HomeMy WebLinkAboutSCHATZ AND PEELE, MARK & AMYGift to Agency Report A Public Document GIFT TO AGENCY REPORT
1. Agency Name ~ . t
•
City of Tustin •
nvlslon, uepartment, or
Library Fund
300 Centennial Way
lrea Code/Phone Num
Amendment (explain in comment section)
(714) 573-3010
Agency Contact (name and title) Date of Original Filing:
(month, day, year)
Christine Shingleton, Assistant City Manager
2. Donor Name and Address
~ Individual Schatz and Peele Mark and Amy ~ Other
Last Name First Name Name
Novato CA 94949
Address City State Zip 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:
Mark Schatz and Amy Peele ~ 400.00 ~
Name Amount Name Amount
3. Payment Information
Date and Amount of Payment (other than rraver) 8/18/08 ~ 400.00
(month, day, year) (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:
Donation -Library Fund
Identify the officials for whom the payment was used:
Last Name First Name Title DepartmenUDivision
Last Name First Name Title DepanmenUDivision
4. Verification
I have determined that it is in the interests of the agency to accept this gift and use it for the official agency business described above.
~ - Christine Shingleton Assistant City Manager 8/28/08
Signature of Agency ead o signee Print Name Title (month, day, year)
Comment: (Use this space or an attachment for any additions! information.)
(if applicable) },; For Official Use only
FPPC Form 801 (June/08)
FPPC Toll-Free Helpline: 866fASK-FPPC (8661275-3772)