Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

PDF 472 KB Posted

Attached to
Personal Protective Equipment Cleaning, Inspection and Repair Services
Solicitation number
2023-RFP-605
Issued by
Los Angeles County, California

About this file

This document is a Disclosure form pursuant to the City of Pasadena Taxpayer Protection Amendment (Pasadena City Charter, Article XVII), designed to provide transparency about the ownership and leadership structure of contractors or organizations seeking to do business with the City of Pasadena. The form requires potential contractors to disclose detailed information about their organizational leadership, including names of trustees, directors, partners, officers, and individuals with more than 10% equity, participation, or revenue interest in the organization.

The form provides blank spaces for contractors to specify their organization's name, type of entity (with options for non-government or nonprofit 501(c)(3), (4), or (6)), and the requested leadership details. It is part of a broader disclosure process related to the Pasadena Fire Department's Personal Protective Equipment (PPE) Cleaning, Inspection and Repair Services procurement, which aims to ensure comprehensive maintenance of firefighter protective gear in compliance with manufacturing, OSHA, and NFPA regulations. The form must be completed and signed by an authorized representative of the proposing organization, with spaces for the preparer's name, title, phone number, and date of preparation.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .