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HomeMy WebLinkAbout801 Form -AT&T for Movies in the Park 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 C Area Code/Phone Number Email 408-777-3225 laurens ancupertino.gov Agency Contact (name and tine) Lauren Sapudar, City Clerk 2. Donor Name and Address ❑ Individual Last Name First Name Date Stamp RECEIVED OCT 1 3 2026 TINO CITY PAYMENT TO AGENCY REPORT For Official Use Only ❑ Amendment(explain in comment section) Date of Original Filing: ❑ Other AT&T Name (month, day, year) 1670 Las Plumas Ave Suite H San Jose CA 95133 Address City State Zip Code Movies in the Park 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 Transportation Expenses Other Expenses Total Expenses 3.1 (b) Payment(s) not related to travel: $ Dates (month, day, year) Total Expenses 3.2. Payment Description. Provide a specific description of the payment and its agency purpose and use. Movies in the Park Sponsorship 3.3. Identify the officials who used the payment in Section 3.1 (See instructions) Last Name First Name PositionrTitle Department/Division Last Name First Name Position/Title Department/Division 4. Verification I authorized the acceptance of the reported payment(s) as in compliance with FPPC regulations. Tina Kapoor Interim City Manager Oct 13, 2026 Tina Kapoor (Oct 13. 2026 16:26:57 PDT) Signature Print Name Title (month, day, year) Comment: (Use this space or an attachment for any additional information) FPPC Form 801 (Jan/18) Form 801- 2026 Parks & Recreation Itemized List (Movies in the Park Sponsorship) Donated By Item Estimated Value AT&T Monetary Donation $600 1670 Las Plumas Ave Suite H, San Jose, CA 95133 Chanmonyka San (408) 643-4359 801 Form -AT&T for Movies in the Park Sponsorship Final Audit Report 2026-10-13 Created: 2026-10-13 By: Melissa Robertson (melissar@cupertino.gov) Status: Signed Transaction ID: CBJCHBCAABAA606gK2wQho0OCXCLZEu54uQd-mbDoSr6 "801 Form -AT&T for Movies in the Park Sponsorship" History Document created by Melissa Robertson (melissar@cupertino.gov) 2026-10-13 - 11:07:38 PM GMT C'-► Document emailed to Tina Kapoor (TinaK@cupertino.gov) for signature 2026-10-13 - 11:08:43 PM GMT ,1 Email viewed by Tina Kapoor (TinaK@cupertino.gov) 2026-10-13 - 11:08:50 PM GMT 6© Document e -signed by Tina Kapoor (TinaK@cupertino.gov) Signature Date: 2026-10-13 - 11:26:57 PM GMT - Time Source: server - Signature Appearance Selected: MOBILE_DRAW ® Agreement completed. 2026-10-13 - 11:26:57 PM GMT a Adobe Acrobat Sign