HomeMy WebLinkAboutBIGGS, DAVIDGift to Agency Report A Public Document
1. Agency Name
City of Tustin
Division, Department, or Region (ifapplicab/e)
300 Centennial Way, Tustin, CA 92780
-rea Code/Phone Number E-mail
(714) 573-3000 cshingleton@tustinca.org
Christine Shingleton, Assistant City Manager
2. Donor Name and Address
Date Stamp
GIFT TO AGENCY REPORT
For Official Use Only
^ Amendment (explain in comment section)
Date of Original Filing:
(month, day, year)
~ Individual Biggs David Other
Last Name First Name ^ Name
Redondo Beach CA 90278
Address City State Zip Code
It "Other" is marked, describe the entity's business activity (rf 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 (ornerrnan travel) 12/1/2010 $ $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:
Identify the officials for whom the payment was used:
Last Name First Name
last Name First Name
Title DepartmenUDivision
Title DepartmenUDivision
4. Verification
1 have determined that it is in the interests of the agency to accept this gift and use it for the ofFcial agency business described above.
/ Christine Shingleton Assistant City Manager 12/1/2010
Signature of Agency Hea or signee Print Name Title (month, day, year)
Comment: (Use this space or an attachment for any additional information.)
FPPC Form 801 (June/08)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)