Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

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Attached to
Power Delivery Call Center Services
Solicitation number
2023-RFP-120
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 spaces for contractors to indicate their organization's name, type of entity (with checkboxes for non-government and nonprofit 501(c)(3), (4), or (6) classifications), and lists of key personnel and stakeholders.

The disclosure form is designed to promote transparency in local government contracting by mandating that potential contractors provide comprehensive information about their organizational leadership and ownership. Contractors must complete the form legibly, using additional sheets if necessary, and include details such as the preparer's name, title, phone number, and the date of preparation. While the document does not specify specific financial thresholds or penalties, it appears to be part of the City of Pasadena's efforts to ensure accountability and prevent conflicts of interest in municipal contracts.

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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 .