City of Glendale
DISCLOSURE - CAMPAIGN FINANCE ORDINANCE
The City Council adopted Ordinance No. 5744, “Campaign Finance Ordinance,” which became effective on September 9, 2011, and subsequently amended it with Ordinance No. 5768, which became effective on March 15, 2012 and Ordinance No. 5885, which became effective on November 3, 2016 (“the Ordinance”). The Ordinance prohibits: (1) A contractor * (including a subcontractor ** ʊ ZKR KDV D FRQWUDFW ZLWK WKH &LW\ RI *OHQGDOH ³&LW\´
the Successor Agency (“SA”), or the
Housing Authority of the City of Glendale (“HA”) and that contract is subject to approval by the City Council, SARU+$ʊIURPPDNLQJDFRQWULEXWLRQWRD&LW\&Runcil member, SA member, HA member, &LW\ &OHUN RU &LW\ 7UHDVXUHU; and (2) Council members, SA members, and HA members from voting on matters concerning a contract with a person who has provided a campaign contribution.
The Ordinance applies to a contractor whose contract requires the City Council’s, SA’s, or HA’s approval. A contract with the City, S$ R U + $ L V N Q R Z Q D V D ³ & L W \ Contract.” The Ordinance also applies to a subcontractor who has a subcontract through a City Contract. The Ordinance excludes a competitively bid contract awarded to the lowest responsible bidder.
To assist members of the City Council, SA, and HA before they vote on a matter regarding a City Contract, the Ordinance requires City staff to prepare this report which discloses certain information about: the contractor receiving the City Contract, and the subcontractor(s) ZRUNLQJunder the City Contract.
A contractor must provide the information listed below when: A subcontractor must provide the information listed below when:
x The City Contract is subject to City Council approval; or x The subcontract through a City Contract has a total anticipated or actual value of $25,000 or more; or
x A combination or series of City Contracts totaling $50,000 or more is subject to Council approval.
x A combination or series of subcontracts, for the same or different projects, have an aggregate value of $25,000 or more.
Information that must be disclosed: Ɣ Name of the person, entity, or organization (i.e., the Contractor or Subcontractor) Ɣ Name of the Chief Executive Officer/President
Ɣ Chief Operating Officer
Ɣ Chief Financial Officer
Ɣ Chairperson
Ɣ All members of the Board of Directors
Ɣ All persons who own more than 10% of the person, entity, or organization Ɣ Name of any campaign committee owned or controlled by the person, entity, or organization
Please complete the following disclosure form:
Contractor(s)*:
Name Address
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
* “Contractor” is the person, entity, or organization that is the party, or prospective party, to the contract with the City, SA, or HA or any member of that person’s, entity’s, or organization’s Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operat ing Officer, any person with an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is o wned or controlled by that person, entity, or organization. Above please disclose these persons’ name and business address.
West Coast Arborists, Inc. 2200 E. Via Burton, Anaheim, CA 92806 N/A
Patrick Mahonoey
Richard Mahoney
Rose Epperson
N/A
Patrick Mahoney, Richard Mahoney, Rose Epperson
2200 E. Via Burton Anaheim CA 92806 2200 E. Via Burton Anaheim CA 92806 2200 E. Via Burton Anaheim CA 92806
2200 E. Via Burton Anaheim CA 92806 Rev. 11/8/17
Subcontractor(s)**:
Name Address
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
** “Subcontractor” is the person, entity, or organization that KDV HQWHUHG LQWR D FRQWUDFWIRUWKHSHUIRUPDQFHRIDOORUDSRU WLRQRIWKH ZRUNXQGHUWDNHQXQGHU DQ agreement with an architect, design professional, engineer, or general or prime contract, usually by a general or prime contrac tor. Subcontractor includes any member of that person’s, entity’s, or organization’s Board of Directors, its Chairperson, Chief Executive Officer, Chief Financi al Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign c ommittee that is owned or controlled by that person, entity, or organization. Above please disclose these persons’ name and business address.
Campaign Committee owned or controlled by:
Title Business Address City State Zip
CERTIFICATION
On behalf of the above-named Contractor Subcontractor:
x , DFNQRZOHGJHWKDWI have a continuing obligation to update this disclosure form if I substitute ʊ or if I select additional ʊ architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and x I hereby certify that:
I have identified all persons for which the Ordinance requires disclosure; The information in this disclosure form (and any attachment to this form) is true, accurate, correct, and complete; and I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is pages.
Executed on: , 20 , at: , California.
Signature: Print Full Name:
Address:
Phone Number: E-mail Address:
NONE TO BE USED
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
X
2 August 7 24 Anaheim
Patrick Mahoney, President
2200 E. Via Burton, Anaheim, CA 92806
714-991-1900 [email protected]