City of Glendale, Community Development Department (9/9/11) (To be Completed Prior to Preparation of Staff Reports for Consideration of Entitlement Matter by Council, Agency, or Authority, or at Time of Appeal to the City Council if the Applicant is also the Appellant) In August 2011, the Glendale City Council adopted Ordinance No. 5744, which becomes effective on September 9, 2011 (“Ordinance”). The Ordinance prohibits campaign contributions from “applicants seeking entitlement,” their contractors and subcontractors (including their architects, engineers, and design professionals) while the application is “pending” and for 12 months thereafter. The Ordinance also prohibits Council Members from voting on any matter pertaining to an entitlement if the Council member has received a campaign contribution from the applicant seeking the entitlement, or certain contractors or subcontractors of the applicant, within the 12-month period preceding the vote. The Applicant and the Owner/Lessor hereby discloses as follows. (If printing, please print legibly. Use additional sheets as necessary.) I. Name of Applicant and Name of Owner/Lessor on whose behalf application is filed:
Full Name Title Business Address City State Zip
City of Glendale
Disclosure - Campaign Finance Ordinance
Applicants Seeking Entitlement
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Raymond Sohrabian Owner 1216 E. Lexington Dr. #9 Glendale CA 91206 John G Deenihan Architect 217 W Alameda Ave Ste 203 Burbank CA 91502 1515 of 1517
City of Glendale, Community Development Department (9/9/11) II. Officers or owners/investors of Applicant Entity. Please also disclose the following persons or entities related to the applicant entity: CEO/President, Chairperson, Chief Operations Officer, Chief Financial Officer, any member of the Board of Directors, andany individual or entity that owns 10% or more the contractor of applicant seeking entitlement, as well as any campaign + Full Name Title Business Address City State Zip
III. Contractor of Applicant(s) Seeking Entitlement*
Full Name Title Business Address City State Zip
* “Contractor of Applicant Seeking Entitlement” means “a person who has, or has been promised, a contract as an architect,design professional, engineer, or general or prime contract with an applicant seeking entitlement. “Contractor of applicantseeking entitlement,” includes not only the contracting party but also the CEO/President, Chairperson, Chief Operations Officer,Chief Financial Officer, any member of the Board of Directors, and any individual or entity that owns 10% or more the contractorof applicant seeking entitlement, as well as any campaign committee that is sponsored and controlled by the contracting party.Please list the names and addresses of all of these parties.
IV. Subcontractor of Applicant(s) Seeking Entitlement** Full Name Title Business Address City State Zip
** “Subcontractor of Applicant Seeking Entitlement” means “a person who has, or has been promised, a subcontract as an architect, design professional, engineer, or perform other work with a ‘contractor an applicant seeking entitlement.” Raymond Sohrabian Owner 1216 E. Lexington Dr. #9 Glendale CA 91206 Silva Harotonian Owner 1216 E. Lexington Dr. #9 Glendale CA 91206Winston W Roberts Owner 217 W Alamenda Ave #203 Burbank CA 91502 (LR Architecture)
None
John G Deenihan Architect / 217 W Alameda Ave Ste 203 Burbank CA 91502 Applicant
1516 of 1517
1517 of 1517