_..;. ~_....;;;...._.;... ..;... Payment_____ to Agency Report______A Public Document _PAYM ENno AGENcv REPORT 1. Agency Name Date Stamp California 801 California Energy Commission Form For Official Use Only Division, Department, or Region (if applicable) Commissioners Office / Small Offices Street Address 1516 9th Street Area Code/Phone Number Email 0 Amendment (explain in comment section) (9 16) 653-5721 a Ian a [email protected] .gov Date of Original Filing: -----,-.....,----,- Agency Contact (name and title) (month, day, year) Alana Sanchez, International Relations Senior Advisor 2. Donor Name and Address Energy Foundation Individual ------0 Other O Last Name First Name Name 301 Battery Street San Francisco CA 94111 Address City State Zip Code The Energy Foundation promotes transition to a sustainable energy future through energy efficiency & renewable energy.
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 orb), 3.2, 3.3) 3.1 (a) Travel Payment China - Beijing, Nanjing, Shenzhen, HK 10/28/2017 - 11 /05/2017 Location of Travel Dates (month, day, year) United, China Southern, China DMC D Rail D Air o Bus D Auto 0 Other Lodging at Multiple Facilities Name of Lodging Facility Transportation Provider Check Applicable Boxes $5,918.58 $ 563.34 $8,753.46 $ 585.22 $15,820.60 Lodging Expenses Meal Expenses fransportation 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. Chair Weisenmiller lead a small delegation back to China in order to engage in follow-up activities and further develop cooperation between California and China toward the objectives agreed to in the MOUs signed during the visit of California Governor Edmund Brown, Jr. in June 2017.
3.3. Identify the officials who used the payment in Section 3.1 (See instructions) Weisenmiller Robert Chair SmallOffices/Commissioner Last Name First Name Positionmue DepartmenUDivision
See attachment Last Name First Name Positionmue DepartmenUDivision
4. Verification the acceptance of the reported payment(s) as in compliance with FPPC regulations. Drew Bohan Executive Director I , (l) I ~ Print Name Title (month, day, year)
Comment: (Use this space or an attachment for any additional information) FPPC Form 801 (Jan/14) [email protected] liAIMii!Zf.ll 3.3 Attachment
In addition to Chair Robert B. Weisenmiller, two of his Advisors traveled to China, and their travel will also be funded by the Energy Foundation.
Law and Policy Advisor, Small Offices/Commissioner
International Relations Senior Advisor, Small Offices/Commissioner