HomeMy WebLinkAboutHUIZAR, MARIAGift to Agency Report
1. Agency Name
City of Tustin
Division, Department, or Reg
City Manager's Office
300 Centennial Way, Tustin, CA 92780
-rea Code/Phone Number E-mail
714-573-3010 ~ cshingleton@tustinca.org
Agency Contact (name and title)
Christine Shingleton
2. Donor Name and Address
~ Individual Huizar
^ Other
GIFT TO AGENCY REPORT
For Official Use Only
^ Amendment (explain in comment section)
Date of Original Filing:
(month, day, year)
Last Name First Name Name
Orange CA 92869
Address City State Zip Code
If "Other" is marked, describe the entity's business activity (if business] or its nature and interests.
If applicable; identify the name of each source and the amounts} solicited or received by the donor for this gift:
Name Amount
Name
Amount
3. Payment Information
Date and Amount of Payment (other than traverl 1/23/09 ~
(month, day year)
C J ~'~'' 0 ~a~ ~I ~
1009 ~1AN 26 A 9~ 06
400.00
(Round to whole dollars)
Travel Payment Information (Round to whore dnaars) Location Of Travel
Date(s) of Travel Transportation Expenses ~ Lodging Expenses ~ Meal Expenses ~ Other Expenses ~ Total Expenses
Provide a specific description of the nature and use of the payment for official agency business:
Tustin Library
Identify the officials for whom the payment was used:
Last Name First Name Title Department!Division
Last Name First Name Title DepartmenUDivision
4. Verification
1 have determn~ed that if is in the interests of the agency to accept this gift and use it for the official agency husiness described above.
Christine Shingleton Assistant City Manager 1/23/2009
Signature of Agency ea or De tee Print Name Title (month. day, year)
COnll7tent: (Use this spa or an attachrrtent for any additional information.)
Maria
A Public Document
FPPC Form 801 (JunelOS)
FPPC Toll-Free Helpiine: 866/ASK-FPPC (866!275-3772)