AR 3 ATTACHMENT B District 2_Redacted — Pasadena City Council, April 19, 2023

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CITY OF PASADENA

APPLICATION FOR APPOINTMENT TO THE

PASADENA RENTAL HOUSING BOARD,
FORM RHB-0012023 H 2 7 AMI): j4
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to; attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications will be purged from the City's files January 31 of each year. If you have not been appointed to the Rental Housing Board and still desire to be considered for appointment, please resubmit an updated application, or advise City staff in writing that the initial form is still current and can be used for an additional year.

Applicant Name:

Home Address:

Mailing Address:

Email Address:

Business Phone:

Home Phone:
<S\L" Q n q &> 0 r%\^o Q
REDACT REDACTFn
REDACTEl REDACTED

REDA( REDACTED ACTED
Bl&^Ae-^Q Cq ^ 110 (^,
Eiii^sd^^c. CA "iu0(^
Date Available to Start:

Cell Phone:REDACTED
Board Seat Type: Indicate the type of Board seat in which you wish to fill ^marFoneor more):

Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District
At-large Member (4 seats, open to any Pasadena resident without respect to I
a
tenancy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving or have served, offices held and in what city, Vo\OfAQr\C(<L^ "Pa-2>a<^e^c\ Cjors^^^'A^ -A^=> Ce<\^-€<. ^."V^sci.cL&o&V Vo\<jnA~&o~Gi- '^rtgro.^^ j\'VQino o. (N^a^o^'-BG^CQ 3^ Co^--^ C ^PcLSo-ckrp-^ Employment - Title and duties, current and past (acceptable to attach resume as an I alternative). ,_, . , . I I
^\-b\<s^-^^-^- Ac. Co^^^csjcio^ -e^ tosoclesvQ Co<-n<^^^lV^ ^C^ CCT^Cr| ^^s-v&^-^e d^\ T'^^^O^Q ^AGCYQ A< ^o-t^o ( P^^c( T^&^^o^ 'I^crhki<€ COn^oi-/-anS 5cri/<cif- C NbLQ^Y
^^ucation - Inplude professional or vocational licenses or certificates.^^ucation - Inplude professional or vocational licet vll^ro-h <sn. .Cpr^P^^c^i
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1. Have you ever worked for the City of Pasadena? (If yes, please list dates/department)
D NOQr

2. Are you related to any employee, appointed or elected official of the City of Pasadena? (If yes, please indicate name and relationship)

YESD NO

3. Are you aware that financial disclosure is required annually? (e.g., sources of income, loans and gifts, investments, interests in real property)

4. Rules of law and ethics prohibit members from participating in and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
YES
YES
.0
D
NO

5. Do you,or your extended family1 members, have a material interest in rental property in the County of Los Angeles within the last three years?

6. Do you reside at a property owned or managed by a member of the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?

7. Have there been,or are there now, any personal or business circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?

8. Are you aware of the time commitment necessary to fulfill the obligations of the Pasadena Rental Housing Board?
YES

YESD NO
YES
YES
Q N00
^
1Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)).

DNO
[

9. Are you aware that you may serve no more than eight
consecutive years as a member of the Pasadena Rental
Housing Board?
YESNOD

10. Describe your relevant life experience, professional training, and/or education in the following, areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:

Me. por^c\poch cn psT'-i ron^Q fh^o 'Joinole^' con iJniOn ^c Ve.c<nos 'f~~b^fd(pcmcld cn rrxsrc^c,} p^s c.1 cc^rc'L c-lc vc^ta •p^^c^C-na -Jn.^ofA'^c'f ;-? (^ COnr^nido^ ^ SQ^ ele.rec.^c'' Co^?r?o t'n^u^i'no d^nt-c 63 po^cicn-piG CJQC/Q in e/ ce^/n? ^ .JF^r^</?<sr?2> Jc ^7G/cnsyi

11. How would you add valye to,the Pasadena Rental Housing Board? Sendo r&pr&5ei"4e^ dc LQ ^cnpcnido^ /n^-.liOo da f-T^oAn^ on' re^^den-h^ /nm^/TGnk e- inc/c^l/no cO/T^-c^a c(^y
~Do( -,C&"
i.l^cf'co ei €5^ue<"yo ^ ^^^V^ ^Qt opoi'k ^oAQ ^^uiivv-o 0, i.4ue h Ci^oH di thsG^nc-s ' ^€G b'^^ cfo^Gd h&/ld ^ S^-^am,./^.; . 7' —^'7"" .." ^—.^-^ --^ ^"_/^'l\ "^'"_/. ~T~~'

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
t.VeL\Q>-<; Q-Ofc <*\ CLC>^'V<'~0\ <^<L v^t^Vo ?>e c'ompVo. S^-C?Y".N \^>{. ii
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13. How would you help to achieve these objectives and goals7 €?'of>ev\i\s>o-<<vA-^ qoe- ^ Cot-A-vd> c^e. <r€3^^ •ss^.o. G\GAJO-\QAG! ^>
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Bi^r^Wo e) n^&d(o pGi'o tycnt^ici'o. c/c /cy inoL."(fvTQ> c^-^cr unv's Vivier^y ^itfnS oo^ pf-CCfo^ ]u5+Q'>.~7
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I, <^)V^cij^^ ^>Q^<TSLV(Vorv°i (printed name), declare under penalty of perjury under the law of | the State of California that the information reported in this Form RhlB-001 is true, accurate, and complete.

Signed this ^-2- day of f^O^- 20^3.

Signed:

Printed Name: $>^30^
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CITY OF PASADENA
Residency Verification - MANDATORY
All applicants must provide proof of residency in a City Council district under section 1811(b) of The Pasadena Fair and Equitable Housing Charter Amendment (Measure H). Proof of residency may be established by either of the following:

1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.

I am a resirip'nt "f nistrift Nn 9 nf th^ Uitv nf PasaHqna REDACTED I reside at
CA c1tiO(^^?HTC8QW
REDACTED(street), Pasadena,
c
Signed:

Printed Name:^uc> a nq' £) 0 <'G. W> <r\a.

2. If you are not a registered voter, please provide clear, readable two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cat. Code Regs. tit. 13, § 17.00 and § 15.01(d)).

Please provide clear, readable copies of two (2) documents from the following list and attach to this application:

Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
Insurance documents, including medical, dental, vision, life, home, rental or vehicle
Medical documents
A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state Mortgage bill
Employment documents
Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. •
•
Change of Address Confirmation by the U.S. Postal Service Property tax bill or statement
Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
Deed or title to residential real property
Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters Proof of payment of resident tuition at a public institution of higher education in California
An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor Court documents that list the applicant as a resident of Pasadena California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.

CITY OF PASADENA
Supplement to Statement of Economic
Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.

Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (Measure H) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose, but Measure H requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811 (b), these documents are public records; they will not be confidential.

Measure H's Definitions;
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).

Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)).

Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).

Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).

CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
I, ^_3u^-)0r^/ £>0'cc^flonp(.. (printed name), declare under penalty of perjury under the law^1 ^£ of the State of Oalifornia that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Z.2day of
/
fflQfC^ Signed this
Signed:

Printed Name: S>C^^nt-/? <5>r0^0^<.
, 20^3 .

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CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
1, ^Su-sc^r\.«--i i3c.<i'<'Qy'Q(^A(printed name), declare under penalty of perjury under the law of the State of California tKat the foregoing is true and correct:

1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.

2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person namechiinififite^fiU!fififB£Pt that entitles me the rights of a tenant.

3. I reside at the following addre^
Pasadena, California °1 \ IQl^ (zip c6Se]
REDACTS^ REDACTED(street),
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.

Signed this
Signed:
2-Zday of
z
/^OorcA- ,202.5.

Printed Name: S^o^^ &^ T? J?on Q.
u

CITY OF PASADENA

NOMINATION PETITION - WORKSHEET
)'alLYu^ /5^v^Jzon6^
(Name of Candidate)
(Office and District or Sfeat)
P.^^6 W^n^^.

Total Signatures
Total OK_
Date:

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Checked by:(k-
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CITY OF PASADENA

APPLICATION FOR APPOINTMENT TO THE

PASADENA RENTAL HOUSING BOARD
FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on thePasadena Rental hlousing Board. Please answer all questions. You are invited to attach additionalpages, a copy of your resume, or submit supplemental information which you feel may assist theCity Council in its evaluation of your application. Applications will be purged from the City's filesJanuary 31 of each year. If you have not been appointed to the Rental Housing Board and stilldesire to be considered for appointment, please resubmit an updated application, or advise Citystaff in writing that the initial form is still current and can be used for an additional year.

Applicant Name:

Home Address:

Mailing Address:

Email Address:

Business Phone:

Home Phone:
p, a r\" & t^-jr^SfO C^^e^
REDACTE1 REDACTEDp-^K^^ C^ ^1(0<-(

REDACTREDACTED
Date Available to Start: Ofci/ i j 2.3
Cell Phone:REDACTED
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):./Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District J7-
\1 At-large Member (4 seats, open to any Pasadena resident without respect totenancy or Council District) V , Alternate Tenant Member (1 seat, reserved for tenants) V Alternate At-large Member (1 seat, open to any Pasadena resident withoutrespect to tenancy or Council District) Community Service - List boards, commissions, committees, and organizations on which youare currently serving or have served, offices held and in what city.p«w<"i(-z r<i(-^tj> u^.t^ •I
L
Employment - Title and duties, current and past (acceptable to attach resume as analternative).

Cp.c\'^ L\(€. C^^^
^.
y-
Education - Include professional or vocational licenses or certificates. |2?J^ C^'i4 f^eutSigipr^'^ C 5^.1 (7'cy<^ SjrCtV6- u^*yKr'$(^^ Cer^^^-l L.»£& C^>.t^ C^c-& ptyyo^c i-)^,r.t-^^&>

1. Have you ever worked for the City of Pasadena? (If yes, please list dates/department)

YESD NO

2. Are you related to any employee, appointed or elected official of the City of Pasadena? (If yes, please indicate name and relationship)

YESD NO

3. Are you aware that financial disclosure is required annually? (e.g., sources of income, loans and gifts, investments, interests in real property)

5. Do you,or your extended family1 members, have a material interest in rental property in the County of Los Angeles within the last three years?

7. Have there been,or are there now, any personal or business circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?

8. Are you aware of the time commitment necessary to fulfill the obligations of the Pasadena Rental Housing Board?
YES
YES
D
D
NO
NO
YESa NO

YES NOD
1Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)).

9. Are you aware that you may serve no more than eight
(^ consecutive years as a member of the Pasadena Rental Housing Board?
YESNOa

10. Describe your relevant life experience, professional training, and/or education in thefollowing areas: Housing/Housing Justice/Landlord Tenant ReIationships/Real Estate:X h^^<- (A p^rso^-tl e^p^rv-v-v-e- f-Vv^.^- -T (clnCt.>^^^c'~<^ +Vv*s IC<.^>>r ^{'^r 4-^^*-^ l<^^ /v^€. +-Ci e^(>>^ftVe ^<-,StitF ^<G£iC^r(><-^^ ^7
I (^xA Ip c ol t-{'A ^ A V- 0^ l^^-tcns^i < /»s, OL^C^ (^0^ ^ ^ '^

11. How would you add value to the Pasadena Rental Housing Board? ^ 6Z^ff1<'T<?c< t/\ e^Fc^H^<? (^'O^^rxtC^^.O^ $^:US <^lA£>( Corl c Iv c ^ rC'«> 0 i. L-t-VLO ./\

12. What do you view are the primary objectives and goals of the Pasadena Rental HousingBoard? _ , , . ^TVv<- (€^^{ V^o'^^\^ bo^d is r\6^ o^^ 0\ 5o^^ 1oo'^rc( I <^.\ (^Or +-t-^€/ i/^pl&/V\^A>V<<-^C<\ 0^ M&c-tSL^'-^^'^ bc.A\: C\\1>Qhas <^ ^O'-^K QC- -^d^cc^Vi-Afi, \yo^^ lci-A^-t IQCO/S Cl'yot tt.'vt/\-v-5 ,

13. How would you help to achieve these objectives and goals? ^ \j^o^\\c/\ ^^ PW^CD^<^-^< ob^'-^^ '^<^cciMn-^^o-^^
^r^Uo^ds 0^ :h<n^+<> C-^^c^rc^ i ^ U^Z P^-i^UT'C (^/^<?L a^o c^'^c -^o_
be v^ ic^^to^^
i',^A^^ 0^?^<^tlu^c7 C^^^di'A^ a^c'^^^A^
c^\c\ -t-e,nc<.'\-^& Co^it^ i^o.u^
I, ^<wvs<. ^o^-%> C^t*^l<-Z- (printed name), declare under penalty of perjury under the law othe State of California that the information reported in this Form RHB-001 is true, accurate, and complete.•i'a
Signed this ^ day of ^c>r^^. 20^.'.^
Signed:fe.
•Si
u
Printed Name: c1ic^<^ <^o^<-?o C<^^^e-*Z^
^
s^&F
^^
<D
•§. ^
^ ?0^ ?-4TCD

1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.

I am a re;
^^ *rf» A .^ ^ I^ • .^ A •^1 ^^J*
REDACT
^^^^^_ of the City of Pasadena
I reside
CA Cjt^-i <zipco3?T?
REDACTED(street), Pasadena,
Signed:
v
Printed Name: D^^^ ^0<^?0 C^<x^C7_
•
( 2. If you are not a registered voter, please provide clear, readable two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cat. Code Regs. tit. 13, § 17.00 and § 15.01 (d)).

Please provide clear, readable copies of two (2) documents from the following list and attach to this application:

Change of Address Confirmation by the U.S. Postal Service Property tax bill or statement
Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
Deed or title to residential real property
Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters Proof of payment of resident tuition at a public institution of higher education in California
An original copy of an approved Claim for hlomeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor Court documents that list the applicant as a resident of Pasadena California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.

Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (Measure H) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three f3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose, but Measure H requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.

Measure H's Definitions.'
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).

Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).

CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1, d'i<^'^- f^O^-^ ^^^^(printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Signed this •2-^
Signed:
day of (^^c-^,20^
Printed Name: P^-^ S^O^^ CL^O^
PA b?^ ^^
+
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^y. 'S^TED

CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
\ ^lO^i./i^ Po./^-g.ro C(^6\u^ (printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:

1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.

2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in ^ggj^^jg^^^^^O^g^jj^ie rights of a tenant.

3. I reside at the following _address:

Pasadena, California ^ijCtf (zipcode)
REDAREDACTED(street),
c
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.

Signed this _^_
Signec^^^
day of/^A.CC^_, 20 2^,
Printed Name:pi<n.nrt-e, Ro^i<^r<? (^{^lU^^
0 CITY OF PASADENA

NOMINATION PETITION - WORKSHEET
D^^.AAt f^o^wO ^«/\A^" H^-in V(rYL5
(Name of Candidate)^u~
t4fo ^'^c^^
(Office and District or Seat)
Total Signatures
;^0
.^^-
Total OK
3/2<
^SK^^
ss><^
Date:"bw^
Checked by:.
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RAS-1b?
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CITY OF PASADENA

APPLICATION FOR APPOINTMENT TO THE

PASADENA RENTAL HOUSING BOARD
FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental hlousing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications will be purged from the City's files January 31 of each year. If you have not been appointed to the Rental Housing Board and still desire to be considered for appointment, please resubmit an updated application, or advise City staff in writing that the initial form is still current and can be used for an additional year.

Applicantkl 1 TrnfTF ^^JiSfi
^ (^M REDACT REDACTED REDACTED
^

REDACTED REDACTEI
AW^cr^f REDACTEDDate Available to Start: ^fVI
REDACTEDREDfi REDACTED^yw^ yj
Home Address:

Mailing Address:

Email Address.

Business Phol
Home Phone:

Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):

So& ect^jej^ t^^umv.

Education - Include profession^ or vocational licenses or certificates. ^&^ <S^rc^C ^^Q^^

1. Have you ever worked for the City of Pasadena? (If yes, please list dates/department)
YES NO

2. Are you related to any employee, appointed or elected official of the City of Pasadena? (If yes, please indicate name and relationship)

3. Are you aware that financial disclosure is required annually? (e.g., sources of income, loans and gifts, investments, interests in real property)

5. Do you,or your extended family1 members, have a material interest in rental property in the County of Los Angeles within the last three years?

6. Do you reside at a property owned or managed by a member of the City Council, or any member of the City Council's extended family, or in which any membdr of the City Council, or member of the City Council's extended family, has any ownership stake in said property?

8. A

7.Have there been, or are there now, any personal or business circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?
Are you aware of the time commitment necessary to fulfill the obligations of the Pasadena Rental Housing Board?
YES NO
^ES^
YES
NOD
io ENO
YES
YES
NO
NO
YES
YES
NO
NOa
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g». r
c

9. Are you aware that you may serve no more than eight
consecutive years as a member of the Pasadena Rental
Housing Board?
YES^NOD
1,%-<-/~~fc^le<-
3 I
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3 10. Describe your relevant life experience, professional training, and/or education in the following areas:

Housing/Housing Justice/Housing/Landlord Tenant Relationships/Real Estate:
1 have taught housing policy at the college level for 40 years. I have written extensively about housing, housing justice, landlord- tenant relations, rent control, housing development, and related topics for 40 years. I have served on the boards of organizations that develop affordable rental and homeownership housing as well as transitional housing for the homeless. I was responsible for revising Boston's rent control law as part of my job as chief housing policy advisor to Boston's mayor. I have been invited to give talks to many real estate and housing groups around the country on issues of housing development, policy, and regulation, including rent control. I have served on the boards of organizations that provide services to the homeless and, counseling to would-be homeowners. I have helped create new organizations that involve hiring staff, adopting rules and protocols, and adopting budgets. I have done research and written about Pasadena's housing issues.

11. How would you add value to the Pasadena Rental Housing Board? I understand the economics of rental housing. I am familiar with Pasadena's housing stock. I can serve as a mediator and bridge- builder between board members with different points-of-view. I am familiar with the operation of rent boards in other California cities and can help create a new agency (the Pasadena Rental Housing Board) from scratch, learning from the experiences of similar agencies in other cities, including budgets, hiring staff, rules and protocols, educating tenants and landlords about their rights and responsibilities under the new law. I am semi-retired and have the time to devote to helping establish and oversee the Rental Housing Board.

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board? Primary objectives and goals include implementing Measure H in a fair, efficient, and transparent way, helping educate landlords and tenants about their rights and responsibilities under the new law, and informing the public, including the City Council, of the Board's activities through regular reports.

13. How would you help to achieve these objectives and goals? The Board's first most important task is to hire an experienced and competent Executive Director, who in turn will hire staff, to carry out the Board's objectives and goals. During the first phase of establishing the Board's rules, protocols, and budget, I would invite people who have run similar agencies in California to meet with the Board and discuss the operation of those agencies, which we can leam from rather than re-inventing the wheel, but also make accommodations based on Pasadena's unique conditions and the specifics of Measure H. I would encourage the Board to hold a series of public forums with landlords and tenants to get their feedback and ideas about the agency's operations. f-.l
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(printed name), declare under penalty of perjury under the law of the State of California that the information reported in this Form RHB-001 is true, accurate, and complete. |
•;j
Signed this <^Q day of _M^L^^__. 202^,
Signed: Z^^%
Printed Name:T^t^-^^t^
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1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.

I am a reside
i
I resiate
CA
^4- ^f r^:^4.^:^4.

REDAtREDACTED
ia
(street), Pasadena,\CTED
(zip codeT"
Signed:

Printed Name:
<»
^tere/s-r
( 2. If you are not a registered voter, please provide clear, readable two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01 (d)).

Please provide clear, readable copies of two (2) documents from the following list and attach to this application:

Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
Insurance documents, including medical, dental, vision, life, home, rental or vehicle
Medical documents
A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state Mortgage bill
Employment documents
Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. •
•
•
•
Change of Address Confirmation by the U.S. Postal Service Property tax bill or statement
Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
Deed or title to residential real property
Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters Proof of payment of resident tuition at a public institution of higher education in California
An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor Court documents that list the applicant as a resident of Pasadena California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a.DMV registration for, a boat, truck or car)
A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.

If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.

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Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (Measure H) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose, but Measure H requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.

Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).

CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1, T<S^7iltr ^L^^^J^C (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Signed this,
Signed:

Printed Name:

M^^ .day of,20
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CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
_(printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:

1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.

2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.

3. I reside at the following address:

Pasadena, California _ (zip code)
(street),
v3
t
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OR
c.

This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.

Signed this 0?0^ day of ^la^r4- 2-6 ^^
Signed:

Printed Name:

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Peter Dreier - Resume - Pasadena Rental Housing Board
Peter Dreier
Pasadena, CA 91104
REDACTED "ED
KbUACTED i REDACTED
I have lived In, and .owned a home in, Pasadena since 1993. My wife Terry is a nurse practitioner who has worked for over 25 years at the AMG Clinic in northwest Pasadena, focusing on pediatrics. Our two daughters attended PUSD schools. I have been actively involved in Pasadena civic life since we moved here. I am on the faculty of Occidental College, where I teach about housing and urban policy. My expertise is in housing policy, with a particular focus on the relationship between income inequality, racial inequality, and housing conditions. I have extensive experience as a practitioner, government official, and scholar dealing with housing policy.

Education
Ph.D., University of Chicago, 1977
B.A., Syracuse University, 1970
Current Employment
E.P. Clapp Distinguished Professor of Politics, Occidental College (Rank: Full Professor with endowed chair) 1993-present
Founding Chair, Urban & Environmental Policy Department, Occidental College 1996- present
I teach courses on urban policy, housing policy, and public policy analysis. I founded the Urban & Environmental Policy Department to teach students the nuts-and-bolts of policy research and analysis.

Previous Relevant Work Experience
Deputy for Housing Policy, Office of Mayor Raymond L. Flynn, City of Boston (1984-92) Director of Housing, Boston Redevelopment Authority (1984-92) I was the chief housing policy advisor to Boston Mayor Raymond Flynn. My responsibilities included dealing with development, zoning, and regulation. I was responsible for revising Boston's rent control law, selecting the appointments to the Rent Equity Board, and working with the Boston City Council to fund and implement the rent control and eviction laws.
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1 Peter Dreier - Resume - Pasadena Rental Housing Board Relevant Civic Enciaeement
I was appointed by the Pasadena City Council to the Pasadena Charter Reform Task Force (1997-98). Among other things, we recommended that the mayor be elected citywide by the voters rather than appointed by the City Council and reaffirmed that the City Council be elected by districts.

I was a member of the steering committee of Citizens for Q.uality Schools that sponsored Measure CC, the parcel tax ballot measure to raise funds for PUSD (2009- 2010)
I helped organize and lead the successful campaign to get the Pasadena City Council to adopt a municipal minimum wage and a subsequent campaign to extend the minimum wage (2015-2016)
I served on the board of directors of the Pasadena Education Foundation for ten years. (2006-2016)
I founded Invest in Kids, a grassroots organization of parents with students in PUSD.

I helped organize and served on the founding board of Pasadenans Organized for Progress (POP)
I was a member of the board of directors of the Pacific Housing Alliance, a non-profit that sponsored transitional housing for homeless people in Pasadena (1995-98) I was a member of the board of directors of the Southern California Association of Non-Profit Housing, the umbrella group for developers of affordable housing in the region (1996-2006)
I was a member of the Community Investment Task Force of the United Way of Greater Los Angeles (1999-2001)
From 2020-22, I helped organize the coalition that sponsored a successful ballot measure campaign (winning 58% of the vote in November 2022) in Los Angeles (Measure ULA) to raise close to $1 billion a year to expand affordable housing and to reduce homelessness through an increase in the real estate transfer tax on the sate of properties over $5 million. I coauthored the report that provided the analysis of the Measure ULA campaign: "An Analysis of Measure ULA: A Ballot Measure to Reform Real Estate Transfer Taxes and Address LA'S Housins and Homelessness Crisis, " https://www. lewis, ucla.edu/wp-content/uploads/sites/17/2022/09/ULA-White- Paper, pdf
2 IPeter Dreier - Resume - Pasadena Rental Housing Board cI was appointed by Mayor Eric Garcetti to the City of Los Angeles' Revenue Commission to identify new sources of revenue for municipal services (2018-2020) I have testified several times before the California State Legislature as an expert on housing issues, including rent control.
;
I was appointed by the LA City Council to its Housing Crisis Task Force (1999-2000) I served on the board of directors of Boston Neighborhood Housing Services, a nonprofit that provides housing counseling for would-be homeowners (1984-1992) I served on the governing board of the Health Care for the Homeless Program a nonprofit (funded by Robert Wood Johnson Foundation) that provided health services to homeless persons (1984-1992).

I served on the advisory committee of Urban Edge Housing Development Corporation, a neighborhood-based non-profit community development corporation that build and rehabilitated affordable rental housing (1988-1992).

I served on the advisory committee of the Boston Foundation's Fund for the Homeless (1989-1992).

I have frequently been quoted by the news media - including the Wall Street Journal, New York Times, Washington Post, Los Anseles Times, Pasadena Star-News, and others - about municipal policy, housing issues and rent control.

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Relevant Articles and Reports about Housine, Rent Control, and Economic Development
"Homeownership Policy" in Daniel Beland, Christopher Howard, and Kimberly Morgan, editors, Oxford Handbook of U.S. Social Policy, New York: Oxford University Press, 2014. (with Alex Schwartz)
"U.S. Housing Policy at the Crossroads," Journal of Urban Affairs, Vol. 18, No. 4, 1997, pp. 341-370
"Pulling Apart: Economic Segregation Among Suburbs and Central Cities in Major Metropolitan Areas, 1980-2000," in Alan Berube, Bruce Katz, and Robert E. Lang, editors, Redefim'ne Urban and Suburban America. Volume 3, Washington, D.C.:

Brookings Institution Press, 2006 (with Todd Swanstrom, Colleen Casey, and Robert Flack)
3 Peter Dreier - Resume - Pasadena Rental Housing Board "Making Southern California: Public Policy, Markets, and the Dynamics of Growth," in Jennifer Welch, Manuel Pastor, and Peter_Dreier, editors, Up Against the Sprawl:

Public Policy and the Making of Southern California, Minneapolis: Um'verslty of Minnesota Press, 2004, pages 1-41 (with Jennifer Wolch and Manuel Pastor). "Philanthropy and the Housing Crisis: The Dilemmas of Private Charity and Public Policy," Housing Policy Debate, Vol. 8, Issue 1, 1997, pp. 235-293. "Pasadena's Tale of Two Cities," Urban & Environmental Policy Institute, Occidental College, January 2019 (with MarkMaier) hUp://www.peterdreier.com/wp- content/uploads/2019/01/Pasadenas-Tale-of-Two-Cities-2019-final-pdf-version.pdf (This is an update of similar reports for 2010 and 2016) Housins in Los Anseles: Policy Options. Report for the Economic Summit sponsored by the Catholic Archdiocese of Los Angeles, Los Angeles County Federation of Labor, and Greater Los Angeles Chamber of Commerce, March 2001. "Redlining Cities: How Banks Color Community Development," Challenge: The Magazine of Economic Affairs, Vol. 34, No. 6, November/December 1991 "Redlining, Not Red Tape" New York Times, November 25,
1995. https://www.nytimes.corn/1995/11/25/opim'on/redlining-not-red-tape.html "How to Expand Homeownership for Americans," Challenge: The Magazine of Economic Affairs, Vol. 35, No. 2, March/April 1992
"Why Measure H - and Rent Control - is Good for Business," Pasadena Now, November 1, 2022 https://www.pasadenanow.com/main/eiuest-opinion-peter-dreier- whv-measure-h-and-rent-control-is-sood-for-business
"Tenants and Homeowners Agree: Pasadena Needs Rent Control," Pasadena Weekly August 1, 2019
"Rent Control Myths" Los Angeles Times, June 17, 1994
"Scapegoating Rent Control: Masking the Causes of Homelessness," Journal of the American Planning Association, Vol. 57, No. 2, Spring 1991 "The New Politics of Housing: How to Rebuild the Constituency for a Progressive Federal Housing Policy," Journal of the American Plannins Association, Vol. 63, No. 1, Winter 1997
"Housing Policy's Moment of Truth," The American Prospect, Summer 1995 4 f
Peter Dreier- Resume - Pasadena Rental Housing Board
"Housing and the Working Poor," Democracy: A Journal of Ideas, March 29, 2016 http://democracvJQymal.ors/arguments/housin§-and-the-workin§-poor/ "Fair Lending, Foreclosure Relief and Financial Reform," in Chester Hartman and Gregory Squires, eds.. From Foreclosure to Fair Lending: Advocacy, Oryanizins, Occupy, and the Pursuit of Equitable Credit, Oakland, CA: New Village Press, 2013.

Rent Deregulation in Massachusetts and California: Politics, Policy and Impacts, Center for Real Estate and Urban Policy, New York University, May 1997.

Relevant Books
Place Matters: Metropolitics for the 21st Century, Lawrence: University Press of Kansas, 2001; 2nd edition, 2005. 3rd edition, 2014. 4th edition under contract and forthcoming in 2024. Coauthor with John Mollenkopf and Todd Swanstrom.

The Next Los Angeles: The Struyyte for a Livable City, Berkeley: University of California Press, 2005; 2nd edition, 2006. Coauthor with Regina Freer, Robert Gottlieb and Mark Vallianatos.

UD Awinst the Sprawl: Public Policy and the Making of Southern California Minneapolis: University of Minnesota Press, 2004. Coeditor with Jennifer Wolch and Manuel Pastor. Coauthor of Introduction.

Regions That WorJcJiow Cities and Suburbs Can Grow Together. Minneapolis:

University of Minnesota Press, 2000. Coauthor with Manuel Pastor, Eugene Grigsby, and Marta Lopez-Garza.
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5 CITY OF PASADENA

NOMINATION PETITION -WORKSHEET
?t^^ P^.C/
(Name of Candidate)
Pft^I? A^ l-^<
(Office and District or Seat)
Total Signatures
Total OK 1^
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Date: 3/^SA^
Checked by:.GS
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2 %5 y.^y; ?ITED

CITY OF PASADENA
APPLICATION FOR APPOINTMENT TO THE R EC : I V E [

PASADENA RENTAL HOUSING BOARD
FORMRHB-001 2023NAR20 AH (0:05
The information contained on this form will be used by the City Council to fill vacancies on the; Pasadena Rental Housing Board. Please answer all questions. You are invited fo'attach additio-nat pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications will be purged from the City's files January 31 of each year. If you have not been appointed to the Rental Housing Board and still desire to be considered for appointment, please resubmit an updated application, or advise City staff in writing that the initial form is still current and can be used for an additional year.

REDACTEDREDACTED
A^ /A(B^V^
Applicant Name; .S!M(?AJ r:\B^)MS'
Home Address:

Mailing Address:

Email Address:

Business Phone:

Home Phone:
fhS'A^MA C^ c-\\\o^

REDACTED I REDACTED
Date Available to Start: JMMC^>i/iT^L-y
Cell Phone:REDACTED
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):

1. Have you ever worked for the City of Pasadena? (If yes, please YES | | NO list dates/department)

2. Are you related to any employee, appointed or elected official of the City of Pasadena? (If yes, please indicate name and relationship)

YES NOB

3. Are you aware that financial disclosure is required annually? (e.g., sources of income, loans and gifts, investments, interests in real property)

5. Do you,or your extended family1 members, have a material YES [^xj interest in rental property in the County of Los Angeles within the last three years?

6. Do you reside at a property owned or managed by a member of YES the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?

7. Have there been,or are there now, any personal or business YES | | circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?

8. Are you aware of the time commitment necessary to fulfill the YES p><] NO obligations of the Pasadena Rental Housing Board?
D
NO
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)).

9. Are you aware that you may serve no more than eight
consecutive years as a member of the Pasadena Rental
Housing Board?
YESNOD

10. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate^ \ O^VA/~^^) r\WA^~ 1^- yA^^TKF^TJ' /)>/' te^^B//l ^CS:/A/< y ^fc) j ^V %t^T PP^^S^S -Tt> a^fte dc^c^a^' A/^ -H^ATt3> FAlALy r^a nAj<^ mf^> w^-us>i^ ^(T^MKJL
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[{!/V&. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
\^ i lv»(^- i»2^< OPe-^-E^^ }\J QL'IL^/^^ C^iJ5^^S^5 ../^ Y\^^]V^ y^MPL^V W^^^S^5 / A c;c^MrT7'T£^T •T& '3-C^-Tj ^ . .'4^^ F-/A/A^^?At- ^<P^(2.T^^ T^ -we: 3^/2.0

13. How would you help to achieve these objectives and goals? ) ^icL'L^E'^y giDs^CSf ./^O F^AVd4^ A^J^M^/ T^ ^^^
•^fl)\Sc A^C^^ATC A^Q R^P- W^L>^S]•\^)(-L US^ h^ €7^fii€v<S> , \^]^./ V «^ _/ I — •^-"^ 1'-^ ' • w. r w»\^/ • •' It »'"^ ]ir-VV»-\L^y •-> •«> <» •Td> HBUP ^26»V^^ r7t-l^ yWSt TirEiy ^(S^^rE /2^0L^Tf©X/5, _Ly<(U- ft^PS^^T 7l4€r /jUTE?2^ST<; <??=•-7B^^T$ A/^ lA^LcyQ)^^w>'. ^ -Sl
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i, ,5/^<^(printed name), declare under penalty of perjury under the law of | the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.

Signed this '2^^ day of _^A^H^_, 20^3.

Signed: ^> ^ I-
Printed Name: <S^ON ^)3BQU5
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1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.

I am a resident of District No.

I reside at
CA^HO^j

REDACTED
Q- of the City of Pasadena cj,^ \ W[')w :^ \/
(street), Pasadena,
/

REDACTED
Signed:
-^1-!.

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Printed Name: <S(^^f ^'/0?0^

Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
•
•
Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
Insurance documents, including medical, dental, vision, life, home, rental or vehicle
Medical documents
A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state Mortgage bill
Employment documents
Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
Rental or lease agreement with the signature of the owner/landlord and the tenanVresident
School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued.

B6B
•
Change of Address Confirmation by the U.S. Postal Service Property tax bill or statement
Letter attesting that the applicant resides in Pasadena from a homeless sheltei, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
Deed or title to residential real property
Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters Proof of payment of resident tuition at a public institution of higher education in California
An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor Court documents that list the applicant as a resident of Pasadena California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.

Instructions: The Pasadena Fair and Equitable hlousing Charter Amendment (Measure H) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose, but Measure H requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.

Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing sen/ices connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).

Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).

CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1, ^> iM ^ ^ 6~. i 1550^-3 (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Z^'' davof ^A^C^Signed this
Signed:
day of,2023.
-<^-. ^x
Printed Name:: <>IY^€^ ^\^Oh/S
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CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
^printed name), declare under penalty of perjury under the law of theI, State of California that the foregoing is true and correct:

1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.

2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.

3. I reside at the following address:

Pasadena, California _ (zip code)
(street),
OR
^^<TThis form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.

Signed this rL^> day of V^fi-W
Signed:
-, 20-23.

Printed Name: S/l^^ ^'IBBC?^
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Credit management and optimization in consumer and commercial spaces .^- :-v ;- .- -' , '- '-^ • -.

Risk management turnaround and reengineering, both domestically and globally • •• Capital management and optimization
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EXPERIENCE
BT SHEPHERD LLC, USA (2017-PRESENT)
Co-founder and CFO
Managing $4.5m Los Angeles-based property portfolio owned by BT Shepherd, and $40m West Coast portfolio for clients. Responsibilities include borrowing facilities, financial management, customer/tenant management, and developing growth strategy. • Acting as finance consultant during reengineering offamily-owned business Delivered $1.7m run-rate improvements in borrowing and operational costs in 2017-22 HSBC, UK AND GLOBAL (2015-2016)
Head of Collections Operational Strategy, Global Division Led senior team responsible for developing and promulgating best Collections Operations practices.

Resolved Fraud and Treating Customers Fairly gaps across Latin American portfolios Delivered upgraded mortgage Collections policy in Australia, France, China and UK.

Led design and implementation of cross-border Collections for international secured lending.

Designed and drove implementation of customer forbearance capability in Middle East and France to bring customer treatment in line with hlSBC corporate requirements and regulatory norms.

Supported call center move in France, based on previous experience with French employment law.

LLOYDS BANKING GROUP, UK (2010-2015)
Head of Portfolio Management & Reporting, Wealth & International Risk (2013-2015) Led capital optimization and regulatory reporting across multiple high-profile portfolios.

Delivered £35m+ RWA savings on Wealth portfolio through capital optimization of secured portfolio.

Provided mortgage and regulatory expertise for multijurisdictional £1bn+ portfolio disposals including support for US REO management and cross-border Collections.

Led side project for CRO to ensure regulatory compliance in Small Business Collections (2015).

Incorporating: Lloyds Netherlands Interim CRO role (2013-2014):

Commuted to Amsterdam for nine months to rescue stalled Basel II implementation. Implemented Advanced IRB capital management for €7bn Dutch mortgage portfolio, leading to €1bn RWA benefit and related capital savings, while satisfying Dutch and British authorities.

Coached and recruited Dutch risk team, while recruiting permanent successor to local CRO role. • Drove improvements in mortgage servicing, capital reporting, and credit risk management to bring Lloyds NL in line with Bank of England and Dutch Central Bank regulatory norms.

Head of Collections and Recoveries Strategy, Current Accounts and Credit Cards (2010-2013) Led back-end risk management for UK'S largest bank's credit card and overdraft portfolios.

Took personal ownership of customer-focused work to ensure fair treatment of customers in financial difficulty, including representing Lloyds at consumer finance meetings and conferences.

Developed UK industry-standard Income/Expenditure form with major debt charities.

Designed and implemented Collections operational efficiencies leading to -25% reduction in calls and 10% reduction in complaints with zero impact on losses, to help meet 2013 cost challenges.

Created cross-portfolio team with diverse skillsets, including building an implementation sub-team.

Managed mitigation of major UK regulatory changes to Collections offset processes. Mitigation of £5m in 2010, and£20m in 2011, with ongoing benefits in £10m+ range.

Built new structure for Collections strategy and operations in 2012-13, with £35m annualized benefits.

Drove new Recoveries policy, including new payment mechanism with £4m+ annualized benefits.

Built new approach to PPI misselling issues, with £12m+ benefit and better customer outcomes.

Simon Gibbons
CITIGROUP NA, USA (2010-2015)
Director - Collections Policy, Citicards NA (2007-2010) Built senior risk team to lead all aspects of Collections policy for Citicards NA, including risk scorecard implementation, delinquent customer treatment, portfolio diagnostics, and pre-delinquency treatments.

Worked with auditors, regulators and other key bodies to demonstrate Citicards' compliance with all internal and external requirements, including leading meetings with Office of the Comptroller of the Currency to defend forbearance policy, and to demonstrate legitimacy of online Collections channels.

Worked closely with contact centers to optimize tools available to agents. Met frequently with portfolio partners (e.g. Sears, Home Depot) to agree performance metrics and policy.

Results included implementation of$80m Collections stratification system, successful development of new Collections customer channels with $50m value, optimized data-led risk segmentation for $65m run-rate, and managing transition to separate management of Partnership cards portfolio post-crisis.

Director - Analytics and Business Strategy, Citi Residential Lending/ACC Mortgage (2003-2007) Built and managed team of risk analysts responsible for optimizing performance in Loan Servicing, including scorecard development, call center strategy, and customer servicing.

Implemented Champion/ChaIlenger philosophy for optimizing Collections tactics and Dialler strategy.

Achieved 25bp contribution to delinquency reduction, and cut REO timelines by 30 days.

Managed risk forecasting for entire ACC family of companies, to assess projected volumes and losses • Built new underwriting policies with Marketing to achieve 20% reduction in long term loss levels.

Personally selected by CEO to join parent company's business re-engineering team in 2006, taking part in business redesign of centralized underwriting model leading to successful sale to Citigroup.

CAPITAL ONE, UK AND FRANCE (2000-03)
Group Manager- European Risk (2002-03)
Based in Paris, leading risk turnaround team responsible for portfolios in France, Italy and Spain.

Set up outsourcing for cards servicing in France.

Led to successful sale of French cards portfolio to local bank.

Group Manager-Application Risk, Fraud, and European Risk (2002) Responsible for risk analysis, strategy and performance in these fields.

Led risk due diligence for three partnerships in UK and Western Europe.

Managed new authorizations system to maintain best-in-class fraud performance.

Group Manager- Risk Dynamic Systems (2001-02)
• Managed teams of analysts for Collections, Recoveries and Fraud.

Responsible for risk performance, including charge-off figures and fraud levels.

Led projects to deliver further Collections improvements through agent training, and implemented lessons learned from US operation on optimizing use of recoveries agencies.

Worked with operational and technology teams to ensure smooth chip-and-pin implementation.

Senior Collections Analyst (2000-01)
• Managed team of risk analysts supporting Capital One's Collections department.

Led projects to improve Collections performance through behavioral analysis and operational test- and-learn work, helping achieve best-in-class losses in UK subprime market.

EDUCATION & LANGUAGES
2007 KELLOGG BUSINESS SCHOOL, CHICAGO, USA - RENAISSANCE POST-MBA PROGRAM 2000 BRADFORD MANAGEMENT CENTRE, UK - MBA
1994 IMPERIAL COLLEGE, LONDON, UK - BSc IN PHYSICS (FIRST CLASS)

FLUENT FRENCH AND ITALIAN

CITY OF PASADENA

NOMINATION PETITION - WORKSHEET
$;,-vo^\ ^;Lk.^s
(Name of Candidate)
PP.4I? P.^-^ '2
(Office and District or Seat)
Total Signatures
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Date: ^ 11^1^
Checked by: Gc?
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CITY OF PASADENA

APPLICATION FOR APPOINTMENT TO THE

PASADENA RENTAL HOUSING BOARD
FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications will be purged front the City's files January 31 of each year. If you have not been appointed^o the Rental Housing Board and still desire to be considered for appointment, please resubmit an updated application, or advise City staff in writing that the initial form is still current and can be used for an additional year. * Applicant Name:

Home Address:

Mailing Address:

Email Address:

Business Phonel
Home Phone:
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Date Available to Start:
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Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):

Education - Include professional or vocational licenses or certificates. ^LCZ. <?t/^<^^Cy<-^t4^yCC-.

1. Have you ever worked for the City of Pasadena? (If yes, please list dates/department)
YES NO0"
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2. Are you related to any employee, appointed or elected official of YES || NO the City of Pasadena? (If yes, please indicate name.and .. , relationship) • " • '„ ' ' ••
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3. Are you aware that financial disclosure is required annually? (e.g., sources of income, loans and gifts, investments, interests in real'property)
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4.Rules of law and ethics prohibit members from participating in and voting on matters in which they may have a director indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indiffate any potential conflicts) . , .. .

YES
YESa
NO
NO
v

5. Do you, or your extended family1 members, have a material YES interest in rental property in the County of Los Angeles within the last three years?

7. Have there been, or are there now, any personal or business YES circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?

8. Are you aware of the time commitment necessary to fulfill the YES obligations of the Pasadena Rental Housing Board?
D NO
NO
^
^
D NO
NO D
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g». -• *- ?-

9. Are you aware that you may serve no more than eight
consecutive years as a member of the Pasadena Rental
Housing Board?
YESNOD

10. Describe your relevant life experience, professional training, and/or education in the following areas: l^ousiqg/Housing Justice/Landlord Tenant Relationshjps/Real Estate:
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following areas: l^ousiqg/Housing Justice/Landlord
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ould you add value to^the Pasadena Rental Housing Board? ^"^r>i^MA -• \J'V^ {^CJL^U •7L^f€>//^(Ljn^ u^/
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12. What U6 you view are the primary objectives and ^09/5 of tffe Pasadena Rental Housing ^2^1'^/^A<^>^A^z^<^ a^JL^t^^LQ/^L^y
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12. How would you help to achieve these objectives and goals? u

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jQL^ /-Y^C'/C'&S(printed name)7 declare under penalty of perjury under the law of the State of California that the information reported in this Form RhlB-001 is true, accurate, and complete.

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1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.

I am a resident of District No.^of the City of Pasadena I resxle at
CA(
REDACTEDREDACTED(street), Pasadena,
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Signed:G^Qj^-^
Printed Name: (^QG^f- t-f/CJ^LS

Please provide clear, readable copies of two (2) documents from the following list and attach to this application:

Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
Insurance documents, including medical, dental, vision, life, home, rental or vehicle
Medical documents
A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state Mortgage bill
Employment documents
Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
Rental or lease agreement with the signature of the owner/landlord and the tenanVresident
School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. •
•
•
•
Change of Address Confirmation by the U.S. Postal Service Property tax bill or statement
Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
Deed or title to residential real property
Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters Proof of payment of resident tuition at a public institution of higher education in California
An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor Court documents that list the applicant as a resident of Pasadena California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.

If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.

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CITY OF PASADENA
Supplement to Statement of Economic
Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "EconomicInterests Affidavit" attesting to the information reported in applicant's Form 700.

Instructions: The Pasadena Fair and Equitable hlousing Charter Amendment (Measure H)prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests inRental Property" (defined below) at the time of their appointment and during their service. Allapplicants for all Board seats (both Tenant and At-Large) must report their own and theirExtended Family's interests and dealings in rental properties in Los Angeles County in the three(3) years before submitting an application. The City is adopting the Fair Political PracticesCommission's Form 700 for this purpose, but Measure H requires information about interests inrental property in Los Angeles County for three years, not the one year the FPPC Form otherwiseuses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.

Measure H's Definitions;
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, -;sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).

Material Interest in Rental Property: an individual has a Material Interest in Rental Property ifthey, or any member of their Extended Family, own, manage, or have a 5% or greater ownershipstake in Rental Units in the county of Los Angeles, or if they or any member of their ExtendedFamily owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)).

Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any otherrental property rented or offered for rent for residential purposes, whether or not such unitspossess a valid Certificate of Occupancy for use as rental housing, together with all housingservices connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).

Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of arental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).

CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
I, L—-^y\^<^4- /-/^7^>rV-^printed name), declare under penalty of perjury under the lawof the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Signed this /7 day of
Signed:

Printed Name:
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CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
^^^7 and Tenant Alternate Seats
(Form RHB-003)
I, L-^/^/^e^'4-' /-t^l—^<o> (printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:

1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.

2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a^^s^QtSS!Den{ that entitles me the rights of a tenant.

3. I reside at the follow!
Pasadena, California
address:REDACTED
zip code
(street),
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.

Signed this
s;:;2
/^day of
Signed:

Printed Name:
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,20J3.

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Industrious Technical Writer specializing in accessible end-user documentation and technical knowledge manuals. I am an engineer with a background in human behavior translating complex material into easy-to-understand language and layouts for all levels of use •s
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^•<M'»K;I>». »Vr. ^'r;t;r.g Copyw'riting | Strategic Planning Call Center Design Editing Critical Thinking Active Listening | Technological Research Telecom Engineering | UX Design | Team Collaboration | API j Client Management | Adobe Photoshop | Visio | Blog Writing AP Style | Proofreading Seif-starter
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Freelance
Technical Writer/UX Designer/TeIecom Engineer
1995 to Present
•
Content creation of all end-user facing document;. !r:c!'jd:r:o ^"^^ Fr=:c~:t:t:cr.:, instructor training materials, reference manuals, and help documents Call center design through all aspects of the SDLC. Including more efficient call flows through better conversation utilizing IVR, email, webchat, and website blurbs C2~.^r:r^, J:'."'r;r:d, ir-d F'-:b':;hcd new departmental standards and practices.

Including deployment of more consistent nomenclature across the Cisco and Nortel telecom systems
Liaison between stakeholders and the engineers. Including active listening and creative thinking to maximize user functionalit,' s".d :2t:^2^:;r~ Creation of manual for customers to make moves, adds, and changes to PBX software and voicemail. Including hardware overview, modem access and system login, software instruction, and system save
"~'*~':j': T< ~~':r*? hc'p '<c± •"";'-'"rt pre':0;; for department. Including easy-to-follow iiiciius, auiu nil fields, electronic approval, and streamlined hardware deployment PBX and VolP system project management. Including post-sale software design and implementation of thousands of systems from the blank slate to the customer del.iverab'es
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^»^» »t » a^»A^»b XrrfJt » »^<<i> • »*• »»^».tr^'Icri, Ckluhorr.a State University (Emphasis: Communicatiop.) M.F.A, American Conservatory Theater (Emphasis: Human Psychology and Behavior) ( A^AA^ . ^ ^^- ^^^.^ /^^y^^/r'^j
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CITY OF PASADENA

NOMINATION PETITION - WORKSHEET
Carol VA\d.s
(Name of Candidate)
Dl.
(Office and District or Seat)
Total Signatures ^_JU?
Total OK
Date: 4-IT2GZ.^
Checked by:.6s^
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^ ^
?
I
^ °^^

CITY OF PASADENA

APPLICATION FOR APPOINTMENT TO THE

PASADENA RENTAL HOUSING BOARD
FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications will be purged from the City's files January 31 of each year. If you have not been appointed to the Rental Housing Board and still desire to be considered for appointment, please resubmit an updated application, or advise City staff in writing that the initial form is still current and can be used for an additional year.

Applicant Name:

Home Address:

Mailing Address:

Email Address:

Business Phone:

Home Phone:
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Date Available to Start: -S/'AL-T l-^<»a-
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Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):

Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District
'I
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At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving or have sqn/ed, offices held and in what city. •^
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1. Have you ever worked for the City of Pasadena? (If yes, please list dates/department)
YES NO0

2. Are you related to any employee, appointed or elected official of the City of Pasadena? (If yes, please indicate name and relationship)
YES NO^

3. Are you aware that financial disclosure is required annually? (e.g., sources of income, loans and gifts, investments, interests in real property)

7. Have there been,or are there now, any personal or business YES circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?

8. Are you aware of the time commitment necessary to fulfill the YES obligations of the Pasadena Rental Housing Board?
0 a
NO
NO0'
D NO^T
P^NO Q
1Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)}.

9. Are you aware that you may serve no more than eightconsecutive years as a member of the Pasadena Rental Housing Board?
YESNO

10. Describe your relevant life experience, professional training, and/or education in thefollowing areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:iU^_ 'o'^pX-s- _ Sc^JLa \-i 02.^ <i^- $ \ ^ c-e. ^c(<S<Ly I <b r& WA- -^ ^ c^ ^<^,o^OiG? •^v.A^^-v^ X00ko '(kjL^LLA^-^ \Ai \\V-^o^ N-P^ ^ii^-V-V
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11. How would you add value to the Pasadena Rental Housing Board? ~ ^•v' sj ^ jCU- (A (p^^>-<^+v-^ i5\/u>^J^~ j^ (TV-AL-\ 40 v^-€c^.\ A Kcx-u-f fv€e^^. ^Oj^\ cVc^<^t \y
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'^..^^.<u< ^& ''tt/^" C4'y^ fivA^ t.oo<:' ^'r^^ .9<%^^^v't^^s t^^y^y^'^^view are the primary objectives and goals of the Pasadena Rental Housing ^ ^12.'What do you Board?
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13. How would you help to achieve these objectives and goals? V^\<SV&^-\»-\ «-^ ^> ^V^L. ^> OQ So \tA—(. S'. <^€ <Jo \f>\v'\<^ cj'~i <.d C\(^X-0 5,^•^•f^-^.'^ ^o Ou>,V- (^ p\CAce- ••Vl-Y'iA- /^A^it^. C.Q I iAV\^-v^S A-o dfc\A f-€/>0-t-r^L- <? n-> ^C'^A^-.S < ^Ai^ ^i_u'a^€v\ ^A^ 6^ ^LAA^^Q^ ^ r\ lA^AA^a-^-ti^-v ^-AFxJ iGfi-^^^fi- us) ><H^ c.y i \ v ^/\,,s^0 ,1 f^<-lpV<aV^ A^A ^&<td^ a c^c ^j^j^ ^.^ \o.^u^j? ^l46^'\^ ^Nfl-^9-^ ^>6'P^^?^r^-W?^ F^^^.^{^ ^^os^^'l ^ °^^^T^<:^ ^ ^ 9i
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tF^V S<^-0'^€-A<^ y^^^ ^^^ ^VC^\&-&^- c^v^ -^e^k^. - jjI, ^\ I \ fA C\?. vswv t-^VJo .'^£^ \d^printed name), declare under penalty of perjury under the law of|the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.

Signed this <^3 day of iVj OuYcL^ 20_^3.

Signed:

Printed Name-. ^ fA F(^ V^ c ^ 0 ^ \L
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CITY OF PASADENA
Residency Verification - MANDATORY
I All applicants must provide proof of residency in a City Council district under section 1811(b) of TTpe Pasadena Fair and Equitable Housing Charter Amendment (Measure H). Proof of residency may be established by either of the following:

1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.

I am a resident nf nistript Mn 2. of the Citv of Pasadena I reside at
CA (A \\o'^3tTCOT5T

REDACTEDREDACTED
.0^
(street), Pasadena,
Signed:

Printed Name:l\A<^rcG^JiC^fc.^c, V/
-. If you are not a registered voter, please provide clear, readable two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01 (d)).

Please provide clear, readable copies of two (2) documents from the following list and attach to this application: 'c:-
Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
Insurance documents, including medical, dental, vision, life, home, rental or vehicle
Medical documents
A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state Mortgage bill
Employment documents
Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. •
Change of Address Confirmation by the U.S. Postal Service Property tax bill or statement
Letter attesting that the applicant resides in Pasadena from a homeless shelte shelter for abused women, non-profit entity, faith-based organization, employe) or government agency within the United States
Deed or title to residential real property
Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters Proof of payment of resident tuition at a public institution of higher education in California
An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor Court documents that list the applicant as a resident of Pasadena California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.

If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.

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Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (Measure H) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City,is adopting the Fair Political Practices Commission's Form 700 for this purpose, but Measure H requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.

Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).

CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
I ^A <sy C[<L V^ ^<s> vv<:v^ ^ (printed name) declare under penalty of perjury undeT the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Signed this ^rb day of \P^\C^\^J^ 20^-5 .

Signed:

Printed NameN!^A^rL<L. U c-"b& <-^ U
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CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
(printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:.^

1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a ^ rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.

2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant. ii
fl:a

3. I reside at the following address:

Pasadena, California _ (zip code)
(street),
OR
'<TA^ This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.

Signed this ^^ day of ^Y^rC^y, 20^3.

Signed:

Printed Name: 1<-A °"r^ U c<0 6 v<^ '\d
a:a
II

CITY OF PASADENA

NOMINATION PETITION -WORKSHEET
K a ri< K ^<B^vv^J2-^fi
(Name of Candidate)
ft^-^^
(Office and District or Seat)
Total Signatures
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Total OK
Date:3/^S/53
Checked by:_
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CITY OF PASADENA
APPLICATION FOR APPOINTMENT TO THE R E<

PASADENA RENTAL HOUSING BOARD
FORMRHB-001 2023 HAR 20 AH t0: 30
The information contained on this form will be used by the City Council to fill vacancies^on the ';> •.'1-\;
Pasadena Rental Housing Board. Please answer all questions. You are invitetfto attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications will be purged from the City's files January 31 of each year. If you have not been appointed to the Rental Housing Board and still desire to be considered for appointment, please resubmit an updated application, or advise City staff in writing that the initial form is still current and can be used for an additional year.

Applicant Name:

Home Address:

Mailing Address:

Email Address:

Business Phone:

Home Phone:

The.o^ CDn^z^;.

REDACTED^^^.-vx,C^ ^ UP-7
~7

REDAC' REDACTED
4L
Date Available to Start:

Cell Phone:
fo 3
3 2.0
REDACTED3
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):

Tenant Member (7 seats, one per Council district, resen/ed for tenants) Representing City Council District
.^ At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you | are currently serving or have served, offices held and in what city.

Cff^^^^vVy Y\4i~,A^<<Kr-^^c.^y./^ U^wM^tA-^ Sociely^ ^^i^^^^<2£ -^J^ ^c./v^,^ Cp^^ 1^4"^) / 7
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).

Se^. <Ar
Education - Include professional or vocational licenses or certificates.

H\0^^ <^Vo &\ €^ ( ^) F\\ ^ mYw o^ \ ^ Ce-^ pu •k Y" Sc; ^^r <tli<& Tt Q Fc<r fi •^i OYV (?Y ^teA • Pi ec^ ^ rjt's->T\\ ( Ci'.{'{-\. -Gi

1. Have you ever worked for the City of Pasadena? (If yes, please list dates/department)
YES NO

2. Are you related to any employee, appointed or elected official of the City of Pasadena? (If yes, please indicate name and relationship)
YES NO

3. Are you aware that financial disclosure is required annually? (e.g., sources of income, loans and gifts, investments, interests in real property)

6. Do you reside at a property owned or managed by a member of YES | | the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?

7. Have there been, or are there now, any personal or business YES | | NO circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?

8. Are you aware of the time commitment necessary to fulfill the YES |^<| NO obligations of the Pasadena Rental Housing Board?
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g».

9. Are you aware that you may serve no more than eight YES |XI No consecutive years as a member of the Pasadena Rental
Housing Board?

10. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
'^l^, ^- S.fy ^~H^C^/
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11. How would you add value to the Pasadena Rental Housing Board? /pi(?^s^ <^<f ^^^c-i

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board? I
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13. How would you help to achieve these objectives and goals? Pl€^<^ ^e^ ^^r;k^
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1, 'Yke^x Oo3 2^-0 _ (printed name), declare under penalty of perjury under the lawofj the State of California that the information reported in this Form RHB-001 is true, accurate, and ^jg complete.
of
Signed this W day of \^\GL.cAY 20/X3.

Signed: "^TL (J^^AJ-
Printed Name: ~Th^c<_ (CTAT7Z^O
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Thea Orozco, Page 1 of 2
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-^~ (0 Describe your relevant life experience, professional training, ^FKi/or 20 w (n: 30 education in the following areas: Housing/Housing Justice/Landlprd Tenant Relationships/Real Estate:

I have previously worked for an attorney, which gave me a basic understanding of the judicial system and how a law is enforced - which is directly relevant to the role of a Rental Housing Board member tasked with enforcing Measure H.

Additionally, I have an understanding of both landlord and tenant issues. My mother has been a landlord for over 10 years, and we have discussed the challenges and costs landlords face to turn a profit on a rental property.

I have been a tenant in the city of Pasadena for over 10 years, so I understand the issues tenants face, including the rising cost of rent in Pasadena.

Lastly, I have relevant professional experience as a business owner and I have operated my own business for over 9 years (I am currently on hiatus). Because being a landlord is a business, this gives me important insight into the landlord's perspective. \: \\ How would you add value to the Pasadena Rental Housing Board? I am highly skilled at remaining neutral in high-emotion situations. I am a certified Myers-Briggs Type Indicator (MBTI) practitioner. MBTI is a way of categorizing personality differences and is a tool for understanding communication differences. I am also a certified coach and both of these fields stress the ability to listen deeply while remaining unbiased.

My educational background in communication (B.A. in Media Studies) and psychology helps me to be objective, communicate effectively, and see multiple points of view. -±t~i^ What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
I see the primary objective of the Pasadena Rental Housing Board as interpreting and enforcing the law, as set forth by Measure hi, in an impartial and neutral manner.

Enforcing Measure H includes establishing procedures, conducting studies, interacting with the public, and considering appeals related to hearings. 4- \^ How would you help to achieve these objectives and goals?0 As a business owner I have experience creating a plan from the ground up and then implementing that plan. In addition, I have extensive unofficial experience in Thea Orozco, Page 2 of 2
conflict resolution, starting as a child when I stepped into the role of mediator as the oldest of 6 children in my blended family. I can also see problems from multiple perspectives, making me well suited for this position.

I look forward to the opportunity to put my listening and conflict resolution skills, and my informed perspective of understanding both landlords and tenants concerns, to work for the City of Pasadena in the role of a Rental hlousing Board member. .-*.
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CITY OF PASADENA
Residency Verification - MANDATORY
All applicants must provide proof of residency in a City Council district under section 181 1(b) of The Pasadena Fair and Equitable Housing Charter Amendment (Measure H). Proof of residency may be established by either of the following:

1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.

I am a resident of District No.oLof the City of Pasadena I reside at
CA ^(tc?7 (zip code).
(street), Pasadena,
Signed: <7^ j/l^
Printed Name:
^
TV\£T< (^rcvz-co
6P^
^
3^
( 2. If you are not a registered voter, please provide clear, readable two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01 (d)).

Please provide clear, readable copies of two (2) documents from the following list and attach to this application:

•
Change of Address Confirmation by the U.S. Postal Service Property tax bill or statement
Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
Deed or title to residential real property
Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters Proof of payment of resident tuition at a public institution of higher education in California
An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor Court documents that list the applicant as a resident of Pasadena California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.

If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required. »i
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CIFf OF PASADENA
Supplement to Statement of Economic
Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.

Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (Measure H) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose, but Measure H requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.

Measure H's Definitions:

Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).

Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).

CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1, "T'^Ctf- Ofo-^ccf _ (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Signed this 2X? day of YW^^ck
Signed: "TV. ^
_, 2023.

Printed Name: 'TV.€<-G.'uz<-<u
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CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
-('IL&&--^h/N-^ »»
=C£2__(printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:

1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.

2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in^j.eata^fll^M^rtd^entitles me the rights of a tenant.

3. I reside at the following address:

Pasadena, California <^t^y (zi(?TO^J
REDACTED(street),
i
OR
~]~~0- This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.

Signed this 2-0 day of ^A^v'clv 20 23 .

Signed: ^.. [/4.<7~"
Printed Name: r} ^^^ ©v-oz^t^
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Thea Orozco mm 20 AK io: 3a
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Current Work Experience:

Self-Employed
+ Listened carefully to various individuals, businesses, and organizations to assess their needs. Provided clients with personalized solutions and advice. + Coordinated the marketing for 30+ art shows. Created and acquired marketing material from various sources such as artists and show directors.

Background Artist, various
+ Listened to directions and improvised on movie and television filming sets. c.
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Former Work Experience:

IHSS Assistant
+ Assisted a person with autism and mobility issues to navigate her day-to-day life, which necessitated problem-solving under pressure and excellent time management. + Evaluated and analyzed social media posts according to specific criteria, meeting weekly deliverables of project tasks.

Office Assistant, Composite Components Company
+ Overhauled various office systems and processes. For instance, created a catalogue system for their research library of over 100 books, and devised and implemented an intake process for new research materials.

Temporary College Support Employee, various placements. United Kingdom + Evaluated and processed half of all student applications for a six month period in the business support division of a college.
+ Assisted the executive support team of a college during two successful inspections.

Personal Assistant to Lawyer, Tsung Megason and Associates + Provided clerical support, including the organization of confidential material. + Answered phone calls from clients, both potential and current, employees of the judicial court, and other professional callers.

Thea Orozco ResumePage 1 of 2
Aspect Foundation, Program Assistant
+ Evaluated student applications and made the decision to accept or deny applicants into the study abroad program.
+ Assisted the Private School Program Coordinator in contacting potential students, helping them choose their college, and sending their applications to the appropriate college.

Thea Orozco Resume Page 2 of 2

CITY OFPASADENA

NOMINATION PETITION -WORKSHEET
^^ O^O^Lff
(Name of Candidate)
9^^ P.^.-c+ z
(Office and District or Seat)
Total Signatures
Total OK ^
Date:iA^l
Checked by:_^

Pasadena City CouncilApril 19, 2023

Pasadena City Council
April 19, 2023