AR 3 ATTACHMENT B District 5_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-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 stilt 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: fihu] T)nd^€
Home Address:

Mailing Address:

RFDAP.TFn CTED
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To^en^ Gft ^iw
Email Address: _j;|
Business Phone:

Home Phone:

REDACTED
'->'-r>A f^TCr\

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Date Available to Start: ~W 0€
•®l^^-fe^uREDACTED
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):

Tenant Mlember (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 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. „ ^a^nA^f\A {^ fto )^— P^^n^.Sgn^^^l^i' C^mnrw+l^ ^^^re{^'Treats-C'fyeci-^? ^y^ ^UC^TU^ ^'^ ^c>fT)^^-^ ^^n•j^nw. -fcr BvS/Arip^i^T3^&^. V^l^nte.^ a?-"^^en^ ^um30&._ Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
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Friucation - Include professional or vocational licenses or certificates. (^D. .r^hujrw^

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

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 obligations of the Pasadena Rental Housing Board?
D No'
NO
D NO
NOD
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 foljowing areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
nW/Ri-^ TM-YZ^-^ ^>Sa B ens:- XO^ (Cu;^^ ^W n^/^^W ^ -^np^xe s ^^' ^ ^^^^r .3,^^rsJJlirL^^We2A^^/r)i^5 AT^ ft^upi^f E^-^—^TA ^ ^aM^c buri£^ fM^L P^a^ l^^ie.^r ^ ya/^.

11. How would you add value to the Pasadena Rental Housing Board? "Z" ^fe^c^ L;^ ^ AW ^.W ^^^//4^ai^^^^^n^ bz^w^Un^d^ 0.1^ )()/w!JGnis.~C \xs-cJ^0 A^4c4^t^^UfU^^6^e. ^Ui^i(i^<^.7^€^ (PJ ^.-^A^u^ U hou^^a +1^- rn\^tA h^ 4^^^^/- _ T(T

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Boar^l? , i . \r7^ A^n.Artocbi^^w;<, a^ ^c&£6 ft.Lri& ^ ffrcU^h&^ ^ ^.^^W ^?il
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13. How would you help to achieve these objectives and goals? IT lirdAAiJ (.c^-rk LL.^ ^&-O^T ^p<X^to./) ^ ^'/^A^-'n^'^w?J'._^ ^^i l—^ l f^** ll^^ I/1/ f .. . T f f ^^ \y T r •*'»«^1' ) lvifvwr^y.'i /IVL.4/ h^l / t-^^t^ V-y^ /I t^i^f^r 1 L^f-'^-r^l^vi^.y \^^^r r '_t»^lrf' •l4©aA*/nZ) ^^.^J 4^ i^ti^ii~-^L?^d^ 1(^/^ ^^^A^nuer^^W LU~^f O^U '--)-.-- ... ^/L^l^- oJ^./P^V'iS^ fl--')^ (^(^/-?^d -vt T I, _flhrM' 2)(0^q& _ (printed name), declare under penalty of perjury under the law of the State of California Tftat the information reported in this Form RHB-001 is true, accurate, and complete.

Signed this p/2 day of F^brc^nA
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Signed:n-TL;L^-
Printed Name: A/IO'^'b^e.

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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 resident of District No.5^f the City of Pasadena I reside at
CA ^JiOL^aB^^^
RED REDACTED(street), Pasadena,
Signed:(\^f\ju &^
Printed Name: Rhni 3o()^

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.
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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 "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.

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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, A^ni'^inJloifc(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 o( day of 'Febrv^r's/ _, 20 J5 .

Signed: Ak^il) ^W&^
Printed Name: ^-hni ^ojy.
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CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
.bnAav.

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(printed name), declare under penalty of perjury under the law of the State of California thait 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 <?/'/^y (zip
REDACTEI REDACTED(street),
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OR
T|iis form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.

Signed this j day of F^bfu^
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Signed:
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Printed Name: WD) D (5^^
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£uj,Ufulum Vitae ofAhni D. Dodge, M.S., Ed.D.

Ipasadena CA 91104 I ^^^^^—1—JVLLJ^ ?: !Q

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SUMMARY OF QUALIFICATIONS
Experienced, enthusiastic professor with 30 years of teaching high school, college & university Business, Business Communications, Management, Personal Finance, Technology & Education courses—University of Southern California, Pasadena City College. High success and retention rates. (30yrs) Committee work: Academic Senate leadership, Business Department chair. Academic Freedom & Professional Ethics, Educational Policies; worked with Canvas, curriculum, program & professional development, assessment, accreditation, shared governance and student advisement.

Research of education and business trends and innovations through conferences and workshops.

Real estate investor; owner, property management company. (21yrs)

EDUCATION
Doctorate in Educational Leadership, Ed.D., University of Southern California, Los Angeles, CA M.S. & B.S. in Comprehensive Business Education, University of North Carolina at Greensboro

PROFESSIONAL TEACHING EXPERIENCE
• Professor in Division of Business, Engineering & Technology, Pasadena City College—taught Management, Business Communications, General Business, Personal Finance, Business Information Technology, Education—on-campus and online formats using Canvas, (30 yrs)
Adjunct Professor—University of Southern California, Los Angeles. Taught Instructional Technology & Curriculum to undergraduate Education majors. (5yrs)
High school math/business teacher—private, public, and parochial settings. Beverly Hills High School.

TECHNICAL SKILLS
• Microsoft Word, Excel, Access, Powerpoint, Dragon voice recognition software; PC & Mac platforms. Completed @0ne Online training program using Canvas. Court reporter transcriptionist. Type 100 warn.

Real estate license (in progress).

PUBLICATIONS & PRESENTATIONS
• "Multimedia: Exploring Uses in Business Education,'" BUSINESS EDUCATION FORUM. • ''Identification of Attrition Factoi-s in Distance Education Students at Pasadena City College." (Doctoral dissertation. University ofSoiithem California). "Comparison of Attrition and Student Achievement Scores between Online and Traditional on-campus Students at Pasadena City College." Report prepared for Assistant Superintendent of Instruction, Pasadena City College.

Co-presenter at Fifth Annual Cliancellor's Office Conference for Califomia Comin unity Colleges in San Jose, CA.

Topic: "Student Empowerment in the Classroom."
Presenter, California Distance Education Symposium in Los Angeles. Topic: '"Distance Education: Its Rigors & Credibility

PROFESSIONAL AFFILIATIONS
• National Business Education Association
Western Business Education Association
California Business Education Association
Foothill Apartment Association

CITY OF PASADENA

NOMINATION PETITION - WORKSHEET
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(Office and District or Seat)
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CITY OF PASADENA
APPLICATION FOR APPOINTMENT TO THE !VE3
PASADENA RENTAL HOUSING BOARD _ |
FORMRHB-001 2023 MAR 27 AH (H
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 wilj^ 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. } -1
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Applicant Name: f"^^ •» C^ ^~^> ^r\QV~"e ^
Home Address:

Mailing Address:

Email Address:

Business Phone:

Home Phone:
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Dat^Vailabl^o Start: //^M (7-^, ^r ^C /^
Cell Phone:

Board Seat Type: Indicate the type of Board seat in which you wish to fill (marron^^Tmore):

Tenant Member (7 seats, one per Council district, reserved foFtenants) Representing City Council District
At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
I/Alternate Tenant Member (1 seat, resen/ed for tenants) Alternate M-\arge 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 sen/ing or have served, offices peld and in what city. ^Jer5k^ ^.^^:H€^^^^^^^ Jo ^ ^At^C_
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Employment - Title and duties, current and past (acceptable to attach resume as an alternative).

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;f Education - Include professional or vocational licenses or certificates. lly .
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1. Have you ever worked for the City of Pasadena? (If yes, please YES list dates/department)
NO

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

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

NO
NO
-.ssa

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
NOD
1 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)). ^
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9. Are you aware that you may serve no more than eight
consecutive years as a member of the Pasadena Rental
Housing Board?
YESNOa
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10. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:

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11. How would you add value to the Pasadena Rental Housing Board? yn ca-^-c l-v\G., t<<r^. •!^C^^A.» ^ vc. v.< V c ^.r-si A^<vA £. ^ ^c^so.^-^^. po,, js
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12. What do you view are the primary objectives and goals of the Pasadena Rental Board?
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13. How would you help to achieve these objectives and goals? U.(>--<xV<-A\ <JiT~.(v\-i:_ C5. c_\-M-e.U-7 o, \ "_ C-C>!IY \C^ ^.Nvtc^ WC^C vC, n v^ c.

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I, Vev ^ C-i \A.S ^\ 0~s<-<-'^ (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 I "^ day of 3-,20_
Signed: t^
Printed Name: ^^ cteV^ ^0-^ ^^
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CITY OF PASADENA ^
Residency Verification - MANDATORY
All applicants must provide proof of residency in a Citv 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 residfnio+rii-tr>+N

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of the City of Pasadena
I reside at
CA c}( ( o^CTTCTOBf
(street), Pasadena,
Signed:. ^^Y
Printed Name:^•N-OfrU^ ^\C)V-^^
3 i'SS

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 S 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. •
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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 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 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 Practices Commission's Form 700 for this purpose, but Measure hi 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
I, ^e^CsUs <?YG'C-<?S _ (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.
iat!
;-^'.^
Signed this __Q_
Signed:
.day of_^
.)
Printed Name: .Fe \-» C£ V^.^ ^\ ^ ^ ^s
!
J
EA?-!b?^ V-.
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CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
I ^'0^ C?\<s-S> .^G''C1£L-S (printed name), declare under penalty of perjury underthe State of California that the foregoing is true and correct:

1.1 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 iq^^^^^^artla^fiflfflfiMT1e the ri9hts of a tenant. law of the
s

REDACTEDCTED
"3%1

3. I reside at the following address:!
Pasadena, California ^1 ) o9 (zip code)
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.
(street),
i|
Signed this lr~^~ day of .

Signed:
t^
B
^_,20t.3>.

Printed Name: ^e^ctt\^^ ^-\s-«S
u
.^:s»<M,
^,
s
y;-
^"^^^"'i.tif
^

CITY OF PASADENA

NOMINATION PETITION - WORKSHEET
^^(S^mS (-/cry^
(Name of Candidate)
Pftl-^^ ^^'ct ^
(Office and District or Seat)
Total Signatures
Total OK
Date:
^
^
^L-l i^
Checked by: (0-
/r
c
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^ ^TED

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 stijl current and can be used for an additional year.

N\cc,^ Applicant Name:
hlome Address:

Mailing Address:

Email Address:

Business Phon<
Home Phone:
r<»r~r^ ^REDACTED )ACTEDP^sn^PACjllfiL

REDACTED

REDACTED
REDACTED'^^ CA WL

REDACTED
Uate Available to Start:

Cell Phone:
c^^-r

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
?(^ 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 M-\arge 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. no^
<.

Employment - Title and duties, current and past (acceptable to attach resume as an alternative).

C^S-> 1'es'^^^-—_
Education - Include professional or vocational licenses or certificates.

Sp-€- r€.St.'L~^2.

1. Have you ever worked for the City of Pasadena? (If yes, please YES j_| 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 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 YES | | NO 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 | | NO 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 obligations of the Pasadena Rental Housing Board?
NO
NOD
• 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)). 1 m

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 the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
y.^ rtri((?,^(y^

11. How would you add value to the Pasadena Rental Housing Board? ^p.r? f\/
c

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
5^ ^.Ck
;1
1 I

13. How would you help to achieve these objectives and goals? ^^j? c< ^?lb K J_'LL.K-
Sft^ !ll^L&^ _ (printed name), declare under penalty of perjury under the law of L.
&^
ti^
I,
the State of California th^lt the information reported in this Form RHB-001 is true, accurate, and complete.

Signed this ? ^j day of |\\C.lrQ^\ _, 20 2.^.
^
Sigd
7—7^
^ ^ . .,•.

Printed Name: /A/^ fl/lLLy^
3 ,:i
id
a

ADDENDUM

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

While I currently work in another occupation, I have professional experience in arranging housing for unhoused people. In my own experience, I have been a tenant my entire adult life, having spent several years living in non-rent controlled cities like Phoenix, Arizona and Atlanta, Georgia. In California, I have lived in rent controlled cities, including San Francisco, Los Angeles and Pasadena. Outside the United States, I spent ten years as a tenant in multiple apartments and social housing units in Vienna, Austria. While living in Vienna, I worked for an organization that assisted refugees in applying for refugee status in the United States. My normal duties included writing application documentation and arranging temporary housing in Vienna. In certain circumstances, I was required to coordinate actions between the Austrian Interior Ministry (InnenMinisterium), the Vienna Police Department (BundesPolizeiDirektion), and the United States Consulate.

11. How would you add value to the Pasadena Rental Housing Board? I would add value to the Pasadena Rental Housing Board by using my professional skills in technology and communication to help it achieve its goals. There are four key skill sets that I can offer to the Board: Promotion & Marketing, Technology Set-up, New Tool Creation and Building Bridges. Below is a brief summary of each skill and how it can help support the goals of the Pasadena Rental Housing Board.

1. Promotion & Marketing - As a digital marketing and business consultant for a large company I have the knowledge to directly work on these aspects of marketing and business. I also have experience directing and managing other marketing professionals.

2. Set Up of Technology -1 can assist in setting up the housing board's remote technology including emails, domains, websites and teamwork applications.

3. New Tool Creation - I can assist in gathering technical requirements for Rental Registry evaluation and RFP Creation. I can also build a proof-of-concept application that would allow for preliminary testing.

4. Building bridges -1 can help link the Pasadena Rental Housing Board to government organizations that store current, relevant housing data (ie UD, Evictions).

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?

1. Prevent needless evictions

2. Manage data to allow for better decision making

3. Provide fairness and transparency within the rental housing process

4. Provide a clear framework for tenants and landlords
Pasadena Rental Housing Board -Addendum Gian McCoy - page 1 of 2

13. How would you help to achieve these objectives and goals? There are three main components to answering this question. This first component is to evaluate and standardize legal best practices between tenants and landlords. The second component is to create better access and distribution of data and information. The third component is showing up in person where it matters.

Best Practices:

Gather sample current rental contracts and synthesize regulated and unregulated rules to evaluate and standardize legal and best practices.

Better Access & Distribution of Data:

Get information earlier by being accessible (email, telephone, mail) or notifications from UD or eviction execution for tenants and landlords
Output data in infographics when necessary to simplify and clarify • Create marketing communications to be sent to tenants to continuously inform them of their rights.

Show Up:

Pro actively acquire data (in-person, where necessary) from local government entities to keep up to date on local trends.

Attend local meetings/events to interact with tenants and landlords.

Pasadena Rental Housing Board -Addendum Gian McCoy - page 2 of 2

REDACTED
Gian D.

Aa&5daB^-&&^AA^REDACTEIREDACTED

PROFESSIONAL SUMMARY
An exceptional business and marketing professional with 20 years of international management experience.

A creative thinker who uses his experience in marketing and web development to manage projects & teams.

Having spent years working for smaller and larger businesses, Gian gets how to work in, and lead, a team.

His business acumen and attention to detail in planning enable accountability that lead to winning projects.

RELEVANT PROFESSIONAL EXPERIENCE
Advertising Partners, EVP Technology 2017-present
Provide technology strategy, planning, implementation and ongoing development for clients Maintain integrated marketing program by collaboration with clients, strategy team and content team Oversee client development, web technology, database architecture, and cloud computing 2008-2017 Eonsource LLC, Managing Partner
Leverage global team to provide custom web applications to Nort:h American businesses • Manage open source development, open source integration and systems integration • Oversee application development, outsourced team development, sales and marketing.

Creative Studio B/Search Engine Studio, Senior Technical Lead 2013-2017 Developed and optimized websites for North American clients of a digital marketing company • Implemented custom tools, integrations and designs to drive website performance IBM Global Services, Technical Specialist 2006-2008
Developed and managed client relationships
Sold network security services, technical consulting, and technical services Created Marketing collateral to distribute to other sellers within ibm.com Created and expedited complex proposals for timely delivery Provided sales support for team

EDUCATION
Thunderbird School of International Management - MBA, Brand Management 2005 San Francisco Conservatory of Music - BA, Music Performance 2002

ADDITIONAL SKILLS
Software & Development
Proficiency in Microsoft Office and Adobe Creative Suite Experience Hubspot, Jira, Basecamp, Slack and other team Experience building Linux production/development servers on Amazon Web Services platforms Experience with shared hosting platforms such as Godaddy Hostgator cPanel Skilled HTML5 and CSS3 front-end web developer
Proficiency with Javascript based frameworks Meteor js, Angular.js Experience with Content Management System Development: WordPress, Magento, Joomla, PHP, MySQL (although not a dedicated PHP, MySQL developer) Languages
English language - native speaker
German language - conversational
Spanish - intermediate
NotableProjects
Versalift Equipment - https://versa|ift.com
SpiderTech Tape - https://spidertech.com
CV Sciences - httDS://Dluscbdoil.com
Associated Colleges of Illinois - https://acifund.ora
References Available Upon Request
PAS-fb??c ^^ *°
?
5'
FA'ss •4TEO

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.
c
0 I am a raai
I residel
CA ^
j3f the City of Pasadena

REDACTEDREDACTED
f?{.(zipcode)
(street), Pasadena,
Signed:
^3by303
'^y ^
Printed Name:C^i^ IA^>

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 Sen/ice (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 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.

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.

L.
ws^of&; ^^ *°+(
I
<0
s %^ ?0^ '^TED

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
^ ^.^
'theSfateofCaliforofiai
(printed name), declare under penalty of perjury under the law of the Sfate of Califorgfia that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Signed this
Signed:
;,"?ayof_Ji^d-, 20Z3L.
i^^
Printed Name:

Sw ^
PASo?^ ^% .°
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•ft
:Ass. yreo

CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
ffilftft Wfc^
of
_(printed name), declare under penalty of perjury under the law of the State of California that e 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 y^yjgflta^fl^g^^y|^^entitles me the rights of a tenant.

3. I reside at the following address
Pasadena, California ^}(()L (?f^o3eJ
REDACTEDREDACTED(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 ^Zi^ day of ^^rch ____, 20^) .

Signed: ^"^^'
Pri nted N a me: _f-k(cM W^LsH^/
~T
•s
I
^
•^
a
a
-.;

CITY OF PASADENA

NOMINATION PETITION -WORKSHEET
(y,^^ f^cLoy
(Name of Candidate)T
P^l4!J
(Office and District or Seat)
Total Signatures
Total OK ^7
32 Date: '3/^3/^3
Checked by:,
c
(
Ri?-lb?Ss ^?y
s
5' .%^ ^
g^^ TED

CITY OF PASADENA

APPLICATION FOR APPOINTMENT TO THE

PASADENA RENTAL HOUSING BOARD
FORM RHB-001
rir,
':r!!!:25
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:
&,^-^/\ ^\1^
REDACTED,CTEDP<t5'a.^ftc^ f ^ <? ltd d

REDACTEDREDACTED

REDACTED
Date Available to Start: '2 / / / Z ?-
W^WWhVf^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
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•J 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. (i€r^'&-c' af\ ^ll\o,^^ct Trit^po^t.^'o^ Co^^isyof\ , ^•'M.e.i'Pr-oSi'cie-^V- O-T MLvOukr^ t\e"\o," J;c CluL^ f-trvor-l»A<r r|\^^M be.(e^^/(L^?r^\^ lJ,.P o'F PfoS"<X^ C'iL pttS&c'^Ci-Foc^k'll Dc •v\oca4'C (Ll^b,
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).

S,^\}^(-e ^€LV&.(oj»M?^ Ma!<\<qer'- V^t1? J&o.l^rs p.'^rl ^e^(C',^C><5 ;-\ ••Vli<^ Seru.'cfc d€i'oH.^?<\+ +c ^cfp ^?^ b?r-oM€- t'^t<. f>roF.'^6le ,A ;S^,*tV M.fei^Qt!&/- ^^'^CtleS- AxsLn<2(ji<'i) c^ 2o' ^\.(!"^ i) dE.'(fC<. r ^q.f^<Y ^-^ ^'.>f'K;,^ i^,*;^ (}pci.k^ ^
Education - Include professional or vocational licenses or certificates.

Bc-ciAe(<?is be.G,rce. '.'\ &ii^:^^ ^jM;^:s4^'o(\ wuv, <x ,^ctf^t?^\\9 CeU;^:Y^6L ^o^\ LL<\;U?^:^ dF Pho^,'^
AS^^C^.^ Qce.Tce ;^ ^u-Vo^O^'^ ?(vc<n\ uLA-'y^S<.( T€.cli\;&^i t^S^(ak

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)

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 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
El
a
' 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:
^? a ?^o^^<;tr;no^ ^ ^ ;Ar},?<.4.r^ , r i.iutie- kt?.d U^;lpJ pro^^S^^J +'~U^:M< ,-- <'c)^C&4;0^ Wl,?^ ^4- pC'.-tQ^S ^ U^i.?r.ff, r^rtf <"^^<(:-i£ o.vi) l&t.Ib^^ .y \?. { re(a(;o\c>A!fS. ^ ec 4<2>^ei4,T c5'i te£f Avy^etF ^ft^.?.) U.-i-Lv l\r<u<;^ .;'./^ye'•+- F&Gl (L^fl.te; <-;(,^i ^-^f *r^ 4.0 fti,.,/ate. /\^^P(F r"v koa^;.\6 ;s<i.<.s jn 4lA^ 6;^ 4?^ ^W<Z.

11. How would you add value to the Pasadena Rental Housing Board? A. s a_ U^.u^V Wl<o , s bG'^A |rtt~;ta^ AMe,''cu!\ A.AJ H^j>aA,tc a<\c) U/^a Sc"';. ni- iW^ ?,\rd'1^? Gr<?s 4-ri u &;'!'s!, ^?.\+. 'T bej;.?0c.tea. OC}C! iMtLLOjole ^^uL \J:4^ rrnl f^t- e\&C?t<?!YfcS , \^o J-UE... rt^r-?^;(~,ht, ^n^ fc>Y UiS- bot.W I
I
f-

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
TO ?V\C<.fce ^KCiXri ^^C;S;Q^C) -tW<A GFe- 4u;?v ^o" bcVVN •te'\qMlj> o.e\c: la,^[o;^b. ^ol^e^ Pr-^ot.V ^L^r^ijc. c.r 4V?- eot^d ;s +o p'^ec^- ^.yc;,.-)?,\c^-^jiei\t^li. 4ni^A. &.^-r? <;c,;uf, t?-\\ In'^t-c, a..".,^ lA^ur Co^f^rnC, 4U&^ ^ef^c<*,'\ 4'-' -+V\f P u <; u C<'S.<< Mnt^C;\<i &fft, >^

13. How would you help to achieve these objectives and goals? ^o»VK.^3 '^i:\\^ Cf-.<-y\iAa-f-.'l'M l-e«6ehS ,4e'\ct.^41;>/!'\r1 !C.\ofGhi?>s 4o b^4-^<''~ u.\^9?s^N^ 4-l^e^t~~ A.-e.^.dS ^^8 /•ra.,.-^'\^,. Loo r^-v/iU-Mi a^ fn^^^'. rn^ti <^^l\ feljouJ boa^ M^Mfcpt-c -o en.Su?& <^ c. a?'^ ^A <\^'A t^ 4.n Artr'-cl' 4l\.P L..<tai\Js rtl,j'^c'ii'u?C rtrtc) Codc:i Slrvi) +^.0.^ i^4 JS c:l,?\«- fl^i fi? c.t, t/i-c^&¥-
I, ^r^\ ^.^e^(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.
u
Signed this IX day of ^c.krii.tt^^i _, 20 ^^..

Signed: f\^COA ^^^-
Printed Name: ^j r:a\ 5o.'\^"S
p^s.b?
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7 .+
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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 a nd 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 resirlpnt nf niRtrint Mn s of the City of Pasadena REDACTED I reside at
CA (?(to(^^5nln!8!!l?T
REDACTED(street), Pasadena,
Signed: J^-OA ^^^^.

Printed Name: A^f.'el C^/\^K-
u

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.

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, {f-\r)r^\ ^u-Act^K ^ (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 22- day of '^tl'ruc^'^f
Signed: t^/^d ^z^e^
_, 20 2^ .

Printed Name: ^c)Ate ( ^u^trS
p.
^bT y-^ u-
•k
i
s 0
^% &TED

CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
1, 8\-(^t'^^ 5ct,\^eKS _(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 ^i^y^flja^fl^^BflBUtatoflliilflUB^he rights of a tenant.

3. I reside at the following addres^
Pasadena, California <? {(€> |o (zip code)
REDAC' REDACTED(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 '^l^. day of P<1> Ftx.oJ"^
Signed: {^^uAf <^A^-/
_,20^.

Printed Name: A.^r<'e! 5a\^etS
u

CITY OF PASADENA

NOMINATION PETITION -WORKSHEET
AL^L^^^-s
(Name of Candidate)
^W PiS^-^- ^
(Office and District or Seat)
Total Signatures
Total OK ^
11 Date: 3/^3Alb
Checked by: (?S
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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 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 theCity 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 stilldesire 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:
t
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R£DP<CTED ''TED
REDACTED 3ACTED
'/?/7<St^O^
&^A^/c^ ^^-
R-^sa^^ci,

REDACTEDREDACTED
Date Available to Start:

Cell Phone:
//
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 3^
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.

L
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).

Education - Include professional or vocational licenses or certificates.

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)

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?
,./
NO
NO
D NO 1/
NOD
1 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 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:

11. How would you add value to the Pasadena Rental Housing Board?

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?

13. How would you help to achieve these objectives and goals? a
8 ^ia
I, ^?€.// ,<^tr/€<.no &/)/i^46 (printed name), declare under penalty of perjury under the law^the ^tate of California that the irrformation reported in this Form RHB-001 is true, accurate, and complete.

Signed this '2.0 day of l^lgyck 20 ^3.

Signed: ^^^^2>
^
Printed Name: YaH^// ^^'^/^^ S^^\
c
City of Pasadena
Application for Appointment of
Pasadena Rental Housing Board
Form RHB-001
Typed Answers
Yaneli Soriano Santiago

REDACTED
Pasadena, CK
Community Service
Central Parke Center, Pasadena, CA
Student Ambassador
Advocate for the well-being of students and impact of uniformed police on campus.

Posse Foundation
Scholar and Volunteer in the City of Los Angeles
As a Posse Scholar, I participated in volunteer events in the county of Pasadena with a focus in Public School gardens.

Carecen in Kalamazoo, Kalamazoo, Ml
Advocate and Participant
Advocate for the Welcoming City initiative to build an inclusive community.

Intercultural Student Coalition
Kalamazoo College Student Community
Advocated for resources for students with marginalized backgrounds towards academic success.

MS Student Coalition, Tucson, AZ
Peace Ambassador
Reviewed student rights for student-led walkouts
Recently introduced to the Pasadena Job Center and Pasadena Tenant Union.

L
10) Describe your relevant life experience, professional training, and or education In my experience as a first generation resident, I am the translator and first form of contact with my family's landlord. I have experience with communicating work orders, and negotiation of proposed rent increase.

In regards to my training, I have developed a wide range of perspective as a tenant and as a scholar in Anthropology, Sociology, and focus on public health. I have been trained to converse and facilitate complex discussions regarding, housing and medical needs in vulnerable populations. In my academic training, I have the set skills to research and analyze qualitative and quantitative data.

Furthermore, as a former Legal Assistant for Detention Defense in AZ, I have familiarity with interacting with legal documents and interpreting the information for pro se defendants. 11) How would you add value?
In my experience I have become a fluent bilingual speaker in English and Spanish. I have experience and connection with our Spanish speaking community in Pasadena. As a tenant and representative for my family, I am equipped to bring tenant and Spanish speaker perspective. 12) View of primary objectives and goals of PRHB?
I believe the PRHB's goals and objectives are to review the newly implemented law of Measure H, abide and respectfully implement the law to cases presented before the committee. It would be the responsibility of the committee to implement the measure as it stands. i3) i i^Ould b.t y^^S)ix€ ft pul/ij uwt^Sfan^
fki nuaS^'e P •Hw^ ^(/€ £^/1.^ Ji) ^rct fi^'WM^iiff^ Uf/^h U/ii i^/}ir^"H€€, -^{t^^nal^, I ^ ^^r On d^C . [}SU^~^ ^ p^n^ a^ l^l/y^^^. p^izs ^ ^ ^ f ^11^ j^i^^ ^ ^ c^m^-
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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 reside at
CA(zip code).
(street), Pasadena,
Signed:
s
Printed Nameie: ^eJf S^^/t^ Sa/^/L^)
~T

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. •
•
m
aa:a
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.

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
y^?^ a, s^cttin Sd^hci^o
)f the State of California tha^the
I, ]6ln€l/r)^a^c> y^fthcjcfQ (printed name), declare under penalty of perjury under the law of the State of California tha^the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Signed this
Signed:

Zo-day of
/
/^7/^'/?., 20-2^.
~^r Printed Natne: ^W^b S^YWnp .G^ec^^
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CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
I, Iffrt&'ti :}£rs'/c/)/le) •^t.nti'cWO (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 ^[(0 [ (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
Signed:
day of ,20
Printed Name:

M
'a
;a3
..a

Yaneli Soriano
Pasadena, CA 91101REDACTED

EDUCATION
Kalamazoo College
BA: Anthropology & Sociology ;and Critical Ethnic Studies Double Major Focus in Public Health
Kalamazoo Posse Graduate

ACADEMIC EXPEMENCE
Kalamazoo, MI
Thesis (SIP) - "To My Family, A Final Request: Death, Mourning, and Belonging • Recruited, facilitated, and translated interviews in Spanish • Analyzed qualitative data
Border Studies Program | Tucson, AZ, Oax, MX, and Border towns] 2017
Sept-Dec. 2015
Participated in Border Field study in SPA with No More Deaths and Derechos Humanos Attended all lectures, excursion trips, and meetings with community leaders

WORK EXPERIENCE
June- Nov 2022 Administrative Assistant, Saiful Bouquet Structural Engineers Inc. | Pasadena, CA • Managed phone inquiries, mail, and print jobs for the firm • Reviewed monthly CC reconciliation and documentation of purchases for Exec, IT, and Marketing • Purchased travel (airfare, lodging, and business dinners) for Co-executives, Principals, and staff • Organized meeting schedules for Executives and staff for in-person and Zoom meetings • Assisted Marketing Director with Project Research; completed additional tasks as assigned Detention Defense Legal Advocate, Florence Immigrant and Refugee Rights Project, FIRRP Florence, AZ | 2019- Nov 2021
• Responded to inquiries from asylum seekers, Sponsors, and Community orgs with time sensitivity • Conducted Know Your Rights & Bond presentations at four ICE Detention facilities in AZ • Facilitated interviews and screened qualifications for legal relief • Completed follow-up and developed court timeline goal plans with participants • Documented interviews, appointments, and social services referrals with confidentiality • Identified urgent medical needs and vulnerable participants with Social Worker Director • Attended meetings with full team, supervising attorneys, and stakeholders • Co-managed data entry for Detention Defense team and completed quarterly reports for DOJ funders • Trained legal assistants with new data software
Research Assistant, UA Geography and Development Dept. | Tucson, AZ | Oct 2017- April 2018 • "Household Financial Vulnerability and Immigration Enforcement Activity in the US" • Recruited participants in attendance of weekly community meetings and community events • Conducted, transcribed, and translated interviews in English and Spanish Volunteer, Derechos Humanos | Tucson, AZ and Nogales, SO, MX [ Aug. 2015- May 2016 • Contributed to the Missing Migrant Project (MMP) and Detention Searches • Communicated effectively with DH staff. Immigration Customs Enforcement, and Border Patrol • Conducted Forensic Intakes in Spanish with family members of the missing jKILLS
• Intermediate in Microsoft 360, Excel, Google Suite, Zoom, Legal Server, Caspio • Community Building, outreach, and confidentiality
• Fluent in English and Spanish

CITY OF PASADENA

NOMINATION PETITION - WORKSHEET
~^C\nd^ ^Dr\CiA^
((Name of Candidate)
^^Y]'C^ ^
(Office and District or Seat)
Total Signatures
Total OK
Date:
^1

3.1 ^{^
Checked by:_
of.
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CITY OF PASADENA
APPLICATION FOR APPOINTMENT TO TH& C ,^ i V E D

PASADENA RENTAL HOUSING BOARD
FORM RHB-001 ^3HAR -7 PM 4: 24
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: ^1^/\ W^£5T.

Home Address:

Mailing Address:

Email Address:

Business Phone:

Home Phone:

REDACTED;DACTEDl/?fts^fc£A/A <fl\^^
:AMe
REDACT
AMVG

REDACTED
Date Available to Start: ; MAJ)((:A/AT£/V
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
X 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 sen/ed, offices held and in what city.

PASA^&^A T£/<;A/\/T-? ^(^(OA/
I

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Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
.€E ATTAcH^d ^cisaM£.
ii
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Education - Include professional or vocational licenses or certificates. /^-frA ^ h £A /? ^ U^A, f^

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)

5. Do you,or your extended family1 members, have a material YES j | NO 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 | | 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 ^j 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)). "mI*

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

11. How would you add value to the Pasadena Rental Housing Board? S.EE ATr^C^H£D
•ia
Bja

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
^^e. Ar^/{cH£T)

13. How would you help to achieve these objectives and goals? -<^£ ATTACrteO
i
::fl
, ^^/\V/6ST(printed name), declare under penalty of perjury under the law ofI, the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.
0 Signed this <oTH day of M/\^C.ti 20/13 .

Signed: J^<-<4l4rf"
Printed Name: X^A WEST
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2823 NAR-7 PH 4=24
Questions 10,11,12 and 13 — Ira West

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

I've been both a tenant and a homeowner since 1966, as houses skyrocketed in value and rents escalated. I've owned 7 houses and and one condo since 1980, and spent 18 years as a tenant—with a dozen different landlords—starting as a junior at Occidental College in 1966. I then rented on and off until 2019, when I leased an apartment for 6 months while remodeling my current home. I've had every type of landlord, from mom and pop to corporate.

So I'm familiar with both sides of the coin: the perils and pitfalls of each, as well as the advantages. And I fully understand how difficult—and expensive—it is to maintain one's property. When my wife and I rented a home in Modesto for five years while she was the priest in charge of the local Episcopal church, we treated it as if we owned it, fixing every problem in a timely manner while also performing preventative maintenance. In fact, our landlord was so thrilled to have us as tenants that he never once raised our rent in those five years, and when he was about to sell the house he even allowed us to stay another 5-6 months after my wife was diagnosed with terminal lymphoma. As a gift to him I did a landscape remodel before we moved back to Southern California.

I'm invested in seeing the success of the rental control board. Done correctly, it will be a productive asset for the city. Even Beverly Hills, after all, has rent control and a rental control board. I volunteered for the campaign to pass Measure H, and while canvassing talked with a large swath of homeowners as well as tenants, including a number of landlords, one of whom I had (cordial) disagreements with. But I also talked with other landlords who fully supported rent control, not to mention the many homeowners who supported this measure. In fact, of the 44 signatures I gathered in my neighborhood to qualify to run for this seat, all but one were homeowners. Only a tiny minority of residents declined to sign my petition.

After 7 months on the campaign trail, I have a solid feel for the issues and concerns of both landlords and tenants, and if appointed to the board I will be fair to both sides, able to empathize with each.

My background: I was a high school teacher of history (including AP), current events, and civics for 30 years, with my last 15 in the Glendale school system, including a two- year stint "on loan" to the LA County Board of Education to participate in an experimental school at Cal Poly Pomona. And since I'm a trained historian (MA from Columbia, and PhD work at UCLA), not to mention a former reporter for the Associated Press here in LA and for the Wall Street Journal in their San Francisco and LA bureaus, I'm comfortable dealing with volumes of information. As an example, I've read and absorbed "The Pasadena Fair and Equitable Housing Charter Amendment." Plus, as a teacher, I often had to collaborate with colleagues, parents and administrators, so I'm not new to working closely with other people on a daily basis. And if required, I can provide leadership. (I was also awarded teacher of the year at Glendale's Hoover High in 1997.)
As a final note, I'm retired, so I have ample to time not only to participate in 20 hours of paid employment on the board, but also to do extra "homework" as well.

11. How would you add value to the Pasadena Rental Housing Board? Whether at work or volunteering, I've always done my share of the work or more. I'm also proactive, able to see possible problems ahead that need to be addressed. My extensive experience in the public schools over many years often involved teacher team planning and collaboration, whether around curricular goals or school-wide tasks. As noted above, my journalism career and academic training have allowed me to be able to deal with large amounts of information and organize it. When called upon, I'm comfortable providing leadership. I could also help infuse meetings with a sense of calmness, maturity, and direction.

12. What do you view as the primary objectives and goals of the Pasadena Rental Housing Board?
To bring an end to the war between tenants and landlords by consistently upholding the law as laid out in Measure H, whether ruling in favor of tenants or landlords. And in doing so, make Pasadena a more fair, equitable, and affordable city. As described in Section 1801, this will be achieved through "neighborhood and community stability, healthy housing, and affordability for renters in Pasadena by regulating excessive rent increases and arbitrary evictions...while ensuring Landlords a fair return on their investment and guaranteeing fair protections for renters, homeowners, and businesses." When implemented, this will certainly make Pasadena a mecca, drawing in former and new residents who will thrive under the certainty of fairness. More and more California cities have chosen this path, and the Rental Control Board has an opportunity to be a beacon for its neighbors.

13. How would you help to achieve these objectives and goals? By hearing complaints from tenants and landlords dispassionately and objectively, discussing cases with other Board members, and finally weighing the evidence without preconceived notions.
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[Resume for questions about Employment and Education]
2023 HAR-7 PH l,:24
Ira West
[NOTE: I retired in 2006. This was my final resume.]
Recent
Professional
experience
1999-2004dark Magnet High School Glendale, CA
U.S. History, AP U.S. History and Current Issues. All have the same emphasis: to make the connection between history and present-day events, with an eye toward inspiring students to become actively involved in improving the world. Mock trials, simulations and Socratic seminars are an integral part of all courses. Field trips are used whenever practical to add a "real life" element, such as our yearly sojourn to a farm to participate in gleaning, and a trip to the federal courthouse in LA to observe a day of trials and talk with a judge. c;
Credential
Previous
Accomplish-
ments and
Experience
Secondary Life (History and Humanities/English)
Helped develop and teach trimester-length, interdisciplinary projects for 11th and 12th graders at International Polytechnic High School, Pomona, 1997-99.

Voted "Teacher of the Year" at Hoover High School in
Glendale for 1996-97.

Developed project-enhanced U.S. History/English instruction at Hoover, taught in thematic blocks in an interdisciplinary setting that integrated the visual and performing arts.

Developed a "contemporary issues" government &
economics course for use in the Visual and Performing Arts Academy at Hoover, later incorporated at 1-Poly, which
featured a hands-on, real-life approach.

Have taught students with a wide variety of skill and
motivational levels, from ESL to gifted.
cTeaching
1997-99 Intl. Polytechnic High School Pomona, CA
Integrated Social Studies as part offour-teacher, interdisciplinary 11th- Teaching 1997-99 Intl. Polytechnic High School Pomona, CA Integrated Social Studies as part of four-teacher, interdisciplinary 11th- and 12th-grade teams at International Polytechnic High School, a demonstration/magnet school located on the campus of California State Polytechnic University, Pomona (funded by LA County Office of Education). Focus was on group projects and independent learning.

Other
Teaching
Highlights
1992-97 Hoover High School Glendale, CA
A varied program of instruction including combined U.S. History and 11 -grade English (interdisciplinary block), Introduction to the Cinema (as part of Visual and Performing Arts Academy), and ESL.

Supervised four student teachers. Voted "Teacher of the Year" 1996-

97. 1981-89 Soledad Correctional Facility Soledad, CA
Adult Basic Education (including literacy training and GED) at the Correctional Training Facility, Soledad. Extensive experience with learning-disabled students. Ran Chapter I program for students under the age of 21 for four years.
1976-80 Los Angeles Unified School District
Several different schools, including Franklin High School and Area H Alternative School, where I created a popular course, "Skyhorse Mohawk Murder Tnal," in which students rode the bus downtown every day for approximately two months to observe and report on a controversial trial.
1971-72 UCLA
Taught discussion groups for freshman U.S. History while a doctoral student and teaching assistant.
r'EducationUCLA
Secondary Credential (Alternative Education Program), 1974 PhD Program, Department of History, 1971-72
Columbia University
MA, U.S. History, 1971
Faculty Fellow and Herbert H. Lehman Fellow, 1969-71
School of International Affairs and International Fellows Program, 1968-69
Occidental College
BA, cum laude, U.S. History (English minor), 1968
Journalism
0 1972-1976 Associated Press
Reporter and broadcast editor, Los Angeles bureau.
1967-68 Wall Street Journal
Summer reporter, San Francisco and Los Angeles bureaus. Wrote front-page investigative "expose" of Evelyn Wood's Reading Dynamics. [NOTE: I was recently featured in a new biography of her, "Scan Artist: How Evelyn Wood Convinced the World That Speed- Reading Worked."]
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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 7776 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. \jS of the City of Pasadena I reside at
CA ^//Q-
REDACTEDREDACTED(street), Pasadena,
Signed:L&
Printed Name: T^4 WeST
^3Sl33^!0 "••v
Q-6,
(^ 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:
u
•
•
•
•
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.-i '^
aa
sa
•
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.

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, IR.A V/^T(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 ^ TH day of /VlARC.^
Signed:
_, 20^3.

Printed Name: T/tA W'e^
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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),
c
OR
)( This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.

Signed this ^ day of /V\ AfiCt^ 20^3 .

Signed: c^<A ^J1/£^
Printed Name: Z^A Vl/£5T
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CITY OF PASADENA

NOMINATION PETITION -WORKSHEET
T^<^ ^/c^-
(Name of Candidate)
P^U!] 9^.-^ S'
(Office and District or Seat)
Total Signatures _LIS'
Total OK ^
Date: 3/^3/2-^
Checked by: ^S
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CITY OF PASADENA

APPLICATION FOR APPOINTMENT TO THE

PASADENA RENTAL HOUSING BOARD
FORM RHB-001
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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: ffll.cJf^elVZ/ C^\T^>\
REDACTED Home Address:

Mailing Address:

Email Address:

Business Phon<
Home Phone:

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
^ At-large Member (4 seats, open to any Pasadena resident without respect to tenaYicy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
Alternate M-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 hav^ served, offices held and ii^i what city,. ^e^ Atizich^-d '^.B^j/n^- 0^^ <^-o;
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^-2 Date Available to Start:

Cell Phone:

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Employment - Title and duties, current and past (acceptable to attach resume as an alternative). ,, , ,-
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Educatioji - Include professional or vocational licenses^r certificates. -^7^-%lrt7^-(
l-LT^''" ^it^r^Tin i i/<r'r^ ^
I An ly/^f^^

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 YES | | NO 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 || NO 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?
El

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

10. Describe your relevant life experience, professional training, and/or education in the following areas: Hpusiqg/Hou.sing Justice/4andlord Tenant Relationships/Real Estate:
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o the Pasadena Renta
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11. How would you ad<^ valup to th,e Ppsadena Rental Housing Board? ^)^^

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board? ,i ; f ..I' f r\,i i s -I
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13. Hpw would you help to achieve these pbjectives apd goals? t)r^ ^^frC[^r{ ^H^e^>ix7
1, f^ tCh^ lt^( A.fDl ()JllT^ (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
Signed:
5^day of ^WrcL . 20^
ii
^
Printed Name: ^,rU^C., (D KJ-F.m
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Responses ofMichelle C. White to Application for
Appointment to the Pasadena Rental Housing Boardp<f 3 ^s Form RHB - 001
Community Service
I was one of the three proponents of the Measure H initiative, which was approved by Pasadena voters in November 2022. My role was unique in that I was both a tenant and the Executive Director of Affordable Housing Services (AHS), a nonprofit provider of affordable housing to low and very low income tenants, as well as permaneiit supportive housing for formerly homeless individuals and families.

During my nearly 40-year residency in Pasadena, I have served on a number of affordable housing task forces - one with former Mayor William Bogaard and another task force seeking no net loss of Pasadena's affordable housing units. I have participated in various advocacy efforts to convince the City to include rent control studies in its Housing Elements and other programs so as to provide more secure housing for tenants in the City. These efforts were singularly unsuccessful, leading to tenants and their supporters filing Measure H.

In my volunteer capacity, I have served as the President of the ACLU Pasadena - Foothills Chapter, Chair of the Affordable Pasadena Corporation - the corporate sponsor of Measure H - the Housing Chair of the League of Women Voters - Pasadena Area, member of the Pasadena Tenant Union, Clerk of the Peace and Social Concerns Committee of the Orange Grove Monthly Meeting of Friends (Quakers) and numerous other organizations.

In my professional capacity, I was a housing litigator for many years, serving as a staff attorney with the Western Center on Law and Poverty, the Executive Director of Fair Housing Congress of Southern California (now known as the Housing Rights Center, an agency with which the City continues to contract) and the Executive Director ofAHS. Although I no longer litigate, I serve on the Board of the Fair Housing Council of San Fernanda Valley, the entity that successfully litigated to secure 4,000 affordable housing units that are accessible to those with visual, mobility and hearing disabilities.
#10 Describe your relevant life experience, professional training, and/or education in the followins areas: Housins/Housme Justice/ Landlord and Tenant Relationships/Real Estate:

After graduating from law school and serving as trial counsel in the United States Justice Department's Civil Rights Division, I served as trial counsel with the National Committee Against Discrimination in Housing and special assistant (for civil rights) to the United States Comptroller of the Currency (where I was responsible for fair lending practices and policies.) Thereafter, I was trial counsel for housing and economic justice with the Western Center on Law and Poverty (WCLP), the statewide back up center for legal services organizations; the Executive Director of the Fair Housing Congress of Southern California, as well as the Executive Director of the Affordable Housing Services. During these times, I also served on various national, statewide and local boards, such as the National Fair Housing Alliance, the Disability Rights California, the Fair Housing Council of San Fernanda Valley (FHCSFV) and the Racial and Ethnic Mental Health Disparities Coalition, a statewide effort to eliminate racial and ethnic disparities in access to mental health services.

As counsel with the WCLP, I assisted in organizing 400 Black and Brown public housing tenants at Normont Terrace in Harbor City who were at risk of being evicted from their homes and having their housing sold by the Housing Authority of the City of Los Angeles (HACLA) to private for-profit developers. We assisted the tenants in imderstanding and reforming the proposed development agreement and other legal documents in a mamier that resulted in the tenants not only retaining their housing, but becoming managing partners in the ensuing development company.

While at WCLP, I also helped redraft California's fair housing statute to ensure that the rights of persons with disabilities were protected, worked with landlord/tenant attorneys and litigated major cases.

As an FHCSFV Board member, I worked closely with the staff and counsel to undertake litigation designed address the failure of the City of Los Angeles to develop affordable housing units that were designed to meet the housing needs of persons with mobility, visual, auditory disabilities, as required under federal law. As a result of this litigation, 4,000 units were rehabilitated and set aside for tenants with disabilities.

Twenty years ago and thereafter, I was one of a number of advocates seeking the inclusion of rent control as one of the studies to be included in Pasadena's Housing Element. City staff refused to propose the inclusion of rent control in the Element because the members of City Council made it plain that they had "no appetite" for the undertaking. Five years ago, I helped form the Pasadena Tenant Union (PTU), whose members were instrumental in the first and second attempts to place a rent control/just cause eviction initiatives on the Pasadena ballot.

After failing in our first attempt to adopt rent control in Pasadena, I encouraged the League of Women Voters, the American Civil Liberties Union, Affordable Housing Services, Pasadenans for Progress and other groups to help launch a second attempt. I joined the Policy Committee that redrafted the initial Measure's language and met with the attorneys who refined the draft for placement on the ballot. As such, I am very familiar with the draft language and the "legislative history" of Measure H. Thereafter, I participated in the various educational, signature gathering, fundraising aspects of the Measure H campaign from beginning to end. Although many volunteers put their lives/careers on hold for long periods to participate in this effort, I believe mine has been the longest continuous involvement in the campaign.

I have lived as a tenant and a homeowner; I have been the principal employee of an affordable housing owner and developer. Serving in these various roles has allowed me to recognize the differences in stability afforded residents dependant upon their housing status, as well as to familiarize myself with the challenges landlords face when striving to maintain decent housing conditions while some tenants fail to adhere to appropriate habitability, quiet enjoyment and other standards.
#11 How would you add value to the Pasadena Rental Housinff Board? I am an affordable and fair housing attorney with considerable experience, as well as a tenant, an affordable housing administrator and advocate with almost 40 years of familiarity with Pasadena customs and practices. In addition, I have a long history of involvement in administrative and other forms of advocacy on many levels of government, as set forth above.

As a member of the Measure H Policy Committee, I am familiar with the "legislative history" or background of the initiative. As an attorney I am familiar with the breadth and limits of the initiative. These skills will be of assistance in drafting regulations attendant to the Measure in a timely manner.

Because of the legal challenge filed by the California Apartment Association, some members of the public seek clarification of the rights and obligation's landlords and tenants under Measure H.

As a former member of the Measure H Policy Committee, an attorney and an organizer, I can assist in providing clear verbal and written explanations. Hopefully the Board will hold monthly fomms in various districts of the City, thereby keeping the public advised of events.

The Board may decide to hire one or more consultants to assist in the staffing of a rent control agency, as well as developing an appropriate budget, formulating a rent registry, as well as the hiring staff (including hearing officers) to run the agency, as well as relevant personnel policies.

My legal skills may well be helpful in Grafting service and other contracts. As an administrator, I am also familiar with the development of budget, as well as policies and other mechanisms by which the Board can ensure adherence to the budget.

As a Quaker, I strive to achieve "unity" among those of different backgrounds. The possibility exists that members of the Board will have different familiarity with rules by which to run a board/organization. Rather than automatically resolving to use mechanisms such as Roberts Rules of Order, I would strive to have the Board adopt rules and procedures that are easily understood and utilized by all. (I would also hope that the Council will choose members of the Board who are committed to Rent Control working in Pasadena and who work well with others.) For approximately two years I served on West Hollywood Rent Control Board, during which time I learned that much of the Board's time was spent on administrative matters and the review of staff recommendations. Little time was spent on policy discussions. It was not an advocacy post. I would share this information with other members of the Measure H Rent Control Board. #12 What do you view as the primary objectives and goals of the Pasadena Housinff Board?
I view the primary goal of Housing Board to establish the fundamentals necessary to achieve the level of housing stability for tenants envisioned in Measure H. The Board may establish additional goals in the future.

I view the Board's initial objectives to initially be administrative and include:

Establishment of a structure, set of procedures and an environment on the Board that is conducive to accomplishing the duties set forth in Measure H Clarification of the status and provisions of Measure H for the public, tenants and landlords, especially in light of the litigation filed by the California Apartment Association. Translation of relevant information into at least Spanish, Mandarin and Armenian would be essential, as would be holding meetings at various times and in each of the council districts.

Approval of the first two years' budgets, as well as personnel, fiscal and other administrative policies
Determine how crossover City and Measure H issues should be handled Promulgation of regulations in a timely manner
Hiring of necessary staff
Establishment of a rental registry
Calculation and announcement of the amiual rent increases Handling of individual rent adjustments
In addition, I believe it is important that the Board provide a fomm for members of the public, especially tenants complaining of violations of State law and Measure H and landlords expressing concerns unique to their management of residential units. These forums will help inform the drafting of regulations.
#13 How would you help to achieve these objectives and goals? My roles as a tenant, member of the Policy Committee for Measure H, director of an affordable housing provider, attorney, fair housing and affordable housing advocate, as well as fonner rent control board member will allow me to provide a balanced approach to the drafting of regulations, budgets, policies and practices. These roles will allow me to appreciate the perspectives of others; I also believe my perspective may well benefit those members who do not share my background.

My professional endeavors and voluntary activities have allowed me to gain a familiarity with drafting budgets and the administrative tasks that will have to be undertaken in the early days of the Board's life. I would assist in drafting and reviewing such documents. My background as a former rent board member will also enable me to appreciate the balance between board and staff roles. In addition, as part of my long tenure in Pasadena, I have developed and maintained many good relationships with City administrators, civic leaders and advocates. I believe I work well with others, a trait that will be needed as the Board undertakes the many duties assigned to it.

I also have a strong sense of housing justice, especially as it relates to low income tenants and fair housing protected groups, which I will use to guide the work I undertake on behalf of the Board. My continuing connection with legal services, PTU, other tenant advocacy groups, ACLU and other entities, as well as connections to certain landlord subscriptions will allow me to keep the other board members abreast of relevant developments in the law and housing policies. I would also urge the Board to meet with the various city officials, as well as tenant, homeowner and apartment associations, as appropriate.

I have enough flexibility in my schedule to allow me to work on behalf of the Board at times when other members may not be available. I can meet with tenant and other groups to clarify the status and provisions of Measure H.

I will press for the Board to adopt inclusive practices and ensure that it utilizes plain language and translation services as needed, while avoiding arcane procedural devices that may disenfranchise some. In order for the Board to complete its work in a timely manner, it will probably have to hire at least one consultant. I would urge that such a person adhere to the same standards set forth above.

PA o?
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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 <^(|f5
^Df the Citv of Pasadena
REDACTED REDACTED(street), Pasadena,
Signed
Printed Name_mL^

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 abirth 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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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
I..AP.M^^ln^
)f the State of California that the infer
)rinted 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 'Z2 day of . VV(X.rc'K 20<2 5
Signed:

Printed Name:-LM/^cfnH^
R b?
^^
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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),
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Teharil Alternate Seat.

Signed thi§-
Signed:

Printed Name:
^n-
2'.oi
Selld^
, 20^3.

CAROL WHITELLE

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2023 HAR 22 PH 3:48
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EMPLOYMENT HISTORY
Executive Director
A "PfTtrrlahI^ I-fniiQincr .^pr\/ir*es
ocnApTFn

REDACTED
1996
to
Present
Responsibilities include: housing and economic development to benefit low and very low income persons, advocacy to ensure that low and very low income persons with fair housing concerns receive equal access to housing opportunities; counseling; developing creative alternatives for low income communities seeking revitalization without displacement of indigenous residents; organizing and educating tenants and other persons involved in fair housing and related issues; training; fund raising.

Executive Director 1991-1995
Fair Housing Congress of Southern California
3731 Wilshire Blvd., Suite #635
Los Angeles, CA. 90010
(213)365-7184
FAX (213) 365-7187
Responsibilities included: advocacy on behalf of persons suffering housing discrimination on the basis of race, color, national origin, religion, sex, familial status, and disabilities, as well as all state law protections; counseling; training; fund raising; monitoring subcontractors providing direct enforcement services; educating, organizing and providing support services to individuals and groups involved in fair housing and low income housing issues.

Housing and Economic Development Attorney 1988-1990
Western Center on Law and Poverty
3701 Wilshire Blvd.

Los Angeles, CA. 90010
(213)487-7211
Responsibilities included: advocacy on behalf of low and very low income persons with housing and economic development problems; providing technical assistance and litigative support to legal services and private bar members representing low and vei-y low income persons with housing problems; training; devising innovative strategies to combat discrimination and economic isolation.

Private Practice 1982-1987
White and Cook
1511 K Street, N.W.

Washington, D.C.

Responsibilities included: litigating Merit System Protection cases; engaging in low income housing development; counseling small business on economic development opportunities.

Special Assistant for Civil Rights 1979-1981
Office of the Comptroller of the Currency
490 L'Elfant Plaza, S.W.

Washington, D.C.

Responsibilities included: establishing procedures to ensure that national banks did not engage in discriminatory lending practices; training bank examiners to detect lending discrimination; monitoring the practices of national banks with regard to fair lending.

Trial Attorney 1977-1978
National Committee Against Discrimination in Housing
1430 H street, N.W.

Washington, D.C.

Responsibilities included: litigating cases involving violations of the federal and various State fair housing laws.

Executive Director 1976-1977
Mental Health Advocates of Pennsylvania
Norristown State Hospital
Norristown, Pa.

Responsibilities included: directing a staff of 16 persons and operating a basic legal services program for institutionalized persons in three State mental facilities.

Trial Attorney 1972-1975
Department of Justice
Civil Rights Division
Right to Rehabilitation/Habilitation Section
Washington, D.C.

Responsibilities included: class action litigation on behalf of institutionalized mentally ill, developmentally delayed and juvenile persons to establish their rights to habilitation and rehabilitation.

Juris Doctorate
Rutgers-The State University
Camden, New Jersey

EDUCATIONAL BACKGROUND
1972
Law Review; Black American Law Student Association; Moot Court.

CITY OF PASADENA

NOMINATION PETITION - WORKSHEET
\J[\c^\e\\€. V^^\Vf5.
(Name of Candidate)
\5
(Office and District or Seat)
Total Signatures
Total OK
fci-r^
^
6t8
Date: _ ^^\_\-2Q2S
Checked by:_
^Ii^3

Pasadena City CouncilApril 19, 2023

Pasadena City Council
April 19, 2023