HomeMy WebLinkAboutGANT, MARGARETGift to Agency Report A Public Document GIFT TO AGENCY REPORT
City of Tustin
rtment, or
300 Centennial Way, Tustin, CA 92780
(714) 573-3000 I cshingleton@tustinca.org
agency Contact (name and title)
Christine Shingleton, Assistant City Manager
2. Donor Name and Address
~ Individual Gant Margaret
last Name First Name
For Official Use Only
(month, day, year)
^ Other
Name
Santa Ana CA 92705
Address City State Zip Code
If "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 (otnerthan 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 Title
Last Name First Name Title
DepartmenUDivision
DepartmenUDivision
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
i nature o gency Head or signee Print Name Title
Comment: (Use this space or an attachment for any additional information.)
Date Stamp
^ Amendment (explain in comment section)
Date of Original Filing:
12/1!2010
(month, day, year)
FPPC Form 801 (June/08)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)