Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

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Attached to
Office of Emergency - Mobile Communications Platform (Trailer)
Solicitation number
2024-RFP-0458
Issued by
Los Angeles County, California

About this file

This document is a Disclosure Form pursuant to the City of Pasadena Taxpayer Protection Amendment under the Pasadena City Charter, Article XVII. The form requires contractors or organizations to provide detailed transparency about their organizational structure, including listing trustees, directors, partners, officers, and individuals with more than 10% equity, participation, or revenue interest. The form provides blank spaces for contractors to fill in their organization's name, type of entity (with options for non-government or nonprofit 501(c)(3), (4), or (6)), and the requested personnel information.

The disclosure form is designed to ensure transparency and accountability for entities seeking to engage in contracts or business with the City of Pasadena. It requires the preparer to complete the form with their name, title, phone number, and date of preparation. The form is a standard template that allows for additional sheets to be used if more space is needed to list the required organizational personnel and ownership information. While the form itself does not contain specific contract details, it is associated with the Brookside Park Stormwater Capture Project, which involves engineering design services for a stormwater management initiative in Pasadena, California.

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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 .