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 amended it with Ordinance No. 5768, which became effective on March 15, 2012 (“the Ordinance”). The Ordinance prohibits: (1) A contractor* (including a subcontractor**)― who has a contract with the City of Glendale (“City”), Economic Development Department (“EDD”), or the Housing Authority of the City of Glendale (“HA”) and that contract is subject to approval by the City Council, EDD, or HA― from making a contribution to a City Council member, EDD member, HA member, City Clerk, or City Treasurer; and (2) Council members, EDD 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, EDD's, or HA’s approval. A contract with the City, EDD, or HA is known as a “City 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, EDD, 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) working under the City Contract.
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 actual value of $50,000 or more; or • The subcontract through a City Contract has a total anticipated or actual value of $25,000 or more; or
• A combination or series of City Contracts have a value of $50,000 or more. • A combination or series of subcontract s, for the same or different projects, have an aggregate value of $25,000 or
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/Pres
ident
● Chief Op
erating Officer
● Chief Financial Officer
● Chairperson
● All members
of the Board of Directors
● All persons who own more than 10% of the person, en
tity, or organization
● Name of any
campaign committee owned or controlled by the person, entity, or organi zation 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, EDD, or HA or any member of that person’s, entity’s, or organization’s Board of Direct ors, 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, entit y, 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.
Exhibit 5
Rev. 6/7/12 J:\FILES\DOCFILES\ORD\CAMPAIGN CONTRIBUTION\DISCLOSURE FORM – CONTRACTOR – 6-7-12.doc 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 has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or gener al 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 Financ ial 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 committee 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:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute― or if I select addition.a0-l― architects,= design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • 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:
Ani Keshishyan
Karine Grigoryan
Narine Petrosyan
Please see attached
1255 S. Central Avenue
Glendale
CA
91204
1255 S. Central Avenue
1255 S. Central Avenue
Glendale
Glendale
CA
CA
91204
91204
N/A
3 April 28
26 Glendale
1255 S. Central Avenue Glendale CA 91204
Karine Grigoryan
818-548-2790
[email protected]
Glendale Youth Alliance
1255 S. Central Avenue, Glendale CA 91204
GLENDALE YOUTH ALLIANCE BOARD OF DIRECTOR
Address: 1255 S. Central Avenue, Glendale CA 91203
Executive Board
Ani Keshishian, Chair
PDC of GCC
(661)257-0264 Cell [email protected]
Dr. Ilin Magran, Vice Chair
Senior Adjunct Professor at University of La Verne
(818) 434-2504 [email protected]
Narine Petrosyan, Treasurer
Pogosian Tax Planning Inc.
(818) 689-3404 [email protected]
Caroline Craun,
Ellis Family Stores [email protected]
Dr. Vahe Peroomian, Past Chair
Professor –USC
(818) 602-0276 [email protected]
Board of Directors
Christopher Anwary
LA County Public Health
(818)572-7843 Cell [email protected]
Alexander Derghazian
Edward Jones
(818) 507-0336 [email protected]
Dr. Armina Gharpetian,
Dentist, PCC Adjunct
(818)314-1169 [email protected]
Lt. Mark Hess
Glendale Police Department
(818) 612-5582 [email protected]
Rob Mikitarian
Glendale Adult Health Day Care
(818) 652-8800 Cell [email protected]
Jemma Pogosian
Community Member
[email protected]
Police Chief Rafael Quintero,
Burbank Police Department
(818) 497-0043 Cell
(818) 238-3200 Office
[email protected]
Art Resendez
California Bank & Trust
(818) 726-2349
[email protected]
Jeanett C. Resendez
Community Member
[email protected]
Brielle Salazar
Citi Community Capital
(818)404-2762 Cell
[email protected]
Lusine Yarian
Glendale Fire Department
(818) 937-8815
[email protected]
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 amended it with Ordinance No. 5768, which became effective on March 15, 2012 (“the Ordinance”). The Ordinance prohibits: (1) A contractor* (including a subcontractor**)― who has a contract with the City of Glendale (“City”), Economic Development Department (“EDD”), or the Housing Authority of the City of Glendale (“HA”) and that contract is subject to approval by the City Council, EDD, or HA― from making a contribution to a City Council member, EDD member, HA member, City Clerk, or City Treasurer; and (2) Council members, EDD 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, EDD's, or HA’s approval. A contract with the City, EDD, or HA is known as a “City 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, EDD, 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) working under the City Contract.
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 actual value of $50,000 or more; or • The subcontract through a City Contract has a total anticipated or actual value of $25,000 or more; or
• A combination or series of City Contracts have a value of $50,000 or more. • A combination or series of subcontract s, for the same or different projects, have an aggregate value of $25,000 or
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/Pre
siden t
● Chief Operating Officer
● Chief Financial Officer
● Chairper
son
● All members of the Board of Directors
● All persons who own more than 10% of the perso
n, entity, or organi zation
● Name of any campaign committee owned or controll ed 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, EDD, or HA or any member of that person’s, entity’s, or organization’s Board of Direct ors, 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, entit y, 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.
Rev. 6/7/12 J:\FILES\DOCFILES\ORD\CAMPAIGN CONTRIBUTION\DISCLOSURE FORM – CONTRACTOR – 6-7-12.doc 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 has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or gener al 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 Financ ial 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 committee 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:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute― or if I select additional ― architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • I hereby certify that:
I have identified all persons for which the Ordinance requires disclo sure; 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 su bmit 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:
December 2025
Board of Directors
CHAIR:
Tyler Lazarian
Chief Executive Officer, Electric Service & Supply Co.
VICE-CHAIR
Sarah Silk
Community Volunteer
TREASURER & CHAIR OF THE FINANCE COMMITTEE:
Joanne Mathew
AVP of Finance, Azusa Pacific University
SECRETARY & CHAIR OF BOARD GOVERNANCE
COMMITTEE:
Dick Kleinert
Principal, Deloitte Consulting LLP (Retired)
CHAIR OF DEVELOPMENT COMMITTEE
Lisa Scott Benson
Chief Strategy Officer/President, Russ Reid (Retired)
MEMBERS:
Bill Podley
Broker Associate, DPP|Compass
Brian Kim
Portfolio Manager, Northern Trust
David Bunn
Attorney, Bunn& Bunn Attorneys at Law
David Lee
Chairman & CEO, Hing Wa Lee Group
Gerson Munoz
Asset Manager, Housing Authority of the City of LA
Joseph Montes
Attorney, Burke, Williams, & Sorensen, LLP
Renee MaGee
Associate Director of Housing Navigation Programs,
Union Station Homeless Services
ADVISORY BOARD:
Rev. Andy Bales
CEO, Union Rescue Mission (Retired)
Bob Joe
Councilmember, City of South Pasadena (Retired)
Keith Jespersen
Russ Reid Company (Retired)
Kerwin L. Manning
Senior Pastor & Head Coach, Pasadena Church
Stephen Lazarian, Jr.
CEO, CityWorks Management LLC
DOOR OF HOPE STAFF:
Megan Katerjian
Chief Executive Officer, Door of Hope
CONFIDENTIAL INFORMATION – DO NOT DISTRIBUTE/NOT FOR SOLICITATION
YMCA of Glendale
2026 Board of Directors (REV3/02/26)
RYAN BUSSJAEGER Manager
Star Ford Lincoln
1101 S. Brand Blvd.
Glendale, CA 91204
Phone: (818) 956-0977 x1136
Cell: (818) 720-5899
e-mail: [email protected]
COMMITTEE: Strategic Planning
MARISOL ESPINOZA Public Affairs Manager
SoCalGas Company
919 S. Central Avenue, Unit B
Glendale, CA 91204
Phone/Cell: (323) 929-9487
e-mail: [email protected]
COMMITTEE: Resource & Community Development
EDITH M. FUENTES 3836 Los Olivos Lane
(Retired) Glendale, CA 91214
City of Glendale, Planning & Cell: (818) 736-1911
Zoning Administrator e-mail: [email protected]
COMMITTEE: Vice Chair, Executive, Finance & Facilities, Strategic Planning Chair
JOY GARCIA Senior Vice President, Relationship Manager Tri Counties Bank – Pasadena Business Center
199 S. Los Robles Avenue, Suite 820
Pasadena, CA 91101
Phone: (626) 775-6364
Cell: (818) 468-3475
e-mail: [email protected]
e-mail: [email protected]
COMMITTEE: Executive, Treasurer, Finance & Facilities
Chair
LUCIA HAZRIAN Vice President & Sr. Relationship Manager Citizens Business Bank
2800 N. Hollywood Way
Burbank, CA 91505
Phone: (818) 549-7222
Cell: (818) 480-1494
email: [email protected]
COMMITTEE: Finance & Facilities
YMCA of Glendale
2026 BOARD OF DIRECTORS Page 2
JEFFREY HEINTZ Partner
Munger, Tolles & Olson LLP
350 S. Grand Avenue, Suite 5000
Los Angeles, CA 90071
Cell: (626) 808-5474
e-mail: [email protected]
COMMITTEE: Finance & Facilities
DANA KALEK Owner
Child Development Institute
18050 Vanowen Street
Reseda, CA 91335
Phone: (818) 888-4559
Cell: (818) 720-2295
e-mail: [email protected]
COMMITTEE: Strategic Planning
ARA KALFAYAN Owner
Phoenicia Restaurant
343 N. Central Avenue
Glendale, CA 91203
Phone: (818) 956-7800
Cell: (310) 488-8780
e-mail: [email protected]
COMMITTEE: Finance & Facilities, Governance
TAMAR KEVONIAN 640 Milford Street
Glendale, CA 91203
Cell: (818) 425-1284
e-mail: [email protected]
COMMITTEE: Strategic Planning
ELIZABETH MANASSERIAN Boardwalk Properties & Investments – Commercial R/E Broker 225 E. Broadway Avenue, Suite 204
Glendale, CA 91205
Phone: (818) 635-6357 Fax: (818) 241-9612
e-mail: [email protected]
COMMITTEE: Board Chair, Executive Chair, Resource &
Community Development
CASSIE MCCARTY Director of Mission Integration & Spiritual Care Services Glendale Memorial Hospital
1420 S. Central Avenue
Glendale, CA 91204
Phone: (626) 676-0116
e-mail: [email protected]
COMMITTEE: Resource & Community Development
YMCA of Glendale
2026 BOARD OF DIRECTORS Page 3
AVO NALBANDIAN Attorney at Law
Law Offices of Avedis Nalbandian
701 N. Brand Blvd., Suite 840
Glendale, CA 91203
Phone: (818) 244-9000
e-mail: [email protected]
COMMITTEE: Governance
MICHAEL NEEDHAM Director of Content
Dot818
550 N. Brand Blvd., 20th Floor
Glendale, CA 91203
Phone: (818) 844-3907
e-mail: [email protected]
COMMITTEE: Strategic Planning
TIGRAN TOPADZHIKYAN Glendale Police Department - Lieutenant 131 N. Isabel Street
Glendale, CA 91206
Phone: (818) 548-3116 Fax: (818) 550-6550
Cell: (818) 606-8466
e-mail: [email protected]
COMMITTEE: Executive, Board Secretary,
Governance Chair
EDDIE TUFENKJIAN Director of Sales
Athens Services
14048 E. Valley Blvd.
City of Industry, CA 91746
Cell: (626) 764-3460
e-mail: [email protected]
COMMITTEE: Strategic Planning
NORA YACOUBIAN 10040 Toluca Lake Avenue
(Retired) Toluca Lake, CA 91602
Cell: (818) 631-9999
e-mail: [email protected]
COMMITTEE: Resource & Community Development Chair
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 amended it with Ordinance No. 5768, which became effective on March 15, 2012 (“the Ordinance”). The Ordinance prohibits: (1) A contractor* (including a subcontractor**)― who has a contract with the City of Glendale (“City”), Economic Development Department (“EDD”), or the Housing Authority of the City of Glendale (“HA”) and that contract is subject to approval by the City Council, EDD, or HA― from making a contribution to a City Council member, EDD member, HA member, City Clerk, or City Treasurer; and (2) Council members, EDD 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, EDD's, or HA’s approval. A contract with the City, EDD, or HA is known as a “City 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, EDD, 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) working under the City Contract.
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 actual value of $50,000 or more; or • The subcontract through a City Contract has a total anticipated or actual value of $25,000 or more; or
• A combination or series of City Contracts have a value of $50,000 or more. • A combination or series of subcontract s, for the same or different projects, have an aggregate value of $25,000 or
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/Pres
ident
● Chief Op
erating Officer
● Chief Financial Officer
● Chairperson
● All members
of the Board of Directors
● All persons who own more than 10% of the person, en
tity, or organization
● Name of any
campaign committee owned or controlled by the person, entity, or organi zation Please complete the following disclosure form:
Contractor(s)*:
Name Address
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / Executive Director
Chief Operating Officer/Deputy Director
Chief Financial Officer/Fiscal Director
Board of Directors/Board President
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, EDD, or HA or any member of that person’s, entity’s, or organization’s Board of Direct ors, 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, entit y, 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. awarded to the lowest responsible bidder.
contract
Southern California Housing Rights Center
3255 Wilshire Blvd., Suite 1150, Los Angeles, CA 90010
n/a
Chancela Al-Mansour
3255 Wilshire Blvd., Suite 1150
Los Angeles
CA
90010
Javier Beltran
3255 Wilshire Blvd., Suite 1150
Los Angeles
CA
90010
Danilo Batalla
3255 Wilshire Blvd., Suite 1150
Los Angeles
CA
90010
Dennis Perez
Please see enclosed list
Los Angeles
CA
90010
n/a
Docusign Envelope ID: 2EFB054C-9B1D-8057-8013-7A45BE1DB1D6
Board of Directors as of March 2026
All terms expire 6/30/26
Board members are not owners, and neither are they paid
Dennis Perez, President
Hochman, Salkin,Toscher & Perez, P.C.
9100 Wilshire Blvd., Suite 900W
Beverly Hills, CA 90212-3414
Attorney
(310) 281-3200
[email protected]
Alisa Schlesinger, Vice
President
Walt Disney Pictures
500 S. Buena Vista St.
Burbank, CA 91521
Attorney
(818) 306-7252
[email protected]
Robert Kitson, Secretary
Myers Law Group
6464 Sunset Blvd., Ste. 1070
Hollywood, CA 90028
Attorney
Direct: (213) 281-9114
Main: (909) 919-2027 ext. 1014
[email protected]
Robert K. Johnson,
Treasurer
Munger, Tolles & Olson LLP
350 S. Grand Avenue, 50th Floor
Los Angeles, CA 90071
Attorney
(213) 683-9109
(213) 683-5109 Fax
[email protected]
Sofia Aguilar
NBC/Universal
100 Universal City Plaza
Building 1440, Suite 1600
Universal City, CA 91608
Attorney
(818) 840-4444
[email protected]
Aaron Bloom
TroyGould PC
1801 Century Park East, Ste. 1600
Los Angeles, CA 90067-2367
Attorney
(310) 789-1222
(310) 789-1422 Fax
[email protected]
Grant Habata
Law Office of Grant M. Habata
2118 Wilshire Boulevard, #353
Santa Monica, CA 90403
Attorney
(310) 866-2600
(310) 228-3123
[email protected]
Audrey M. Harris
Yoga Instructor
1517 Westholme Ave
Los Angeles, CA 90024
(310) 474-0326
[email protected]
Aaron M. May
Halpern May Ybarra Gelberg LLP
550 S. Hope Street, Suite 2330
Los Angeles, CA 90071
Attorney
Main: (213) 402-1900
Direct: (213) 402-1920
[email protected]
Alexander K. Robinson
Robinson Zermay LLP
777 S. Alameda St., 2nd Floor
Los Angeles, CA 90021
Attorney
[email protected]
Kenneth Trujillo-Jamison
Willenken LLP
707 Wilshire Blvd., Suite 3850
Los Angeles, CA 90017
Attorney
(213) 955-8031
(310) 252-4067
[email protected]
Cory M. Batza
Halpern May Ybarra Gelberg LLP
550 S. Hope Street, Suite 2330
Los Angeles, CA 90071
Attorney
(661) 916-1642
[email protected]
Meredith Esarey
MRK Partners, Inc.
5230 Pacific Concourse Drive, Suite 350
Los Angeles, CA 90045
LIH-Developer
(310) 720-4158
[email protected]
Advisory Board
Marjie Mautner
Retired
3715 Valley Meadow Rd.
Encino, CA 91436
(818) 986-3356
(818) 986-3357 fax
[email protected]
Docusign Envelope ID: 2EFB054C-9B1D-8057-8013-7A45BE1DB1D6 Rev. 6/7/12 J:\FILES\DOCFILES\ORD\CAMPAIGN CONTRIBUTION\DISCLOSURE FORM – CONTRACTOR – 6-7-12.doc 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 has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or gener al 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 Financ ial 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 committee 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:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute― or if I select additional ― architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • I hereby certify that:
I have identified all persons for which the Ordinance requires disclo sure; 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 su bmit 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:
3 26
Chancela Al-Mansour
3255 Wilshire Boulevard, Suite 1150, Los Angeles, CA 90010 (213) 387-8400 x1111
[email protected]
Docusign Envelope ID: 2EFB054C-9B1D-8057-8013-7A45BE1DB1D6 4/30/2026
Los Angeles, CA
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 amended it with Ordinance No. 5768, which became effective on March 15, 2012 (“the Ordinance”). The Ordinance prohibits: (1) A contractor* (including a subcontractor**)― who has a contract with the City of Glendale (“City”), Economic Development Department (“EDD”), or the Housing Authority of the City of Glendale (“HA”) and that contract is subject to approval by the City Council, EDD, or HA― from making a contribution to a City Council member, EDD member, HA member, City Clerk, or City Treasurer; and (2) Council members, EDD 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, EDD's, or HA’s approval. A contract with the City, EDD, or HA is known as a “City 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, EDD, 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) working under the City Contract.
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 actual value of $50,000 or more; or • The subcontract through a City Contract has a total anticipated or actual value of $25,000 or more; or
• A combination or series of City Contracts have a value of $50,000 or more. • A combination or series of subcontract s, for the same or different projects, have an aggregate value of $25,000 or
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/Pre
siden t
● Chief Operating Officer
● Chief Financial Officer
● Chairper
son
● All members of the Board of Directors
● All persons who own more than 10% of the perso
n, entity, or organi zation
● Name of any campaign committee owned or controll ed 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, EDD, or HA or any member of that person’s, entity’s, or organization’s Board of Direct ors, 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, entit y, 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.
Rev. 6/7/12 J:\FILES\DOCFILES\ORD\CAMPAIGN CONTRIBUTION\DISCLOSURE FORM – CONTRACTOR – 6-7-12.doc 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 has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or gener al 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 Financ ial 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 committee 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:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute― or if I select additional ― architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • I hereby certify that:
I have identified all persons for which the Ordinance requires disclo sure; 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 su bmit 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:
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 amended it with Ordinance No. 5768, which became effective on March 15, 2012 (“the Ordinance”). The Ordinance prohibits: (1) A contractor* (including a subcontractor**)― who has a contract with the City of Glendale (“City”), Economic Development Department (“EDD”), or the Housing Authority of the City of Glendale (“HA”) and that contract is subject to approval by the City Council, EDD, or HA― from making a contribution to a City Council member, EDD member, HA member, City Clerk, or City Treasurer; and (2) Council members, EDD 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, EDD's, or HA’s approval. A contract with the City, EDD, or HA is known as a “City 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, EDD, 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) working under the City Contract.
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 actual value of $50,000 or more; or • The subcontract through a City Contract has a total anticipated or actual value of $25,000 or more; or
• A combination or series of City Contracts have a value of $50,000 or more. • A combination or series of subcontract s, for the same or different projects, have an aggregate value of $25,000 or
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/Pre
siden t
● Chief Operating Officer
● Chief Financial Officer
● Chairper
son
● All members of the Board of Directors
● All persons who own more than 10% of the perso
n, entity, or organi zation
● Name of any campaign committee owned or controll ed 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, EDD, or HA or any member of that person’s, entity’s, or organization’s Board of Direct ors, 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, entit y, 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.
Rev. 6/7/12 J:\FILES\DOCFILES\ORD\CAMPAIGN CONTRIBUTION\DISCLOSURE FORM – CONTRACTOR – 6-7-12.doc 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 has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or gener al 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 Financ ial 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 committee 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:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute― or if I select additional ― architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • I hereby certify that:
I have identified all persons for which the Ordinance requires disclo sure; 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 su bmit 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:
Ascencia Board of Directors 2025-26
OFFICERS AND COMMITTEE CHAIRS
Paulette Ramsay Wood, President
Retired, Legal Department, Contracts
Schindler Elevator Corporation
Saad Panja, Audit Committee Chair
Director, Hutchinson & Bloodgood, LLP
David Bolstad, President Elect, Vice President &
Governance Committee Chair
Esq., Bolstad Law Group
Deacon Ron Baker, Development Committee Chair
Director of Operations & Ministries, Holy Family
Catholic Church
Jane Winter, Secretary
Director Case Management, Providence St. Joseph
Medical Center
Arbella Azizian, Nominations Committee Chair
Attorney, Arbella Azizian Law
Tes Baradas, Treasurer/Finance Committee Chair
Partner, Lucas Horsfall
MEMBERS
Marvel Ford
Senior Vice President, Risk Management, California
Credit Union
Sue Son
Partner, CPA, Karis Accounting Inc.
Barbara Perrier
Vice Chairman, Industrial (CBRE)
Samona Caldwell
Director, Business Connect L.A. Sports and
Entertainment Commission
Ron Scott
Retired – Employee Relations & Benefits Manager,
Black Angus Steakhouse, current SHRM-SCP
Sara Catania
President, Solutions Journalism Network
Terry Walker
Director Neurosciences & Community Engagement
Providence Saint Joseph Medical Center
Sandeep Khera
Executive Coach & Peer Advisory Group Chair
Vistage Worldwide & Tiger 21.
Kylee Lolla
Owner, The Kleenup Woman, LLC
Kadence King
Benefits Navigator & Peer Support Specialist
CACUP SSG
Stephanie Nelson
Partner & Chief Operating Officer, The Accountancy
Emma Standring-Trueblood
Director Major Gifts, Adventist Health Glendale
Foundation
Cheryl Getuiza Christensen
Communications Manager/Community Liaison
Officer, Glendale Fire Department
*Emeritus, Nicholas Lam
Retired Vice President, Pacific BMW and Bidamar
Corporation
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 amended it with Ordinance No. 5768, which became effective on March 15, 2012 (“the Ordinance”). The Ordinance prohibits: (1) A contractor* (including a subcontractor**)― who has a contract with the City of Glendale (“City”), Economic Development Department (“EDD”), or the Housing Authority of the City of Glendale (“HA”) and that contract is subject to approval by the City Council, EDD, or HA― from making a contribution to a City Council member, EDD member, HA member, City Clerk, or City Treasurer; and (2) Council members, EDD 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, EDD's, or HA’s approval. A contract with the City, EDD, or HA is known as a “City 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, EDD, 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) working under the City Contract.
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 actual value of $50,000 or more; or • The subcontract through a City Contract has a total anticipated or actual value of $25,000 or more; or
• A combination or series of City Contracts have a value of $50,000 or more. • A combination or series of subcontract s, for the same or different projects, have an aggregate value of $25,000 or
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/Pre
siden t
● Chief Operating Officer
● Chief Financial Officer
● Chairper
son
● All members of the Board of Directors
● All persons who own more than 10% of the perso
n, entity, or organi zation
● Name of any campaign committee owned or controll ed 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, EDD, or HA or any member of that person’s, entity’s, or organization’s Board of Direct ors, 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, entit y, 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.
Rev. 6/7/12 J:\FILES\DOCFILES\ORD\CAMPAIGN CONTRIBUTION\DISCLOSURE FORM – CONTRACTOR – 6-7-12.doc 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 has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or gener al 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 Financ ial 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 committee 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:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute― or if I select additional ― architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • I hereby certify that:
I have identified all persons for which the Ordinance requires disclo sure; 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 su bmit 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:
Y e a r s o f I m p a c t
Y e a r s o f I m p a c t
Board of Directors 2025–2026
YWCA Glendale and Pasadena
Board President
Wesley Walton
Chief Executive Officer
Glendale Area Schools Credit Union
1800 Broadview Dr, Glendale, CA 91208
Treasurer/VP of External Affairs Committee
Amanda Faissal
Deputy Communications Director
Assemblymember Nick Schultz’s
44th District
300 East Magnolia Boulevard, Suite 504,
Burbank, CA 91502
Secretary/VP of Governance Committee
Jess Skylar
Founding Partner
The Helia Collective (no physical work
address)
EXECUTIVE COMMITTEE BOARD MEMBERS
Y W C A G l e n d a l e a n d P a s a d e n a
7 3 5 E a s t L e x i n g t o n D r i v e
G l e n d a l e , C A 9 1 2 0 6
P 8 1 8 . 2 4 2 . 4 1 5 5 F 8 1 8 . 2 4 0 . 6 0 3 6 y w c a g p . o r g
Debbie Hinckley
Retired Educator
Community Volunteer
Maggie Lee
SVP Director of Commercial Banking
East West Bank
135 N. Los Robles Ave. 7th Floor Pasadena, CA 91101
San San Lee
Attorney
Law Office of San San Lee, Inc.
7111 Santa Monica Blvd., Ste B #507
West Hollywood, CA 90046
Dalia V. Lomeli
Vice President Marketing and Public Relations
Inter-Con Security
210 S De Lacey Ave, Pasadena, CA 91105
Taline Saad
Executive Vice President
Opulent Remodeling & Construction
3800 La Crescenta Ave Unit 201, La Crescenta-Montrose, CA 91214
Dr. Paula Raymond Stamp
CEO/Principal
Geaux Consulting Group (no physical work address)
Lisa Watson
Principal Consultant
Watson Consulting Group (no physical work address)
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 amended it with Ordinance No. 5768, which became effective on March 15, 2012 (“the Ordinance”). The Ordinance prohibits: (1) A contractor* (including a subcontractor**)― who has a contract with the City of Glendale (“City”), Economic Development Department (“EDD”), or the Housing Authority of the City of Glendale (“HA”) and that contract is subject to approval by the City Council, EDD, or HA― from making a contribution to a City Council member, EDD member, HA member, City Clerk, or City Treasurer; and (2) Council members, EDD 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, EDD's, or HA’s approval. A contract with the City, EDD, or HA is known as a “City 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, EDD, 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) working under the City Contract.
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 actual value of $50,000 or more; or • The subcontract through a City Contract has a total anticipated or actual value of $25,000 or more; or
• A combination or series of City Contracts have a value of $50,000 or more. • A combination or series of subcontract s, for the same or different projects, have an aggregate value of $25,000 or
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/Pre
siden t
● Chief Operating Officer
● Chief Financial Officer
● Chairper
son
● All members of the Board of Directors
● All persons who own more than 10% of the perso
n, entity, or organi zation
● Name of any campaign committee owned or controll ed 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, EDD, or HA or any member of that person’s, entity’s, or organization’s Board of Direct ors, 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, entit y, 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.
Rev. 6/7/12 J:\FILES\DOCFILES\ORD\CAMPAIGN CONTRIBUTION\DISCLOSURE FORM – CONTRACTOR – 6-7-12.doc 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 has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or gener al 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 Financ ial 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 committee 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:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute― or if I select additional ― architec ts, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • I hereby certify that:
I have identified all persons for which the Ordinance requires disclosure; The information in this disclosure f
orm (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:
ATTACHMENT A Armenian Bar Association Board of Governors / Board of Directors Officers: • Taline Sahakian — Chair • Mariam Kuregyan — Co-Vice Chair • Steven Dadaian — Co-Vice Chair • Zaven Sargsian — Secretary • Mesrop Khoudagoulian — Treasurer • Lucy Varpetian — Chair Ex-Officio Board Members: • Hon. Amy Ashvanian • Alex Hrag Bastian • Giselle Davidian • Harry H. Dikranian • Levon Golendukhin • Grant Hanessian • Armen K. Hovannisian • Souren Israelyan • Hon. Sharon Kalemkiarian • Ovsanna Takvoryan • Sarah Leah Whitson • Diana Gazaryan (NALSA Representative) 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 amended it with Ordinance No. 5768, which became effective on March 15, 2012 (“the Ordinance”). The Ordinance prohibits: (1) A contractor* (including a subcontractor**)― who has a contract with the City of Glendale (“City”), Economic Development Department (“EDD”), or the Housing Authority of the City of Glendale (“HA”) and that contract is subject to approval by the City Council, EDD, or HA― from making a contribution to a City Council member, EDD member, HA member, City Clerk, or City Treasurer; and (2) Council members, EDD 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, EDD's, or HA’s approval. A contract with the City, EDD, or HA is known as a “City 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, EDD, 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) working under the City Contract.
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 actual value of $50,000 or more; or • The subcontract through a City Contract has a total anticipated or actual value of $25,000 or more; or
• A combination or series of City Contracts have a value of $50,000 or more. • A combination or series of subcontract s, for the same or different projects, have an aggregate value of $25,000 or
more. Information that must be disclosed: ● Name of the person, entity, or organization (i.e., the Contractor or Subcontractor) ● Name of the Chief Executiv
e Officer/Preside nt
● Chief Operating Officer
● Chief Financial Officer
● Chairpe
rson
● All members of the Board of Directors
● All persons
who own more than 10% of the person, entity, or orga nization ● Name of any campaign committee own ed 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, EDD, or HA or any member of that person’s, entity’s, or organization’s Board of Direct ors, 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, entit y, 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.
Armenian Relief Society of Western USA, Inc., Social Services 517 W. Glenoaks Blvd., Glendale, CA 91202 Silva Poladian 517 W. Glenoaks Blvd. Glendale CA 91202 Talar Aintablian 517 W. Glenoaks Blvd. Glendale CA 91202 Maral Touloumian (Board Secretary) 517 W. Glenoaks Blvd. Glendale CA 91202 (Director of Operations)
Rev. 6/7/12 J:\FILES\DOCFILES\ORD\CAMPAIGN CONTRIBUTION\DISCLOSURE FORM – CONTRACTOR – 6-7-12.doc 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 has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or gener al 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 Financ ial 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 committee 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:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute― or if I select additional ― architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • I hereby certify that:
I have identified all persons for which the Ordinance requires disclo sure; 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 su bmit 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:
N/A
N/A
3 April 30 19 Glendale Talar Aintablian
517 W. Glenoaks Blvd., Glendale, CA 91202
(818) 241-7533 x101 [email protected]
ՀԱՅ ՕԳՆՈՒԹԵԱՆ ՄԻՈՒԹԵԱՆ
ԱՐԵՒՄՏԵԱՆ ՄԻԱՑԵԱԼ ՆԱՀԱՆԳՆԵՐՈՒ
ԸՆԿԵՐԱՅԻՆ ԾԱՌԱՅՈՒԹԵԱՆ ԳՐԱՍԵՆԵԱԿ
ARMENIAN RELIEF SOCIETY
OF WESTERN USA, INC.
SOCIAL SERVICES
ARS Regional Executive Board
2024-2026
• Christina Amirian Khanjian, Chairperson
• Vicky Marashlian, Vice Chairperson
• Rita Hintlian, Corresponding Secretary
• Eugenie Shamlian Aroyan, Recording Secretary
• Maral Kouyoumdjian Manokian,Treasurer
• Haigo Ovayan Barsamian, Advisor
• Kenarig Avedisian, Advisor
• Siroun Bedirian, Advisor
• Taline Kayayan, Advisor
*ARS Board Members are members of the Armenian Relief Society of Western USA, as well as other community organizations.