HomeMy WebLinkAboutENDERLE CTR MERCHANTS ASSOCGift to Agency Report
1. Agency Name
City of Tustin
Division, Department, or Region (if applicable)
Police Department Explorer Post
300 Centennial Way, Tustin CA 92780
lrea Code/Phone Number E-mail
A Public Document
714-573-3252 I sfrazier@tustinca.org
lgency Contact (name and title)
Scottie Frazier, Accreditation Manager
2. Donor Name and Address
Cl~a`~ pTUS
1009 APR 14 P
GIFT TO AGENCY REPORT
For Official Use Only
SI
^ Amendment (explain in comment section)
Date of Original Filing:
(month, day, year)
^ Individual Q Other Enderle Center Merchants Association
Last Name First Name Name
17300 E. 17th St.; Suite J131 Tustin Ca 92780
Address City State Zip Code
Merchant's Association for Shopping Center
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 amount(s) solicited or received by the donor for this gift:
Det. Mark Sauerwein
Name
$ 225.00
Amount
Name
Amount
3. Payment Information
Date and Amount of Payment (orherrnan travel) 11-20-08 ~
(month, day, year)
Travel Payment Information (Round to whole dollars) Location of Travel
(Round to whole dollars)
Date(s) of Travel $ansportation 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:
Funds to be used by Tustin Police Department's Explorer Post
Identify the officials for whom the payment was used:
Last Name First Name Title
Department/Division
Last Name First Name Title Department/Division
4. Verification
I have determined that it is in the interests of the agency fo accept this gift and use it for the official agency business described above.
~~ ~ Scott M. Jordan
Signature of ncy Head or Designee Print Name
Comment: (Use this space or an attachment for any additional information )
225.00
Chief of Police
Title
11-27-08
(month, day, year)
FPPC Form 801 (June/08)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)