HomeMy WebLinkAboutJONES, STEPHEN & SHARONGift to Agency Report
1. Agency Name
City of Tustin
Division. Deoarkment. or Region
A Public Document
GIFT TO AGENCY REPORT
For Official Use Only
1009 FEB I O I P Z= 4l
300 Centennial Way, Tustin, CA 92780
lrea Code/Phone Number E-mail
(714) 573-3010 I cshingleton@tustinca.org
igency Contact (name and title)
Christine Shingleton, Assistant City Manager
2. Donor Name and Address
Dater~~~ O~
^ Amendment {explain in comment section)
Date of Original Filing:
(month, day, year}
^x Individual Jones Stephen & Sharon ^ Other
Last Name First Name Name
Tustin CA 92780
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:
Name Amount
Noma
Amount
3. Payment Information
mate and Amount of Payment {ornerthan travar) 2/9/2009 ~
(month. day year)
400.00
{Round to whole dollars}
Travel Payment {nformation {Round to whore anlfars) Location of Travel
Date(sl of Travel Transportation Expenses ~ Lodging Expenses ~ Meal Expenses ~ Other Expenses ~ Total Expenses
Provide a specific description of the nature and use of the payment far official agency business:
Library Building Fund
Identify the officials for whom the payment was used:
Last Name First Name Title Depanment!Division
Last Name First Name Title DepartmenUDivision
4. Verification
P have determined that it is in the inferesfs of fhe agency to accepf this gift and « se it for fhe official agency business described above.
Christine Shingleton Assistant City Manager 2/9/2009
Signature of Agency Head signee Print Name Title (month, day, year)
Comment: (Use this space or an attachment for any additional information.)
FPPC Form 801 (Junel08}
FPPC Tall-Free Helpline: 866(ASK-FPPC (8661275-3772)