Campaign_Contribution_Disclosure_Form.pdf

The document is a Campaign Contribution Disclosure Form from the County of Orange, designed to track and disclose any campaign contributions made to Board of Supervisors members or County Agency Officers. The form requires applicants to declare whether they or their subcontractors have made any campaign contributions to Orange County officials on or after January 1, 2023. If contributions were made, the applicant must provide details including the names of the contributing parties, the Board members or County Agency Officers receiving the contributions, dates, and amounts.

The form is part of California's political transparency regulations, implemented by the Fair Political Practices Commission. It mandates that campaign contributions made by the applicant, their subcontractors, or agents must be aggregated and disclosed within 12 months following the approval, renewal, or extension of a license, permit, or entitlement. By signing the form, the applicant certifies the accuracy of the information and agrees to disclose any future contributions to the County. The document lists the current Orange County Board of Supervisors and County Agency Officers, including the Chairman, Vice Chairman, and various department heads such as the Assessor, Auditor-Controller, Clerk-Recorder, and Sheriff-Coroner.