OF GLEND
City of Glendale
Disclosure - Campaign Finance Ordinance
Applicants Seeking Entitlement
LIFORNIA
Submit to Permit Services Center, 633 E. Broadway, Rm. 101.
For more information. call 818-548-3200.
(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 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
Central BWB, LLC Owner 14140 Moorpark St. #400 Sherman Oaks CA 91423 Greg Brody, Manager Central BWB, LLC 14140 Moorpark St. #400 Sherman Oaks CA 91423 David Brody Applicant 14140 Moorpark St. #400 Sherman Oaks CA 91423 Jarred Hermn Applicant 14140 Moorpark St. #400 Sherman Oaks CA 91423
City of Glendale, Community Development Department (9/9/11) Il. Officers or owners/investors of Applicant Entity. Please also disclose the following persons or entities related to the applicant any ida or edent, Cat owes brief Or train fior, ap an elemen, wore a Directors, an intity: CEO/President, Chairperson, ( Full Name Business Address Cherman Oaks State
Greg Brody, Manager Central BWB, LLC 14140 Moorpark St. #400 CA 2191423 Greg Brody, Manging Partner 100% Owner 14140 Moorpark St. #400 Sherman Oaks* CA 91423 BWB Partners, LP
IIII. Contractor of Applicants) Seeking Entitlement*
Title Business Address Sherman Oaks State
Architect 1410 Tyrone Ave CA 21425
Masoud Dejban Engineer 17200 Ventura Blvd 213A Encino CA 91316 John Hanzlik Engineer 7100 Havenhurst ve 301 Van Nuys CA 91406 Hayk Martirosian Engineer 1545 N Verdugo Rd #2 Glendale CA 91208 Robert Yamashita Architect 24013 Ventura Blvd 201 Calabasas CA 91302 * "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 applicant seeking 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 contractor of 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
NONE
** "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."
City of Glendale, Community Development Department (9/9/11) "Subcontractor of applicant seeking entitlement," includes not only the subcontracting party, but also the CEO/President, chairperson, Chief Operations Officer, Chief Financial Officer, any member of the Board of Directors, and any individual or entit that owns 10% or more the subcontractor of applicant seeking entitlement, as well as any campaign committee that is sponsore and controlled by the subcontracting party. Please list the name and addresses of all of these parties.
V. Disclosure. The Applicant Seeking Entitlement has made campaign or officeholder contributions in the preceding 12 months to City of Glendale elected officials as follows:
Elected Official Name of Individual or Entity Date of Contribution None
I hereby certify, on behalf of the above-named applicant(s) and owners)/lessors), that the applicant seeking entitlement has made the campaign contributions as set forth above. I also certify that the names of all contractors of applicant and all subcontractors of applicant, as of today's date, are fully set forth above. I further acknowledge that the applicant has a continuing obligation to update this disclosure form if the applicant selects additional or substitute architects, design professionals, contractors or subcontractors within ten (10) days of the selection or change. I hereby certify that I have been legally authorized by the applicant/owner/lessor to submit this disclosure form and certify to the content hereof.
I declare under penalty of perjury that the foregoing is true and correct. 1/6/2025 Los Angeles
Executed on _ at. _ California
Applicant's Signature David Bal _ Print Applicant's Full Name David Brody Applicant's Address 14140 Moorpark Street, Suite 400, Sherman Oaks, CA 91423 818-981-1151
Applicant's Contact Phone Number
Applicant's Email Address ant's Email Address _ [email protected]
City of Glendale, Community Development Department (9/9/11)