Exhibit 1
City of Glendale
DISCLOSURE - CAMPAIGN FINANCE ORDINANCE
which became effective on March 15, 2012 ("the Ordinance").
Contad The drine to pies to a contact in as a contact mough a ly Contract the orace ede compete a car are to the lowest responsible bidder.
assist members of the City Council, EDD, and HA before they vote on a matter regarding a City Contract, the Ordinance requires City staff to prepare this report whic closes certain information about: the contractor receiving the City Contract, and the subcontractor(s) working under the City Contra A contractor must provide the information listed below when: A subcontractor must provide the information listed below when:
• The City Contract has a total anticipated or actua/ value of $50,000 or more; or • The subcontract through a City Contract has a total anticipated or actual valu contract awarded to the lowest responsible bidder. of $25,000 or more: o • A combination or series of City Contracts have a value of $50,000 or more. • A combination or series of subcontracts, for the same or different project ave an aggregate value of $25,000 o
more. Information that must be disclosed: • Name of the person, entity, or organization (i.e., the Contractor or Subcontractor) • Name of the Chief Executive Officer/President
• Chief Operating Officer
• Chief Financial Officer
• Chairperson
• All members of the Board of Directors
• All persons who own more than 10% of the person, entity, or organization • Name of any campaign committee owned or controlled by the person, entity, or organization Please complete the following disclosure form:
Contractor(s)*:
Name Address
Innovative Interfaces Incorporated 789 E. Eisenhower Parkway. Ann Arbor, MI 48108 Full Name Title Business Address City State Zip
Eric Blair Director & SVP 789 E. Eisenhower Parkway Ann Arbor MI 48108 Michael Easton Director & SVP Ann Arbor 48108
789 E. Eisenhower Parkway
John Doulamis Director, Secretary & VP 789 E. Eisenhower Parkway Ann Arbor 48108 Jonathan Collins Chief Financial Officer Ann Arbor
789 E. Eisenhower Parkway 48108
Darien Keimmert VP Ann Arbor 48108
N/A wholly owned by Clarivate Pic. More than 10% interest owner 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
ny person with an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is owned ontrolled by that person, entity, or organization. Above please disclose these persons' name and business addres Campaign Committee owned or controlled by: _n/a - none
Title Business Address City State Zip
CERTIFICATION
On behalf of the above-named X Contractor • Subcontractor:
when requested to do so;
• I acknowledge that I have a continuing obligation to update this disclosure form if 1 substitute- -or if I select additional architects, design professionals, centractors, of subcontractors within ten (10) days of the selection or change; and • 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_2 _ pages.
March 28 789 E. Eisenhower Parkway, Ann Arbor, MI 48108 Executed on: _ 20 25 _ at: _
Signature: I с т 28, 3025 1150 РТ Print Full Name: Timothy McGee Address: 789 E. Eisenhower Parkway, Ann Arbor, MI 48108 510-655-6200 [email protected]
Phone Number: E-mail Address:
Rev 6/7/12 JIFILESIDOCFILESIORDICAMPAIGN CONTRIBUTIONIDISCLOSURE FORM - CONTRACTOR - 6-7-12 doc