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HomeMy WebLinkAboutTustin Police Foundation (10.16.14)Gift to City of Tustin Tustin Police Department 300 Centennial Way, Tustin, CA 92780 573 -3300 A Public Document saltken@tustinca.org Shannon H. Aitken, Executive Secretary Donor Name and Address ❑ Individual Last Name First Name Date Stamp MIME CMG OCT 2 0 2014 TUSTIN For Official Use Only Date of Original Filing: (month, day, year) ® Other Tustin Police Foundation Name 13681 Newport Avenue #8 Tustin CA 92780 Address city state zip Code Club/Non- Profit Organization (501 (c) 3, EIN 27- 3838044) It'OtW Is marked, describe the entitys business activity it 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 3. Payment Information Date and Amount of Payment (00w than navel) 10-16 -2014 $ 250.00 (month. day, year) (Round to whale dopers) Travel Payment Information (Round to while ddlars) Location of Travel Amount Dates) of Travel Trensportatbn 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 to the Tustin Police Department Santa Sleigh program. Identify the officials for whom the payment was used: Last Name First Name Last Name First Name 4. Verification Department/Division Deparbnent/Divislon I have determine t it is In the interests of the agency to accept this gift and use it for the official agency business described above. 0 1A . Paul Garaven Acting Chief of Police 10/16/2014 51g of Agency Head or Oeslgt a 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 Halpil": 866/ASK-FPPC (6881275 -3772)