Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

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Attached to
Battery Energy Storage System (BESS)
Solicitation number
2023-RFP-030
Issued by
Los Angeles County, California

About this file

This document is a Disclosure Form for the City of Pasadena Taxpayer Protection Amendment, specifically related to the Pasadena City Charter, Article XVII. The form requires contractors or organizations to disclose detailed information about their organizational structure, including trustees, directors, partners, officers, and individuals with more than 10% equity, participation, or revenue interest.

The form provides space for contractors to indicate their organization name, type of entity (with options for non-government or nonprofit 501(c)(3), (4), or (6)), and lists of key personnel and significant stakeholders. The document is designed to ensure transparency in contractual relationships with the City of Pasadena, requiring comprehensive disclosure of organizational leadership and ownership. There are blank lines for the preparer to complete, including fields for name, title, phone number, and date of preparation.

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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 .