HomeMy WebLinkAboutTustin-Santa Ana Rotary ClubGift to
City of Tustin
Tustin Police Department
300 Centennial Way, Tustin, CA 92780
573 -3300
A Pu
saitken@tustinca.org
Shannon H. Aitken, Executive Secretary
and Address
Document
AGENCY REPORT
DEC 0 9 2014
TUSTIN
CITY CLERK'S l
❑ Amendment (explain In comment sedlon)
Date of original Filing:
(month. day, year)
❑ Individual ® Other Tustin -Santa Ana Rotary Club
Last Name First Name Name
P.O. Box 14 Tustin CA 92781
Address Ctty state Zip Code
Club /Non - Profit Organization
If'Oftr is marked, descrkte the enttYs tRnslnas , activity (H 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:
Nerve Amount
3. Payment Information
Date and Amount of Payment (omarthan travail 12-04-2014 $ 525.00
(month. day, year) (Round to whole da/ers)
Travel Payment Information (Round to whole dollars) Location of Travel
Amount
Date(s) of Travel Trensportatbn Expenses Lodgkg Expanses $ Meal Expenses $ ONer Expenses $ Total Expenaes
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 Title DeparlmenUDivision
Last Name First Nerve Ttle DeparimanttDlvlslon
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.
STEPHEN D. LEWIS Acting Chief of Police 12/04/2014
Ignature of Agency or MU;;— Print Name Title (month, day. yaw)
Comment: (Use this space or an attachment for any additional Information.)
FPPC Form 801 (June/08)
FPPC Tall -Free Helpllne: 866/ASK-FPPC (8661275-3772)