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HomeMy WebLinkAboutLE, TAO TATGift to Agency Report A Public Document GIFT TO AGENCY REPORT 1. Agency Name ~ I°P~'s~~' -~ ~~ `, ' ~ ' G !~ d ~ -1-'cr ST/ nl ' Division, Department, or Region (if applicable) For orrGal Use Only Pow. ~ ~~ ~. P~4- ~ ~ ~ ,~7-- Street Address Area Code/Phone Number E-mail Amendment (explain in comment section) 71~-573-3~a~ .5~razre~ Tus7-,n~GA-.o D8' a1-08 Agency Contact (name and title) Date of Original Filing: A A ' ~~ (month, day, year) 2. Donor Name and Address Individual L ~ T~' a ~'~~ ^ Other Name Last Nam First Name ~~ ~ +~ ~'~cs-r1,~1, S ... c,,,, State 7~p Code 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: Name $ Amount Name $ Amount 3. Payment Information Date and Amount of Payment (other than travel) d~/~`~ $ ~ ~ ~ a ~ ~ ~ (month, d ,year) (Reun~ to whale cellars) 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: !~r^(SOLIGITEI, DDiJ~t-T/vN Tv T-,Lf~ ,~~.P,¢~l'T/~lE~1T~S ~~.5.4n1-r~ Go P ~~ ~D,~ a~ ~-~-tif Identify the officials for whom the payment was used: Last Name First Name Last Name First Name Title DepartmenUDivision Title DepartmenUDivision 4. Verification I have etermined that it is in the interests of the agency to accept this gift and use it for the official agency business described above. ~con'i~ ~2~4~(~ >~n~f,J CvkM,4fJ,p~~ D8 ! 4~ Signet ead or si nee Print Name Title (month, day, year) Comment: (Use this space or an attachment for any additional information.) FPPC Form 801 (Junel08) FPPC Toll-Free Helpline: 866IASK-FPPC (866!275-3772) CITY OF T ~USTI _ ,(A) C ~~ntf~nnr~~l l l ;~~ lu~lin, (;i 'I ',-Ir'l1 ~~wtv. TuttinF'l).Or~ ~~"'; ~''~""~`;;, August 21, 2008 ,,,,,,,,,,,,,, ,, , Mr. Tao Tat Le ;.~~~~, ,,,,,,;, t,,, ,,,,,, Tustin, CA 92782-1268 < <,,,~,~,,,,,,, ~,~,~,,,, Dear Mr. Le: <<~<<~~~~~~~~~~~~~~ The Tustin Police Department would like to express its appreciation for your ~'' ' ' ' ~"' generous donation of $5,000.00 to our Santa Cop Program. Although you will ~~~~~~~~~_~~~~`~~"~~ not receive any substantial benefit in return for this contribution, it is tax ~~~ deductible under IRC Section 170 (c) (1), up to the limits imposed by IRC Section '""''"~``''"'''"""' 170 (b) (1). Your contribution was given to Tustin Police Donation Fund, Federal ~, ~ , ,- - Tax ID number 95-6000804. r', ,,.~;~„~~r ~ ;,,;,;~ It is individuals such as yourself, whose dedication to our community makes a difference by working together with the Police Department towards a common goal of safety and security. We are striving to achieve those goals, and the funds that you so generously donated will help bring those goals to fruition. We are grateful for your service and contribution, and we thank you for your support of the Tustin community. Sincerely yours, SCOTT M. J DAN Chief of Police SMJ:pf "~aiQe tle Paz '7acaa~d G`'-zceelercce'~ ,t~l( .1/ir~i~