HomeMy WebLinkAboutTustin Police Foundation (7.9.14)Gift to
City of Tustin
Police Department
300 Centennial Way, Tustin, CA 92780
A Public Document
(714) 573 -3300 1 saftken@tustinca.org
Shannon Aitken Executive Secretary
❑ Individual
Last Name First Nome
RECTEME MEMMM,
m Mail use Only
JUL 10 2014
TUSnN
CITY CLERK'S OFFICE
❑ Amendment (explain in commem seem)
Date of Original Filing:
(month, day, Mar)
® Other Tustin Police Foundation
Name
13681 Newport Avenue, Unit 8 Tustin CA 92780
Address City state Zip Code
Shopping Center
If 'Other' is marked, dwrill tlne entity's business activity (M business) or He nature and Interests.
If applicable, identify the name of each source and the amount(s) solicited or received by the donor for this gift:
Name Amount Name Amount
3. Payment Information
Date and Amount of Payment (other men travel) 07109/2014 $ 500.00
(monar, day. M•r) (Rowid to whole d0ars)
Travel Payment Information (Round to wholecioners) Location of Travel
Dates) a Travel ranfi ego to Expenses $ Lodging E )Venwe $ Meal Expenses $ Other Expenses $ Total Expenses
Provide a specific description of the nature and use of the payment for official agency business:
Donation to the Tustin Police Department Santa Sleigh Program
Identify the officials for whom the payment was used:
Last Name Rat Name
Last Name First Name
Depamnent/DNWon
Deparbnent/DM%ion
4. Verification
/have determined that it is in the interests of the agency to accept this grft and use R for the official agency business described above.
Stephen D. Lewis Acting Chief of Police 07 -09-14
signature a cy Hea or Dea " Print Nam• Me (month, day, year)
Comment: (Use this space or an attachment for any additional information.)
FPPC Form 801 (June/08)
FPPC Toll-Free Helpllne: 866/ASK-FPPC (88612763772)