Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

This is a Taxpayer Protection Amendment Disclosure form required by the City of Pasadena, California, in conjunction with the P-57907 Enterprise Monitoring contract opportunity. The form serves as a mandatory disclosure document for contractors and organizations seeking to do business with the City of Pasadena. The disclosure requires contractors to identify their entity type and provide comprehensive information regarding organizational leadership, including trustees, directors, partners, and officers. Additionally, contractors must disclose all individuals or entities holding more than 10% equity, participation, or revenue interest in the contracting organization. The form applies to all entity types, including non-governmental organizations and nonprofit entities classified under sections 501(c)(3), (c)(4), or (c)(6) of the Internal Revenue Code.

The disclosure form is a standardized template that requires legible completion with space for supplemental documentation as necessary. Contractors must complete all required fields, including the contracting organization's name, entity type classification, names of all trustees, directors, partners, and officers, and identification of principal stakeholders meeting the 10% threshold. The form must be prepared and signed by an authorized representative, including their title, phone number, and date of submission. This disclosure mechanism is part of the City of Pasadena's transparency and accountability requirements under the Taxpayer Protection Amendment to ensure public oversight of contractor ownership and management structures.