OSTATE OF CALIFORNIA
CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES
C-2 FFATA FINANCIAL DISCLOSURE
OES-FPD-01 1 (Rev. 10-2022)
RECOVERY DIRECTORATE
FINANCIAL PROCESSING DIVISION
Cal OES ID No.:059-57526-00
UEI Number: WN5YQKL2QFZ5
Previous Fiscal Year End Date:6/30/2023
FFATA Financial Disclosure
The Federal Funding Accountability and Transparency Act (FFATA) requires information on federal awards be made available to the public and is submitted by the California Governor's Office of Emergency Services (Cal OES) to www.fsrs.aov . This is done in order that the government be held accountable for each spending decision. As a subrecipient of federal funds, you will be unable to draw down funds until this signed form is returned to Cal OES.
The Total Compensation and Names of the top five executives must be reported in the table on this form if your business or organization meets both of the following criteria:
a) 80% or more of annual gross revenues are from Federal awards (contracts, sub- contracts, and Federal financial assistance), and $25,000,000 or more in annual gross revenues from Federal awards; and,
b) Compensation information is not already available through reporting to the Securities and Exchange Commission.
If your business or organization does NOT meet BOTH criteria, check the box below, sign, and return to Cal OES Financial Processing Unit.
Not subject to FFATA Financial Disclosure.
Executive Name
Title
Annual
Salary
Annual Dollar
Value of Benefits
Total
Compensation
1, Damien R. Arrula
Printed Name of Authorized Agent
City of Placentia
Entity Name
and correct.
City Administrator
Title of Authorized Agent
, do hereby certify, as the authorized agent of
, the information contained in this document is true
Signature of Authorized Agent Date
Rev. 10-2022
OES-FPD-01 1