CRTY OF CHULA,- / ffSTA ! ; ISfC, C)SU E STATEMENT
Pursuantto CouncilPolicy101-01, priorto anyactionuponmattersthatwill requirediscretionaryaction bytheCouncil, PlanningCommissionandall otherofficialbodiesof the Cit)/ of Chula Vista ( the " City"), a statement of disclosure of certain ownership or financial interests, payments. or campaign contributions for a Cite electionmustbefiled. The following information mustbedisclosed:
List the namesof all personshavinga financial interestin the propertythat is the subjectof the application or the contract, e.g., owner, applicant, contractor, subcontractor, material supplier.
J ennette Company, Inc-
2. nc2. If anyperson- identifiedpursuantto itemone (1) above is a corporation or partnership, list the names of all individuals v-vith a two thousand dollars (" 02, 000) investment in the business corporation/ partnership) entity.
Brian IPnnette
3. If anyperson* identifiedpursuantto item one (1) above is a non- profit organization or trust, list the namesof any person serving as director of the non-profit organization or as trustee or beneficiary or trustor of the trust.
4. Please identify every person, including any agents, employees, consultants, or independent contactors you have assignedto representyou before the City in this matter.
5. Has any person" associatedwith this contract had any financial dealings with an official** of the City asit relatesto thiscontractAvithinthepasttwelve (12) months? Yes Nom _ 22 O: ! ProjectsOPR02s6 - Agan ! "islaPrarrpSlationIBidPac/agelFrowEndWrevailing, WaneBic/ Packq-,e (0 3. 03.03) SUIW0286.docxRev. 3/ 3/ 2023 If Yes, briefly describethenatureof thefinancialinteresttheofficial may have in this contract.
6. Have you madea contribution of morethan two hundredfifty dollars ($250) within the past twelve 12) months to a current member of the Chula Vista City Council? No _X_ Yes _ If yes, which Council member?
7. Have you provided more than three hundred forty dollars ($ 340), or an item of equivalent value, to an official" , of the City in the basttwelve ( 12) months? (This includes being a source of income, motleyto retirealegaldebt, gift, loan, et(.-.) Yes No x If Wes, which official"' and what was the nature of item provided? Date: July 5, 2023
Tennette C'nmnnnv. Tnc Brian jennette
Name of Company, Firm or Entity Print or type name of Contractor/ Applicant President
Title
Personis defined as: any individual, firm, co -partnership, ,joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, any other county, city, MUnlcipality, district, or other political subdivision, or any other group or combination acting as a Unit.
Officlat includes, bUt is riot Iirnited to: Mayor, COUncIImember, ptannitic, Commissioner, Member of a board, commission, or committee of the City, employee, or staff members. 23 O:I ProjecisWKR02s6 - Aguaf'isiciPzmipS7alio)ilBidPackageiFroi?i ErndlPrel?ailin- Id"a eGidPackage (2023.03,03) SGNR02S6docxRev. 3' 3. 202 3