Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf
PDF 472 KB Posted
- Attached to
- Pasadena Winter Shelter Operator
- Solicitation number
- 2023-RFP-665
- Issued by
- Los Angeles County, California
About this file
This document is a Disclosure Form pursuant to the City of Pasadena Taxpayer Protection Amendment under the Pasadena City Charter, Article XVII. The form requires contractors or organizations seeking to work with the City of Pasadena to disclose detailed information about their organizational structure, including trustees, directors, partners, officers, and individuals with significant financial interests (more than 10% equity, participation, or revenue).
The disclosure form provides a template for potential contractors to transparently report their organizational composition, with specific sections for listing the organization's name, type of entity (with options for non-government or nonprofit 501(c)(3), (4), or (6)), names of key personnel, and individuals with substantial financial stakes. This form appears to be part of the documentation for the Pasadena Winter Shelter Operator contract, which aims to provide low-barrier temporary shelter for individuals experiencing homelessness during the winter months from December 1 through March 31 each program year.
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Text version
{project.template.processClassification} - {project.title} Release Date: {project.releaseProjectDate}
Disclosure Pursuant to the City of Pasadena Taxpayer Protection Amendment
Pasadena City Charter, Article XVII
Contractor/Organization hereby discloses its trustees, directors, partners, officers, and those with more than 10% equity, participation, or revenue interest in Contractor/Organization, as follows:
(If printing, please print legibly. Use additional sheets as necessary.)
1. Contractor/Organization Name:
2. Type of Entity:
□ non-government □ nonprofit 501(c)(3), (4), or (6)
3. Name(s) of trustees, directors, partners, officers of Contractor/Organization:
4. Names of those with more than 10% equity, participation or revenue interest in Contractor/Organization:
Prepared by: ________________________________
Title: ______________________________________
Phone:
Date: ______________________________________
File details come from the government source that posted it. Updated .