Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

PDF 472 KB Posted

Attached to
San Rafael Bridge Seismic Retrofit (BHLS-5064(101))
Solicitation number
2024-RFP-0637
Issued by
Los Angeles County, California

About this file

The document is a disclosure form for the City of Pasadena's Taxpayer Protection Amendment under the Pasadena City Charter, Article XVII. The form requires contractors or organizations to provide detailed information about their organizational structure, including the type of entity (non-government or nonprofit), names of trustees, directors, partners, and officers, as well as individuals with more than 10% equity, participation, or revenue interest.

The disclosure form is designed to ensure transparency in local government contracting by requiring potential contractors to reveal key organizational details. The form allows for both non-government entities and nonprofit organizations (specifically 501(c)(3), (4), or (6) types) to complete the disclosure. Contractors must legibly fill out the form, providing comprehensive information about their organizational leadership and significant stakeholders, with the option to use additional sheets if necessary.

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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 .