complete Sections 3.1 (a or b), 3.2, 3.3)
3.1 (a) Travel Payment
Location of Travel
Dates (month, day, year)
❑ Rail ❑ Air ❑ Bus ❑ Auto ❑ Other
Transportation Provider Check Applicable Boxes Name of Lodging Facility
$ $
Lodging Expenses Meal Expenses
3.1 (b) Payment(s) not related to travel:
$ $ $
Transportation Expenses Other Expenses Total Expenses
Dates (month, day, year)
Total Expenses
3.2. Payment Description. Provide a specific description of the payment and its agency purpose and use.
Monetary donations for Parks and Recreation 2026 Earth Day Sponsorship.
3.3. Identify the officials who used the payment in Section 3.1 (See instructions)
Last Name First Name
Last Name
First Name
Position/Title
Position/Title
Department/Division
Department/Division
4. Verification
I authorize�accepta ce of the reported payment(s) as in compliance with FPPC regulations.
Tina Kapoor City Manager `7 ) v
Signature Print Name Title (month, day, year)
Comment
(Use this space or an attachment for any additional information)
FPPC Form 801 (Jan/18)
advice@fppc.ca.gov
Form 801- 2026 Parks & Recreation Itemized List (Earth Day Sponsorships)
Donated By
Item
Estimated
Value
Star One Credit Union
Monetary Donation
$450
1306 Bordeaux Ave,
Sunnyvale, CA 94089
Grace Thompson
(408) 543-5292
LeafFilter Gutter Protection
Monetary Donation
$450
1595 Georgetown Rd
Hudson,OH 44236
Justin Lowry
(800) 726-7703
The Davey Tree Expert Co.
Monetary Donation
$450
88 Phelan Ave
San Jose, CA 95112
Deanna Hernandez
(626) 549-8264
Bay Area Air District
Monetary Donation
$450
375 Beale Street, Ste 600
San Francisco, CA 94105
Matthias Shiber
(415) 749-5000
Mattress Recycling Council's
Monetary Donation
$450
Bye Bye Mattress Program
580 N Fourth Street Ste. 230
Columbus, OH 43215
A. Acosta
(773) 318-6657
San Jose Water
Monetary Donation
$450
110 W. Taylor St,
San Jose, CA 95110
Sponsor Email:
liann.walborskyVsjwater.com
Sponsor Phone Number: (408)
918-7247
Form 801- 2026 Parks & Recreation Itemized List (Earth Day Sponsorships)
Recology South Bay Monetary Donation $450
1675 Rogers Ave, San Jose,
CA 95112
ponsor Email:
ponsor Phone Number: (408)