HomeMy WebLinkAboutSNODGRASS, ROBERTGift to Agency Report A Public Document GIFT TO AGENCY REPORT
1. Agency Name Date Stamp • ~ • '
•
City of Tustin CITY of ~'USTI
Division, Department, ar Region (if appiicabie) For Official Use Only
1009 f E8 21 ~ 10~ 2 Q
Street Address
300 Centennial Way, Tustin, CA 92780
Area Code/Phone Number E-mail
^ Amendment (explain in comment section)
(714) 573-3010 cshingleton@tustinca.org
Agency Contact (name and title} Date of Original Filing:
(month, day, year}
Christine Shingleton, Assistant City Manager
2. Donor Name and Address
Q Individual Snodgrass Robert ^ Other
Last Name First Name Name
Tustin CA 92780
Address Gity State Zip Gode
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 travel)
2/26/2009 400.00
(month, day year)
(Rocrnd to ~•vhole dollars)
Travel Payment InfOrnlatlOn (Round to whole doilarsJ 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 far official agency business:
Library Building Fund
Identify the officials for whom the payment was used:
Last Name First Name
Title
Department/Division
Last Name First Name Title DepartmenUDivision
4. Verification
! have determined that it is in the interests of the agency to accept this gift and use it for the official agency business described above.
~.
~ Christine Shingleton Assistant City Manager 2/26/09
Signature of Agency H or esignee Print Name Title (month, day, year)
Comment: (us is space or an attachment far arry addifianai infarrrlation.}
FPPC Form 801 (June/08)
FPPC Toll-Free Melpline: 866/ASK-FPPC (8661275-3772)