Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

This document is a Disclosure form pursuant to 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 the contractor/organization to specify their name, type of entity (with options for non-government or nonprofit 501(c)(3), (4), or (6)), and lists of key personnel and stakeholders.

The disclosure form is part of the documentation for the City of Pasadena's Traffic Counts FY2025 project, which involves professional services for traffic data collection. While the form itself does not detail pricing or specific contract terms, it represents a transparency mechanism for the City of Pasadena to understand the composition and ownership structure of potential contractors bidding on municipal projects. The form must be completed legibly, with provisions for using additional sheets if necessary, and requires the preparer to provide their contact information and signature.