Cities Index.
AR 3 ATTACHMENT B District 6

Pasadena City Council
April 19, 2023

Document
AR 3 ATTACHMENT B District 6
Meeting
April 19, 2023
Body
Pasadena City Council
Original file
2.6 MB
Text extracted from the city's file for reading and search. Open the original on ww2.cityofpasadena.net. That file is the official record.

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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 still desire to be considered for appointment, please resubmit an updated application, or advise City staff in writing that the initial form is still current and can be used for an additional year.

Applicant Name
Home Address:!
Mailing Address:

Email Address:

Business Phone:

Home Phone:
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Date Available to Start: < ^t^v^^/^C^-
^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
^At-Iarge Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
y-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. p4^^^. t^Q^^^ C^^^u^U^. C/LO-LO - ^^<^'-f~)VC^&C^^ ^ F^^(Zt-L^ ^-f^-<)(? ^2-0-^s^-^ Z02.1 -2-Z>Z-z-^< fr^i^^) r^&£ifi^€^^ 1^\^»vf5 flf^Q^ (.TL^il —
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).

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Education - Include professional or vocational licenses or certificates.

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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)

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
NO
NO
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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 | X| the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?

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

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

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

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

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11. How would you add value to the Pasadena Rental Housing Board? ^\€A?€. s^^- ^r^c^{A^^A-

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
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13. How would you help to achieve these objectives and goals? 'pl ^-^5^ S^e <^AL^^^<'^.-4—
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(printed name), declare under penalty of perjury under the law of |I, the Sta/e of California that the information reported in this Form RHB-001 is true, accurate, and complete.

Signed this ih day of M^<-^_, 20^5_.
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ATTACHMENT
to CITY OF PASADENA

APPLICATION FOR APPOINTMENT TO THE PASADENA RENTAL HOUSING BOARD

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

I have worked in the field of affordable housing, homeless services, landlord-tenant policy and advocacy for 18 years, both as non-profit staff and as a volunteer. I currently work for Tenants Together as the Southern California Regional Coordinator. Tenants Together is a statewide coalition of local tenant organizations dedicated to defending and advancing the rights of California tenants to safe, decent, and affordable housing. I am also a volunteer member- organizer with the Pasadena Tenants Union and have been since I joined in 2017 following my own no-fault eviction. In 2017 there was no legal barrier to a landlord evicting anyone for any reason with a 60-day notice. In my case, the landlord told me explicitly that he needed me out so he could do a little remodeling and double the rent. I was without my own permanent housing for 5 months before I relocated to where I live today.

In my time working in the Pasadena Tenants Union and for Tenants Together I have consulted with hundreds of tenants about their situations and helped many dozens of tenants save their housing from attempted illegal evictions, illegal lockouts, illegal rent increases. I have accompanied tenants to eviction court, helped them fill out answers to their unlawful detainer summonses, served papers on landlords, and intervened between tenants and landlords to negotiate a positive outcome. I have witnessed the horrific habitability issues and harassment that tenants often must endure. I have also been involved in a great many cases in which a person's home could not be saved.

I was a key architect and leader in the campaign to pass Measure H. I gathered close to 500 signatures, raised several hundred thousand dollars, and walked door-to-door every week for over a year. I spoke to hundreds of Pasadena residents—tenants, homeowners, and landlords— about the crisis facing renters in Pasadena. Every conversation was respectful, insofar as it was within my power to make it so, even when we disagreed on some things. I learned an incredible amount about our city and the people who live here.

11. How would you add value to the Pasadena Rental Housing Board? The value I will bring to the Pasadena Rental Housing Board is chiefly the experience I have described above. In addition to what I've already written, I have worked with many other cities across California in their efforts to pass rent control and just cause through their city councils (specifically in Santa Ana, Bell Gardens, and Oxnard, as well as related tenant issues in Los Angeles City and County). I have already established relationships with subject matter experts who have led rent programs in West Hollywood, Santa Monica, Berkeley, and San Francisco.

While I am not a lawyer, I have a deep familiarity with landlord-tenant law in California and LA County, and especially with the details of Article XVIII of the Pasadena City Charter given the work I have done with the Pasadena Tenants Union to craft the Article, educate the public about it, and pass it at the ballot box.

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
The primary objectives of the Pasadena Rental Housing Board (PRHB) is to carry out the directives in Article XVIII of the Pasadena City Charter, including hiring staff for the new department, creating and overseeing the rental registry, set annual rent adjustment limits, hear appeals from landlords and tenants, and set and manage the budget, including establishing and collecting the fees that will fund the program.

One early objective of the PRHB is to establish positive working relationships with other city departments so that the PRHB fits seamlessly into the current city structure. This will take strong interpersonal skills which I bring to this work.

13. How would you help to achieve these objectives and goals? I am a solution-oriented person. I will use my experience as a community leader (previously, as a pastor, and currently, as a city commissioner, organizer, and advocate) to ensure that the Rental Housing Board is an institution that people trust to render fair decisions. I will also use my leadership experience to build strong relationships between the Board, City Councilmembers, and the already existing city departments (Planning, Housing, City Manager, HR, etc.).

Key to implementing our objectives will be developing strong working relationships amongst the members of the Rental Housing Board. We will also need to learn from other cities, consider unique circumstances in Pasadena, hear from the public, and collaborate with city department and other city organizations.

RYAN BELL
Pasadena, CaliforniaREDACTED REDACTED
NON-PROFIT LEADER in housing policy, homeless services, community organizing, and student affairs, with over 25 years of experience. Visionary community leader, team builder, and creative problem solver. Excellent personal, verbal, and written skills cultivated over many years as a community organizer, civic leader, college professor, and public speaker.

WORK EXPERIENCE
Tenants Together Southern California Regional Organizer Dec 2020 - Present
In collaboration with ourTranslocal Organizing Team, I work closely with our member tenant organizations across Southern California; support tenants in building new tenant unions and provide organizing expertise for existing unions to build their power; regularly conduct trainings on topics ranging from how to start a tenants union to how to lobby elected officials; support our members with policy analysis on legislation that affects them and help them secure and prepare for lobby meetings with their state and local elected officials; represent Tenants Together in a variety of coalition spaces in Southern California.

Measure H Campaign Organizer & Finance Coordinator Affordable Pasadena June 2021 - November 2022
One of five core leaders who ran the ballot initiative campaign for rent control and just cause eviction protections in Pasadena known as Measure H. The almost entirely grassroots campaign, led by our small volunteer team, gathered over 15,100 signature to qualify for the ballot and then secured 53.8% of the vote in the November 2022 election to pass a landmark charter amendment. I was on the steering committee (chair from June-October 2021) and raised over $500,000 as the finance coordinator. I also led our communications and political strategy, securing over 100 endorsements from organizations and individuals.

National Organizing Director Secular Student Alliance
Sept 2017-Nov 2020
Oversaw and managed all program offerings of the Secular Student Alliance (SSA), which resources student leaders in over 300 high schools, colleges, and universities to create and operate clubs for non-religious students.

Responsibilities included program and resource development, managing strategic partnerships, producing an annual national conference for student leaders, public speaking on campuses, training for faculty and staff at colleges and universities about secular and non-religious identities, site visits to student chapters, and staff management.

Taproom Manager Iron Triangle Brewing Company
Jan 2016-Sept 2017
Responsible for operations and development of a start-up brewing company, including hiring, logistics, communications, and media relations. I managed a staff of seven running special events as well as the daily needs of our taproom. Before taking on this role, I worked as a sales representative and liaison for over 100 accounts in the Los Angeles Metro Area.

Director of Community Engagement People Assisting the Homeless (PATH) Apr 2014-0ct 2015
Within the development department, I developed and oversaw strategic partnerships, local neighborhood initiatives, community mobilization efforts, assisted with regional planning, program incubation, and legislative affairs. I was PATH'S liaison to all 16 City Council districts, dozens of neighborhood councils, CES working groups, and activist groups to end homelessness. I also supported PATH'S fundraising efforts—both small, grassroots donations as well as grants and large donations.

Senior Pastor
June 2005-March 2013
Hollywood Adventist Church
Through creative community engagement, and innovative leadership, I led this congregation through a total transformation of its identity, mission and purpose. During my tenure the congregation nearly tripled in size, from 60 to 150 and our community activism was well known throughout the city. I hired and developed a staff of six, launched new social Justice and media initiatives, and cultivated local partnerships to work alongside the communities we served.

Adjunct Professor Azusa Pacific University
Sept 2011-Mar 2013
Taught undergraduate courses in Intercultural Communication and Community Transformation in the Global Studies Department during which primarily conservative Christian students were challenged to grapple with and understand difference, including race, gender, religion, and sexual orientation. •-•••••••---•••••••••••••-- PROFESSIONAL & CIVIC ASSOCATIONS Pasadena Tenants Union
Member Organizer (2017-present)
Affordable Pasadena (formerly, Pasadena Tenant Justice Coalition) Board Member and Treasurer (201 9-present)
City of Pasadena Northwest Commission
Commissioner (July 2020-present)
Democrats of Pasadena Foothills (chartered Democratic club) President (2021-present)
American Humanist Association
Certified Humanist Chaplain and Celebrant, license current

EDUCATION
Fuller Theological Seminary (Pasadena, CA)
Doctor of Ministry, Missional Leadership
Andrews University (Berrien Springs, Ml)
Master of Divinity
Weimar College (Weimar, CA)
Bachelor of Arts, Pastoral Ministry
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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 resi<
I reside at
CA <^L\6C5 (zipcode^.
of the City of Pasadena
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REDACTEDREDACTED(street), Pasadena,
Signed: ly 7$^^^ L<£
Printed {ias/e: f^a^ ^€.((
/

2. If you are not a registered voter, please provide clear, readable two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (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:
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Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
Insurance documents, including medical, dental, vision, life, home, rental or vehicle
Medical documents
A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state Mortgage bill
Employment documents
Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
Rental or lease agreement with the signature of the owner/landlord and the tenanVresident
School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued.

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

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

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

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

Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(1)).

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 ail 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, f-^£^^ P^f/ _ (printed name), declare under penalty of perjury under the law of the ^tate 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 lh^ day of M.^^^-, 20-7-3.

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CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
1, j<-^^4\ t^li _(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 ^iflflta^flJ!£fiflaeflUfaa^fltiUaUB^IaUiiflU& °f a tenant.

3. I reside at the following address:

Pasadena, California ^ l(Ci£5'(zw codej
REDACTEDREDACTED(street),
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OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.

Signed this f6 day of_^A^v__, 20-Z^ .

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CITY OF PASADENA

NOMINATION PETITION - WORKSHEET
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(Name of Candidate)
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(Office and District or Seat)
Total Signatures
Total OK
Date: 5^3b3
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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 still desire to be considered for appointment, please resubmit an updated application, or advise City staff in writing that the initial form is still current and can be used for an additional year.

Applicant Name:

Home Address:

Mailing Address:

Email Address:

Business Phone:

Home Phone:

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Date Available to Start: .L/-^l/y?£l)^7-(SLV
Cell Phone:REDA REDACTED
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):

Tjenant Member (7 seats, one per Council district, reserved for tenants) /Representing City Council District _^/J^__L^>
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 cu^ntly serving orjiave served, offices held and in what city. ' CLowvtwo^vV^ ^^^.\Aa^ -S-P^CL^J^S-7T
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Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
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Education - Include professional or vocational licenses or certificates. ^ ^f^-^ AT- fcoT ^t^--T^ ^^^^^^^/7^?Lf_rL^K_/9-.^ \^ffC=^^ ^^C-T^lGA^ (L^^S>Te.DGX(^^-P-P^^'^/^-S^// 'TY»^\Mii^fc> V^ID^. 4-0 te^c) fl<2-d^>t^^ t ^ Q^CTK^^I^ D^t^

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

YESD NO

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

YESD NO

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

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
NO
NO
D

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
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?
YESEI No a
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10. Describe your relevant life eKperience, 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? <^A^ AHt^-P <2<^3^^
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12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
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ould you help to achieve thes
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13. How would you help to achieve these objectives and goals? ^^e.
1, ii-i AC K j'5 / O/U^^J'/^Tpnnted 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
Signed:
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#7 Qualifications
As an on-site apartment manager for 5 years (2015-2021) I strived to keep a balance between the management company and the tenant. Example: It was essential to be a good listener because It determines how much the expense would be; was the tenants problem an emergency or could their problem be solved during the week? I used my judgement along with my expertise as far as electrical or construction work to be done and went to see what the problem was myself.

I hired the most reliable and professional people at a fair price to do the job needed.I always called on them first and repeatedly. They get to know the quirks of the building. • Treat the tenants with respect and courtesy.

Keep the building filled with tenants.

The common areas should reflect the respect the owner has for the building and the tenants. To do so routine inspections should be done of the common areas, the parking area and the landscaping/
Have a set scheduled maintenance: for the gardener, trees trimmer, bug sprayer, laundry room kept clear and tidy, all of this shows the tenant the rent they are paying is worth it. #1^
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#8 Objectives
Educating both tenants and landlords in clear practical, not political, language the guidelines to protect tenants as covered by
using the City of Pasadena's Fair and Equitable Housing Charter Amendment aka Measure H.

If conflicts arise, using the same reference material, the City of Pasadena's Fair and Equitable Housing Charter Amendment sort out situations that arise. -^\z
#9 Achieve Objectives
Listening to both sides.

Rent increases cannot be designated as "Reviewing property expenses have increased therefore we find it necessary to increase your rental rate." When the tenant sees that the common areas are no longer cleaned, requests for repairs go unheeded or done haphazardly, the reason for the rental increase seems unfounded. • Therefore, I would like to see the landlord or management firm list those exact "expenses for property" on the rental increase notice, giving it credence. u
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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 resiri^nt nf nistrint Nn^-if the Citv of Pasadena'./ (L~' 7!^/07^c.^
I reside al
CA <fU
REDACTEDREDACTED(street), Pasadena,
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Signed:
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Printedne: D/^.v^ ^)10^DOL.I. L L- ^)
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2. If you are not a registered voter, please provide clear, readable two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cat. Code Regs. tit. 13, § 17.00 and § 15.01(d)).

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

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

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.

Measure H's Defin itipns;
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, J/)- C ^ ii^i^, ^f) c' I- i ^/4printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Signed this
Signed:
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CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
I, <^3/4<^t_. \^^O"E>£=>/^//^]> (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_aj^ental agreement that entitles me the rights of a tenant.

3. I reside at the followina address:!
Pasadena, California cjj/^/ (zfl
REDACTEDREDACTED(street),
:m
"7
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 ^1^-^A-i , 20 2^
Signed: ^1 /•^\ >^) ^A^c^o-^f^
PrintedfM^me:ZM^^ ^fo^^]ilb
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JACK BIONDOLILLO CANDIDATE FOR POSITION ON PASADENA RENTAL HOUSING BOARD COMMUNITY SERVICE SPECIFICS:

ACCOMPLISHMENTS WHEN SERVING ON:

Thrivent Financial for Lutherans West San Gabriel Valley Chapter #30236 as elected Financial Director 2006 -2013 "Care in Communities" Program
Raised $10,000 which bought the Seltzer twins a portable breathing machine so they could travel even though they both suffered with cystic fibrosis.

Raised $5,000 donated to Lincoln Training Center, an entity that trains and places the handicapped into responsible working situations.

Raised $15,000 for KAIROS, a Chinese US based organization that sends Bibles and Christian literature to China directly.
$1,000 to Hill Avenue Grace's Food Shelf, which distributed packaged food to the homeless every Saturday morning. The Food Shelf remains open and active to this very day.
• $3/000 was raised for Concordia School in Granada Hills in order for them to purchase playground equipment.
$1,000 was given to the Neighborhood Music School in Boyle Heights to buy instruments for underprivileged children wanting to team how to play music.

MAKE A DIFFERENCE DAY - 2015 Jack learned of this event that took place every October in Monrovia, giving people a chance to make a difference in the world and decided Thrivent should be involved. He called every Thrivent member and asked them to form Action Teams. 21 Action Teams were created through which $5,250 was raised. That seed money bought garden tools, bought paint, bought lumber, bought food and water for alt the volunteers. That equipment is still used every October to tend gardens, paint fences, clean parks, etc. etc.

ACCOMPLISHMENTS WHEN SERVING ON:

Trinity Lutheran Church, San Gabriel's Creative Vacation Bible School Team. 2001 to 2021
• Jack used his electrical and construction skills to build a themed Biblical City featured each year.

He oversaw a small group of volunteers, sometimes he worked solo over a six-week period to have it ready for the 100 children who attended over a one-week immersion situation where they dressed in Biblical costumes, ate food of that era and learned crafts, songs and enjoyed the spirit of fellowship.

Jack also taught one of the crafts each year, from demonstrating the Roman keystone to being a Roman soldier.

He dismantled the sets he built, stored it in such a way that each year certain items could be re-used the following year, while at the same time he could create new and more interesting buildings, like a Coliseum where all eventually gathered to sing and end the evening.

ACCOMPLISHMENTS WHEN SERVING ON:

Trinity Lutheran Church, Pasadena Church's Congregational Council 1999 -2002 Property Committee
2000-2002 Treasurer, Ministries of Love
2003-2006 Foothill Conference's Board ofSynodical Ministries Oversaw the church property that house Jacob's and Rachel's Ministry Rewired entire 1920 Parsonage to bring it up to code. Following the update, it was occupied by Hill Ave Grace's Youth Minister and his family creating an income source for Trinity.

ACCOMPLISHMENTS WHEN SERVING ON:

Hill Avenue Grace Lutheran Church Council as a Board Member 2005-2007 Property Deacon 2 Terms
2010-2012 Personnel Deacon 1 Term
Using my Thrivent Finance position, suggested using the parking lot for Rose Bowl Parking. The matching funds went to the Youth Programs at church. It is still being done to this day.

CITY OF PASADENA

NOMINATION PETITION -WORKSHEET
J^^k; K;o/\^oi'I/o
(Name of Candidate)
Pl^^y cJ;^^ ^
(Office and District or Seat)
Total Signatures
zS' Total OK
Date: 3/Z3/23
Checked by: 6'5?
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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 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.

CVX) TUOMA?-tJt^/AM p^TT, ^ .Applicant Name:_
Home Address:

Mailing Address:

Email Address:

Business Phone:

Home Phone:

REDACTEDREDACTED?AS?WA, <2A ^^
(A^o\€A?

REDACTED

REDACTED

REDACTED
Date Available to Start: KAff^ t ^ ^°^
U&ii f-M^: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
y^ At-large Member (4 seats, open to any Pasadena resident without respect to ten§riby or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
I
•3i
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 sen/in^ or have sen/ed, offices held and in what city. l^i^> - fc&a.. coi^^f k^i ^0(^00(8|A#^<^«f 1<
^ ^00^ AS<^U S<»]f-rt^ ^ 7^00? 5^7' 40i^ <
9^- ^c- ucW^ ^y^rof G^u<t*l»y — ^G^f_
Employment - Title and duties, current and past (acceptable to attach resume as an a'X^CU(W Wl-ZoU
rM ^ ^n<^(7 C^tU ^<w- ^>^~
;<a
Education - Include professional or vocational licenses or certificates. ^\pc^ ^o Qc^^J.Q. • ^ ho^t-(3^ OA^
^oyofA H^ffifc^

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)

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
YESD
NO
NO
NO

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 | | 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 \\\ NO obligations of the Pasadena Rental Housing Board?
D
NO
D
' Extended Family: any spouse, whether by marriage or not. domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g».

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

10. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
pii rtuy C^^T- /O.Ooo <3»^r /l6o^^^>ii.
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11. How would you add value to the Pasadena Rental Housing Board? fi^wc JA <g^tt fcio^e ^ ^W' -A^ <y< fa^ ^^~/OK) -

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing f^r o^ o^U -^d^ ^ hJjM- j '^Sr^
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13. How would you help to achieve these objectives and goals? iMpdfHJi^ Q'^Lf ^ ^(Lk^Ai^y C^[LCTey
I, ^->MA<J y (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 ^0^ day of J/VipL»A?l^ 20.^
Signed:cilA <^A^•I
Printed Name:C\*0 T^o (ftFTT;^..
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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) ofThe Pasadena Fair and Equitable Housing Charter Amendment (Measure H). Proof of residencymay be established by either of the following:

1. If you are a registered voter, please complete and sign the following declaration and theCity Clerk will verify your signature on file with the Los Angeles County Registrar ofVoters. am a resident of District No.Aof the City of Pasadena
I reside at
CA.

REDACTEDACTEP
y(street), Pasadena,
Signed:
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Printed Name:CW& -w flawr^
u

2. If you are not a registered voter, please provide clear, readable two forms of proof ofresidency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listedbelow (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 tothis 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 anyinstitution or entity that has issued a credit card Insurance documents, including medical, dental, vision, life, home, rental orvehicle Medical documents
A document issued by a U.S. government agency, meaning an entity, office, orauthority 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 TaxBoard (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 ofbirth. If using a foreign school document, it must be sealed by the school andinclude a photograph of the applicant at the age the record was issued. •
•
•
•
•
Change of Address Confirmation by the U.S. Postal Service Property tax bill or statement
Letter attesting that the applicant resides in Pasadena from a homeless shelte,, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
Deed or title to residential real property
Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters Proof of payment of resident tuition at a public institution of higher education in California
An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor Court documents that list the applicant as a resident of Pasadena California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.

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

I
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PASb?•^
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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.

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 Properiiy: 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
1, UfTO '^"V^ ^l<x^7r^ '"p (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 ^^ day of -^WA^
Signed:

Printed Name:
/
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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 I
it
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
Signed:
[^day of ^
niu Au f'^
WCH zoil.

Printed Name:cUAil r~w p^rr
a
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CITY OF PASADENA

NOMINATION PETITION -WORKSHEET
^L.) ^^-
(Name of Candidate)
PM^ 9.^:^ £»
(Office and District or Seat)
Total Signatures
Total OK ^
3Z
Date: 3/Z3/2.-l>
Checked by:.

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