Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

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Attached to
Managed Detection and Response (MDR) Services [P-67709]
Solicitation number
2025-RFP-0516
Issued by
Los Angeles County, California

About this file

This document is a Disclosure Form from the City of Pasadena, California, pursuant to the Taxpayer Protection Amendment in the Pasadena City Charter, Article XVII. The form requires contractors or organizations to provide detailed information about their organizational structure and ownership.

The form requests contractors to disclose their entity type (with options for non-government or nonprofit 501(c)(3), (4), or (6) organizations), and provide comprehensive details including names of trustees, directors, partners, officers, and individuals with more than 10% equity, participation, or revenue interest in the organization. The document provides blank spaces for filling in these details, with instructions to print legibly and use additional sheets if necessary. The form concludes with spaces for the preparer's information, including 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 .