HomeMy WebLinkAboutAnonymousGift to Agency Report A Public Document GIFT TO AGENCY REPORT
City of Tustin
Tustin Police Department
300 Centennial Way, Tustin, CA 92780
(714) 573 -3300
saitken @tustinca.org
Shannon H. Aitken, Executive Secretary
and Address
For
DEC 12`2814
TUSTrN
CITY CLERK'S OFFICE
Use
❑ Amendment (explain in comment .sedan)
Date of Original Filing:
(moMhr day, year)
® Individual Anonymous
❑ Other
Last Name First Name Name
Tustin CA
Address City state zip code
Anonymous donation on 12/01/2014 to Santa Sleigh
VOther' Is marked, describe the aWs business activity (it business) or Its nature and Interests.
If applicable, identify the name of each source and the amount(s) sollcited or received by the donor for this gift:
Name Amount
3. Payment Information
Date and Amount of Payment (other than ravel) 12-11-2014 $ 15.00
(month, day, year) (Round to while dollars)
Travel Payment Information (Roundto whole dollars) Location of Travel
Amount
Date(s) of Travel Trensportatlon Expenses $ Lodging Expanses $ Meal Expenses $ Omer Expenses $ Total Expenses
Provide a specific description of the nature and use of the payment for official agency business:
Anonymous Donation to the Tustin Police Department Santa Sleigh program.
Identify the officials for whom the payment was used:
Last Name Find Name Title DepartrnenUDivision
Last Name First Name Title DeparbnentlDivlsion
4. Verification
I have determined that it is in the Interests of the agency to accept this gilt and use it for the official agency business described above.
STEPHEN D. LEWIS Acting Chief of Police 12111/2014
nature ofAgan y HV or ,pose 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 Helpllne: 866/ASK-FPPC (8861275 -3772)