HomeMy WebLinkAboutTustin Effective Apartment ManagersGift to Agency Report A Public Document GIFT TO AGENCY REPORT
1. Agency Name
ESE D
'
Clry of Tustin
NOV 1 2`2014
For Mist Use Only
Division, Department, or Region (trapplicabte)
Police Department
TUSTIN
Street Address
CITY CLERK'S OFFICE
300 Centennial Way, Tustin, CA 92780
Area o hone umber
-mal
Amendment (expialnincommentsedlon)
(714) 573 -3300
saltken @tustinca.org
Data of original Filing:
Agency Contact (name and title)
Shannon Aitken Executive Secretary
(month, day, year)
2. Donor Name and Address
❑ Individual ® Other Tustin Effective Apartment Managers
Last Name First Name Name
15701 Tustin Village Way #1 -7 Tustln CA 92780
Address Clry state zip Cone
Association
If'Other Is marked, describe the entftys business activity (if business) or its natum and Interests.
If applicable, identify the name of each source and the amount(s) solicited or received by the donor for this grft:
Name Amount Name Amount
3. Payment Information
Date and Amount of Payment (otharthan traven 11/06/2014 $ 100.00
(moMh, day, year) (Round to while dollars)
Travel Payment Information (Round to while ddlars) Location of Travel
Date(s) of Travel Trarepodalbn Expanses $ Loag�rg Expenses Meal Expenses $ Other Ex $
parses 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 Cop Program
Identify the officials for whom the payment was used:
Last Name First Name
Lest Name First Name
Title DepaMrenUDivlslon
Title DepanmentlDivalon
4. Verification
Zr mined a t is in the Interests of the agency to accept this grit and use it for the ofl5cial agency business described above.
araven Acting Chief of Police 11/06/2014
Held or Designee Print Name Title (month, day, year)
Comment: (Use this space or an attachment ror any additional information.)
FPPC Form 801 (June/08)
FPPC Toll -Free Helpllne: 866/ASK -FPPC (8681275 -3772)