Council on State Taxation (COST)FPPC Form 801: Payment to Agency Report – A Public Document

1. Agency Name

Franchise Tax Board

Street Address

9646 Butterfield Way

Area Code/Phone Number

916-845-6467

Email

jozel.brunett@ftb.ca.gov

Agency Contact (name and title)

Jozel Brunett, Chief Counsel

2. Donor Name and Address

Council on State Taxation (COST)

Address

122 C Street, NW, Suite 330, Washington, DC 20001

Description of donor's business activity (if any) or its nature and interests

Tax Administrators (Annual Conference)

3. Payment Information

3.1(a) Travel Payment

Location of Travel

Phoenix, AZ

Dates

October 25, 2018 to October 26, 2018

Transportation Provider

Southwest

Name of Lodging Facility

Arizona Grant Resort

Lodging Expenses

$275.00

Meal Expenses

Blank

Transportation Expenses

$240.10

Other Expenses

$36.54

Total Expenses

$551.64

3.1(b) Payments Not Related to Travel

Blank

3.2 Payment Description. Provide a specific description of the payment and its agency purpose and use.

Third Party (COST/Barb Stanford (BStanford@cost.org) to reimburse airfare, parking, ground transportation. The lodging was paid direct at the COST conference. Official Jozel Brunett attended the Tax Administrators (Annual Conference).

3.3 Identify the officials who used the payment in Section 3.1 and their division

  • Brunett, Jozel - Chief Counsel - Legal Division

4. Verification

I authorized the accceptance of the reported payments as in compliance with FPPC regulations.

Signature

Original Form 801 signed by Denise Mellor

Print Name

Denise Mellor

Title

Division Chief

(month, day, year)

7/17/19

Comment:

(Additional information) Blank