AR 3 ATTACHMENT B District 7_Redacted — Pasadena City Council, April 19, 2023

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APPLICATION FOR APPOINTMENT TC^fttE1*}
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PASADENA RENTAL HOUSING
FORM RHB-001
The information contained on this form will be used by the City CouncUitp;?i^i/aGanci^,pi')|tjhe Pasadena Rental Housing Board. Please answer all questions. You afe ihvifed'to attac'tii 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: ^)C^YW Ofi <^bOV€/J
Email Address:

Business Phone:
^l^dem^ A^qfl6L
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bate Available to Start: IftflHl^iod^
Home Phone: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 '7
^ 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; Pyy^/^^t Alo^u Be^f^r^J ^I^^Fli^zuM, N^o'R^^-frrt^, MA-e-j Mfiwi^-6^^ ^ Dti^^ti^ MeAA/^^i.^rJ ^If'^S^t^-Nlul'6^^rrit7M^ 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. ^A - ^^^ -^si^^ ^ , C^/^-f-iC^ ff^Apf^Y- <V,^^_gA-fr^^-^si}^ ^ , C^i'fi^l^^^^r-^^^, r^^^'f^ ^1 -^f^a^ ^A^ I f^\ J ' F\^jk^ J?. ^AJ

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

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

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

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

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?

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)), •^

9. Are you aware that you may serve no more than eight
consecutive years as a member of the Pasadena Rental
Housing Board?
YESIST^NO Q
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10. Describe your relevant life experience, professional training, and/or education in the following areas: Housjng/Housing Justice/Landlord Tenant Relations^iips/Rgal Estate:
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11 .How would you add value to the Pasadena Rental Housing Bparc|? Z" b/fn^ J^IZvi.^iv^y^no^lj'^^^-P.+^^^Ml^^^ 1^^ ^^b^- ^u Bo^l'. Z: MAA)^ ^l4^^lv^ ^hMl\]M^^ f^^&, /
Lt</na^6{j, ^yoj^r+y ifs^u^^ ^^d 1/^J ^^r^ni^,^.

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board? , , . ^ , . I • r . ( .. F i -.- .
.Z: h^\\Wv^h^^o^ isbtf^q -fTyY-nud-^ intTrrn^-iU^lm/f^A:)l^)^^i^ /iyi'p\YV^ } n+Hcj 1 ^pJ^^^t-AA-iA-^ &(L ^jj pr^H'C^^^rI^ '(\^UU^^/^\V^k^. JM\ V[^ fM^ p|ALM±^ o r ?' n fr^^^Lft-n^ ^ 1-^ i-s « Bl ~
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13. How would you help to achieve these objectives and goals'? ".-^ ", T'vy^l^ F)^p h^\^Jb N^u^ ^)b\^-iJj^^ bU4l^ ^
^ Wy^hji^lw/i^^[Uisi^ ^D h^y^ jse^^ji^ ^/i
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^^^)^^-P^A^ /Qbj^p'ti^^^i'^iM/i^ ^^ r-^Mnvm ind^f/jrrj:^ f^/>^'p^/<x^-(--<>'4^ LJi^l^rr\^ 1, L^-^OyZlh 130 )^i OP (printed name), declare under penalty of perjury under the law of the State of California that frie information reported in this Form RHB-001 is true, accurate, and complete.
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Signed this ^^ day of .

Signed
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Printed Name: ^bor^h
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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.
am a resident of District No- -^ nf ths Citv nf Pasadena I reside at|
cA_3_lio!
REDACTEDREDACTED(street), Pasadena,
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^c^M^J
Printed Name: b ^b^Foln D(/nl^)p
Signed

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

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

Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
Insurance documents, including medical, dental, vision, life, home, rental or vehicle
Medical documents
A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state Mortgage bill
Employment documents
Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
Rental or lease agreement with the signature of the owner/landlord and the 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(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
Op (printed name), declare under penalty of perjury under the law t the of the State of California thatfthe information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.
day of MA^I2th, 20 ^^. Signed this
Signed: ^(^^^^Jt>7(?^^f^-i2^
Printed Name::t)^r£uh ^UY}]D}

CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
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^printed name), declare under penalty of perjury under the law of the State of California that the fdregoing 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 inrtme thnil

3. I reside at the followina address:

Pasadena, California <T(IQ | (zi?

REDACTEDREDACTED
of a tenant.
(street),
w
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 M^^h _, 202-^.

Signed: r^K^Z^^^A^^^^^Z^-^
Printed Name-.^tbor^ T)unlT
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rDEBORAH J. DUNLOP

PROFILE
Experienced, organized and detail-oriented Senior Real Estate Paralegal with 15+ years of experience performing title and survey reviews, and assisting with real estate closings ranging from large commercial multi-state portfolios to residential closings.

EXPERIENCE
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TITLE CURATIVE SPECIALIST, BOSTON NATIONAL TITLE - 2021-2022 Review title to ensure all curative issues are identified and resolved.

Obtain payoffs for mortgages, judgments and liens on title for final clearance.

Confirm legal vesting, tax information, bankruptcy issues and subordinations.

Prepare Deeds, obtain surveys as required and finalize clear-to-close for all title requirements.

INDEPENDENT TITLE EXAMINER-2019-2021
Obtain property reports for residential properties.

Perform title reviews to confirm chain of title and assess encumbrance issues for closings.

Obtain documents from County Recorders, as requested.
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SENIOR PARALEGAL, EXCHANGERIGHT; PASADENA, CA - 2018-2019 Perform title, ALTA survey, zoning reviews to assess issues for closings (with special emphasis on multi-site, multi-state transactions).

Review and summarize commercial, retail and oil and gas leases; assist in preparation of lease amendments, assignments and termination agreements.

Prepare UCC financing statements.

Prepare escrow instruction tetters; assist with closing.

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Conduct post-closing foltow-up; review final title policies; prepare closing document portfolio indices and assemble closing binders; prepare transmittal of post-closing security documents to Lender Counsel.

Prepare organizational documents for Corporations, Limited Liability Companies and Limited Partnerships and manage foreign registrations and filings for all with appropriate states.

SENIOR PARALEGAL, GIBSON DUNN & CRUTCHER LLP; LOS ANGELES, CA - 2017-2018
Perform title, ALTA survey, zoning reviews to assess issues for closings (with special emphasis on multi-site, multi-state transactions).

Review and summarize commercial, retail and oil and gas leases; assist in preparation of lease amendments, assignments and termination agreements.

Obtain Good Standing and Legal Existence Certificates, as required, from all states.

Order and review extensive due diligence search reports from all states and jurisdictions; prepare summaries for all searches.

Prepare UCC financing statements.

Prepare escrow instruction letters; assist with closing.

Conduct post-closing follow-up; review final title policies; prepare closing document portfolio indices and assemble closing binders; prepare transmittat of post-ctosing security documents to Lender Counsel.

Prepare organizational documents for Corporations, Limited Liability Companies and Limited Partnerships and manage foreign registrations and filings for all with appropriate states
SENIOR PARALEGAL, SIDLEY AUSTIN LLP; LOS ANGELES, CA - 2014-2017 Perform title, ALTA survey, zoning reviews to assess issues for closings (with special emphasis on multi-site, multi-state transactions).

Review and summarize commercial, retail and oil and gas leases; assist in preparation of lease amendments, assignments and termination agreements.

Obtain Good Standing and Legal Existence Certificates, as required, from all states.

Order and review extensive due diligence search reports from all states and jurisdictions; prepare summaries for alt searches.

Prepare UCC financing statements.

Prepare escrow instruction letters; assist with closing.

Conduct post-closing follow-up; review final title policies; prepare closing document portfolio indices and assemble closing binders; prepare transmittal of post-closing security documents to Lender Counsel.

Prepare organizational documents for Corporations, Limited Liability Companies and Limited Partnerships and manage foreign registrations and filings for all with appropriate states
SENIOR PARALEGAL, MUNGER TOLLES & OLSON LLP; LOS ANGELES, CA - 2013-2014
Perform title, ALTA survey, zoning reviews to assess issues for closings (with special emphasis on multi-site, multi-state transactions).

Review and summarize commercial, retail and oil and gas leases; assist in preparation of lease amendments, assignments and termination agreements.

Obtain Good Standing and Legal Existence Certificates, as required, from all states.

Order and review extensive due diligence search reports from all states and jurisdictions; prepare summaries for all searches.

Prepare UCC financing statements.

Prepare escrow instruction tetters; assist with closing.

Conduct post-closing follow-up; review final title policies; prepare closing document portfolio indices and assemble closing binders; prepare transmittat of post-closing security documents to Lender Counsel.
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Prepare organizational documents for Corporations, Limited Liability Companies and Limited Partnerships and manage foreign registrations and filings for all with appropriate states

EDUCATION

CALIFORNIA STATE UNIVERSITY, NORTHRIDGE, BA
SKILLS
Microsoft Office; iManage; Wintitle; Ramquest; ABC Conveyancing; Web Pacer; Summation

ASSOCIATIONS
Member of CA Paralegal Association

REFERENCES
Provided upon request.

CITY OF PASADENA

NOMINATION PETITION - WORKSHEET
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(Name of Candidate)
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(Office and District or Seat)
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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 additionalpages, a copy of your resume, or submit supplemental information which you feel may assist theCity Council in its evaluation of your application. Applications will be purged from the City's filesJanuary 31 of each year. If you have not been appointed to the Rental Housing Board and stilldesire to be considered for appointment, please resubmit an updated application, or advise Citystaff in writing that the initial form is still current and can be used for an additional year.

Applicant Name: Y^Y^D^y^L^ ^-nslv^Y^
Home Address:

Mailing Address:

Email Address:

Business Phone:

Home Phone:

REDACTEDREDACTED
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REDACTEDREDACTED) REDACTED
Date Available to Start: 2/1 / ^-^>
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-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. «g
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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. ^C.Vvlor\ ^^^ \n ^•Kc.c.l ^^^ ^-fc^.n^'-^l-^-tef

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

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

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?

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 ser/ing 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
El
&.

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)). •Svs

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

10. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relatioi?ships/Real Estate:
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11. How would you add value to the Pasadena Rental Housing Board? A^ /^ bc^\ ^ ^-p •^\<A\^-T. V^i^c (^ ^^ W^ ^<^^\
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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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13. How would you help to achieve these objectives and goals? Cn^^ ^r< o<c^^fc: 1:-^ / I^M^ ^ <^^ c^' ^<c^ ^^^^
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^Q^m-v^ (printed name), declare under penalty of perjury under the law of\/v<— the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.
}^J>/Ocr^ , 20^ZS.3^ Signed thisday of
^ Signed:A
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1 Printed Name: ^h^^V^ \\y^\^
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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 resi
I reside a
CA ^11
'? of theCity of Pasadena No.ct

REDACTECREDACTED
^zip•?•!•
REDACT
(street), Pasadena,
Signed:^
Printed Name: ^fl^^>A^_ V(:rtin>^
0 •

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, 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 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 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.

Meas u re 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)).

Rental Unit: any building, structure, or pari: 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, ^)€^\Y\^T \^— ^y~\^/y^^- (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form Rh-IB-002 and the attached Form 700 is true, accurate, and complete.
day of J<^rv3a Signed this
Signed:
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4. Printed Name: l^i^^'c^___U'r^('r/}^.4-
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CITY OF PASADENA
Ij Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
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I ^ ^'~)c-{^\"\Syr\ //^Z,.. l".t/'"fe {rV''^-i(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 V^. _ (street),
Pasadena, California ''IjiO^ (zip code)
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:
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Kate Heinemann
Pasadena (open Tn RelncatinnV CA 91106

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Summary
Focused on attentively assisting employees, clients, and principles alike with over 10 years ofadmin and executive assistant experience in retail, non profit, and mid size companies.

Skills
Google suite & Teams
Microsoft office
HRIS Data and Compliance
Labor relations
•
Project management
Advanced administrative support in retail, non profits, and mid size corps
Event coordination & Vendor communication
Master Calendaring
June 2022 to January 2023
Experience
FORMA Brands (Morphe)
Senior Specialist, People Operations
• Handle lifecycle of new hires, promotions, and benefits in HRIS for 300+ person company • Administer office management and event planning
• Own entire people team outbox
• Ensure data integrity and compliance
• Open, organize, and forward all mail to either- general counsel, accounts payable, tax and payroll.

Impact Foundation LA August 2021 to June 2022
Office Manager
• Oversaw all correspondence between clients, vendors, and employees • Maintained impeccable office organization to support efficiency, professionalism and performance objectives • Reduced financial discrepancies by accurately managing accounting documentation while maintaining case costs and billing processes.
• Spearheaded marketing campaigns through project management Smith Family
Executive & Family Assistant
Altadena, CA
• Worked for family of 6, answering to two CEO principles in their home office • Scheduled, coordinated, and note-took for business and family meetings • Executed all travel arrangements (international and domestic) • Assisted other household staff in maintaining home
Created project timelines to keep family and businesses on schedule Prepared agendas, correspondence, and timelines for all vendors January 2018 to June 2022
•
September 2013 to August 2016 New Moon Restaurants
Senior Hostess
• Designed custom private function and banquet packages for business dinners, sales presentations, club meetings, weddings and charity events
• Answered an average of 100 telephone calls for take out and deliveries per shift Exhale March 2012 to January 20 15
Reproductive Justice Volunteer Work
• Traveled to New York, Texas, and Bay Area to teach college students, medical professionals, and social justice advocates about abortion support and access
Education and Training
University Of California, Santa Barbara December 2016
Bachelor of Science: Feminist Studies
Santa Barbara, CA

CITY OF PASADENA

NOMINATION PETITION -WORKSHEET
^^ij2Y;n^-1i/i^^a^v_
(Name of Candidate)
Pfil-te ^^y^d n
(Office and District or Seat)
Total Signatures
Total OK
55 ^
Date:2i^3)|a3
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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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REDACTED

REDACTED
Date Available to Start:_^/Q^
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Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):

Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District
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. <^<& (2-5:s-^e)
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. ^St^ (2 c-5-1/^if)

1. Have you ever worked for the City of Pasadena? (If yes, please YES list dates/department)
/1A^^ ^c?ir-2^^ ^-Ty ^<^t/t.f t~(^e'l^'Zj}-t^}.Pj^^^i^ '^Si££^^ C//,^2-/^^

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

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

5. Do you,or your extended family1 members, have a material 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
B
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?
YES0NOD

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? IS^: ^rr^^)
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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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13. Hpw would you help to achieve these objectives and goals?>w would you L^€. ^-rr^/f^
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fpfif^t^ (printed name), declare under penalty of perjury under the law of |I, T€ the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.

Signed this ^)'t^ day of AMUif.._, 20^5 .

Signed^ ^ i^n^yf^
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Printed Name: / ^ft^ fpfi^^
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TERRY TORNEK APPLICATION FOR PASADENA RENTAL HOUSING BOARD 2023HAR21 AH11=45
Response 10:1 spent my first 16 years in a rent-controlled apartment in Brooklyn, New York and,, I have always had an active interest in housing policy.

My first job after the Army was in the US Dept. of Housing and Urban Development and led to graduate training in Urban Planning with a housing policy emphasis. While at Columbia, I volunteered with a neighborhood group in Harlem to acquire and renovate abandoned housing.

After graduate school I became Planning Director in Springfield, MA., an aging City approximately the same size as Pasadena, suffering with a significant housing abandonment crisis. I also served on the Board of Neighborhood Housing services working with neighborhood residents in the Model Cities areas to rehabilitate abandoned and substandard housing.

After leaving city employment I was the Director of a planning consultant group with city and non-profit clients throughout New England and western NY State. This included significant efforts in Buffalo which led to the development of the first new Downtown housing in several decades.

Later, as Pasadena Planning Director I was involved in every aspect of Housing planning and Policy. After leaving City government, I remained as a Board Member of Pasadena Neighborhood Housing Services for nearly 20 years working on rehabilitation and production of affordable housing in NW Pasadena. I then served as a Board member of LINC Housing, a non- profit which has produced more than 5,000 affordable units statewide.

This housing emphasis continued during my tenure on the City Council and as Mayor. However, in retrospect, I should have pushed harder for the creation of a Housing Commission to advocate for tenant and affordable housing production.

Response 11: The housing experience outlined above would be of value to the Board along with my familiarity with City government, management of non-profit organizations and creation of new quasi-governmental entities (formation of the Lower Pioneer Valley Regional Transit Authority). While I did not support the Rent Control Charter Amendment, now that the Voters have spoken, it is imperative for the City and for Renters who constitute a majority of its residents, that the process is successful. I believe that my experience, reputation and broad contacts can help achieve that success.
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Responsel2: The Board's primary objectives and goals are to minimize displacement, reduce excessive rent increases and maintain equity in the rental marketplace for Tenants and Landlords within the parameters established in the Charter Amendment. Also, to develop transparency in the rental marketplace and a fair, efficient decision-making process to resolve potential conflicts within the letter and the spirit of the Charter Amendment.

Response 13: My expertise in housing, governmental operations and organizational principles can help in the design of procedures and practices in this new organization.

My experience in hiring and staffing both in the private and public sectors can be useful in the recruitment, selection and training of its new staff within appropriate budgetary limits.

My record of service in Pasadena and network of contacts throughout the City could be valuable to establishing credibility for this vital new entity and in public outreach to those who support its efforts and those who may have opposed them.

PASb?^
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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 resicteatoUBaliiflhAto-2.

I reside at
CA ^d£?^ (zip code).

REDACTED
_ofthe City of Pasadena ^(,
(street), Pasadena,
^ )i Signed:

Printed Name:
^t^£<^_
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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 (Cal. Code Regs. tit. 13, § 17.00 and § 15.01 (d)).

Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
• Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
Insurance documents, including medical, dental, vision, life, home, rental or vehicle
Medical documents
A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state Mortgage bill
Employment documents
Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
Rental or lease agreement with the signature of the owner/landlord and the (^ tenant/resident
School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of biri:h. 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. •"5
•
•
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.

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

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

CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1, / <?A<?>7 /OfivJe"^ _ (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 "?/J£t" da^of A/l^/2^/-
/ y>-^7^_
_, 2Q25'.

Signed:

Printed Name: "^S^-7 ~7op-ft^^
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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),
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^|LS^
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.

Signed this o<'/'^ day of AA4-f^1f--
Signed: ^^ £ /t"-
, 20^3.

Printed Name: ^<tf^<i '~Tc&^f-^
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TERRY TORNEK BIOGRAPHY - 3/23
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Terry Tornek was bom and raised in Brooklyn, New York, He ^e^:/e^l^e%^i\^ of FLatbush and Erasmus Hall High School where he met his future wife, Maria Mascoli and served as President of the New York City Student Gouncil." ?••,. ^ u
Terry graduated cum laude from Princeton University's School of Public and International Affairs,
After marrying and serving in the US Army National Guard (Airborne), Terry worked for the US Dept. of Housing and Urban Development and then earned a Masters of Science rn Urban Planning from Columbia University's School of Architecture while Maria was a bi-LinguaL public school teacher on the Lower East Side, Maria and Terry moved to Springfield, Mass, where he served as Planning Director, Administrator of the Pioneer Valley Regional Transit Authority and as a planning consultant. Their three children, Joshua, Jessica and Rachel were bom in Springfield, where Terry was also elected to the City Council and Maria continued to teach.

In 1982 the family moved to Pasadena where Terry accepted the position of Planning Director. He was hired because of his history of neighborhood improvement and historic preservation. Terry served for 3 years and helped to rewrite the Zoning Ordinance, the General Plan and establish the redevelopment plan for Old Pasadena.

After leaving city government, Terry built a career in real estate as a developer and manager of residential and commerciaL properties alt over Southern California as Senior Executive Vice President for a large Japanese development company before founding his own company to own and manage garden office projects. He remained active in Pasadena through his 20- year service as a Board Member of Pasadena Neighborhood Housing Services, a non-profit organization devoted to affordable housing in Northwest Pasadena.

In 2005 Sid TyLer appointed Terry to the Planning Commission. He also served as a member of the Design Commission. He was elected to represent District 7 on the City Council in April 2009, was reelected in 2013 and was then elected as Mayor in April, 2015 serving until December, 2020, Terry also served on the Board of LINC Housing (2009-2016) and as an Adjunct Professor in the Sol Price School at USC.

As Mayor, he was Chairman of the Finance and Legislative Policy Committees, a member of the Municipal Services and Public Safety Committees, the City Council appointee to the Fire and Police Retirement Board, and a member of the Burbank Airport Authority and the LA County Sanitation District. He was deeply involved in the City's finances, affordable housing and the City's planning and development decision-making process, He also initiated the creation of the One Arroyo effort, Sales Tax measures I and J and the creation of the Community Police Oversight Commission.

Since Leaving office, he has served on the Pasadena Redistricting Commission, the Committee to renew the Library Parcel Tax, the Young and Healthy Advisory Board and the Pasadena Jewish TempLe and Center Board of Directors.

Terry and his wife Maria have been married for 55 years. They are blessed with 3 children and 7 grandchildren aLL living in Southern California,

CITY OF PASADENA

NOMINATION PETITION - WORKSHEET
«•</ 'Tc^AtlC
(Name of Candidate)
P^W M U^^
(Office and District or Seat)j
Total Signatures
Total OK '2<7
3r
Date: 3/2-3 J^
Checked by: GS

Pasadena City CouncilApril 19, 2023

Pasadena City Council
April 19, 2023