Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf
PDF 472 KB Posted
- Attached to
- Multi-Cancer Early Detection Blood Test
- Solicitation number
- 2025-RFP-0699
- 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 organizational leadership and ownership. The form requires contractors or organizations to disclose trustees, directors, partners, officers, and individuals with more than 10% equity, participation, or revenue interest. The form provides spaces for listing the organization's name, type of entity (with options for non-government or nonprofit 501(c)(3), (4), or (6)), names of key personnel, and individuals with significant financial stakes.
The disclosure is related to a Multi-Cancer Early Detection Blood Test project for the Pasadena Fire Department, which aims to provide annual multi-cancer screenings for approximately 179 full-time employees over two years. The project will be funded through the Assistance to Firefighter's Grant (AFG) and requires the successful bidder to comply with Federal Procurement Standards and policies. The form itself serves as a transparency mechanism to ensure accountability and provide insight into the organizational structure of potential contractors bidding on this health and wellness program for firefighting personnel.
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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 .