HomeMy WebLinkAboutBARRHOMES REAL ESTATEGift to Agency Report
1. Agency Name
City of Tustin -Parks and Recreation
Division, Department, or Region (ifapplica
300 Centennial Way Tustin, CA 92780
Street Address
A Public Document
(714) 573-3326
lrea Code(Phone Number E-mail
Sarah King sking@tustinca.org
(name and title)
Recreation Coordinator
2. ®onor Name and Address
GIFT TO AGENCY REPORT
Date Stamp
C s
,`°-=~
For Official Use Only
Amendment texplain in comment section}
Date of Original Filing:
{month, day, year)
^ Individual ^x Other BarrHomes Real Estate
Last Name First Name Name
17802 Irvine Ste. A125 Tustin CA 92780
Address City State Zip Code
Sponsorship for Summer Concerts in the Park
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 far this gift:
Name ~ Amount Name ~ Amount
3. Payment Information
Date and AnlOUnt Of Payment {other than travel}
(month, day, year}
06/06/2011
~ 438.00
(Round to whole dollars}
Travel Payment Information (Round to whole dollars} 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:
Identify the officials for whom the payment was used:
Last Name First Name Title DepartmentlDivision
Last Name First Name Title DepartmentJDivision
4. Verification
!have del r ,,rued thif is in the interests of the agency to accepf this gift and use if for the otficia! agency business described above.
~ _,,
t ~
~ P.
""~i a re ofA enc F or Desi nee Pnnt Nam ~~~ ~ ~ ~ ~ ~
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9 Y g Title (month. as year}
Comment: (Use this space or an attachment for any additional information.}
FPPC Form 801 {Junel08}
FPPC Toll-Free Helpline: 866fASK-FPPC {866/275-3772)