801 Payment to Agency Report (Alan Enterprise) 12-05-23Payment to Agency Report A Public Document PAYMENT TO AGENCY REPORT
California
Form
1. Agency Name
Agency Contact (name and title)
Street Address
Amendment
Date Stamp
Email
Division, Department, or Region (if applicable)
801
(month, day, year)
)RU2I¿FLDO8VH2QO\
Area Code/Phone Number
Date of Original Filing:
(explain in comment section)
2. Donor Name and Address
Individual Other NameLast Name First Name
Address City State Zip Code
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:
$ $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)
Transportation Provider
Rail Air Bus
Check Applicable Boxes
Auto Other
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) 7RWDO([SHQVHV
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Last Name First Name Position/Title Department/Division
Last Name First Name Position/Title Department/Division
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I authorized the acceptance of the reported payment(s) as in compliance with FPPC regulations.
Signature Print Name Title (month, day, year)
Comment:
8VHWKLVVSDFHRUDQDWWDFKPHQWIRUDQ\DGGLWLRQDOLQIRUPDWLRQ FPPC Form 801 (Jan/1)
advice@fppc.ca.gov
City of Cupertino
City Manager's Office
10300 Torre Avenue
408-777-3200 kirstens@cupertino.org
Kirsten Squarcia, City Clerk
■Alan Enterprise, LLC
1 an Francisco CA 94108
general contracting agency providing building/construction and design services
Food, beverage, and gifts (tea bag and mug) associated with a holiday open house provided to City
employees and councilmembers in appreciation for the work of the City.
Pamela Wu City Manager
Clear Page
1,300
12/12/23Pamela Wu (Dec 12, 2023 13:47 PST)
Pamela Wu
801_December 2023_Alan Enterprise
Final Audit Report 2023-12-12
Created:2023-12-12
By:Kirsten Squarcia (kirstens@cupertino.org)
Status:Signed
Transaction ID:CBJCHBCAABAAYh8JQo4ea1ySNMjxdY0JmU2iehoaHMLq
"801_December 2023_Alan Enterprise" History
Document created by Kirsten Squarcia (kirstens@cupertino.org)
2023-12-12 - 6:59:50 PM GMT- IP address: 64.165.34.3
Document emailed to pamelaw@cupertino.gov for signature
2023-12-12 - 7:01:22 PM GMT
Email viewed by pamelaw@cupertino.gov
2023-12-12 - 9:46:55 PM GMT- IP address: 104.47.73.126
Signer pamelaw@cupertino.gov entered name at signing as Pamela Wu
2023-12-12 - 9:47:17 PM GMT- IP address: 64.165.34.3
Document e-signed by Pamela Wu (pamelaw@cupertino.gov)
Signature Date: 2023-12-12 - 9:47:19 PM GMT - Time Source: server- IP address: 64.165.34.3
Agreement completed.
2023-12-12 - 9:47:19 PM GMT