Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf
PDF 472 KB Posted
- Attached to
- City of Pasadena Strategic Broadband Plan
- Solicitation number
- 2023-RFP-514
- 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), which requires contractors or organizations seeking to engage with the City of Pasadena to provide detailed transparency about their organizational structure. The form mandates disclosure of key organizational personnel, including trustees, directors, partners, and officers, as well as individuals holding more than 10% equity, participation, or revenue interest in the contracting entity.
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) status), and requires listing of all relevant leadership and significant stakeholders. This disclosure appears to be part of the City of Pasadena's broader Strategic Broadband Plan procurement process, which aims to develop a comprehensive broadband strategy through consulting services. The form serves as a transparency mechanism to ensure accountability and prevent potential conflicts of interest in municipal contracting.
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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 .