Monthly Expenditure Report

82
Monthly Expenditure Report Monthly Cash Reconciliation Beginning Balance Total Spent Remaining Balance Outstanding Commitments Net Available $18234.24 $3595.44 $14638.80 $2000.00 $0.00 $12638.80 Monthly Cash Flow Analysis Budget Category Adopted Budget Total Spent this Month Unspent Budget Balance Outstanding Net Available Office $27815.24 $783.07 $6438.80 $0.00 $6438.80 Outreach $1221.07 $0.00 Elections $791.30 $0.00 Community Improvement Project $2500.00 $0.00 $2500.00 $0.00 $2500.00 Neighborhood Purpose Grants $5000.00 $800.00 $2700.00 $2000.00 $700.00 Funding Requests Under Review: $0.00 Encumbrances: $0.00 Previous Expenditures: $20081.00 Expenditures # Vendor Date Description Budget Category Sub-category Total 1 LOS FELIZ LEDGER 03/01/2021 Approval for election info advertising in Los Feliz Ledger General Operations Expenditure Elections $250.00 2 GOOGLE GSUITE_easthol 03/02/2021 Monthly gsuite expense as approved in annual admin packet General Operations Expenditure Office $108.00 3 PAYPAL EASTSIDERLL 03/03/2021 Expenses for advertisement to encourage NC participation in Eastsider publication General Operations Expenditure Elections $99.00 4 FACEBK 732HMYS562 03/05/2021 Facebook advertisement to encourage NC election participation - BAC to be sent separately to Monica. Does not save with vote tallys. General Operations Expenditure Elections $35.00 5 COPYCAT LA 03/05/2021 Printinf of fliers to encourage participation in NC Election General Operations Expenditure Elections $92.65 6 FACEBK JLL54Z2662 03/06/2021 Facebook advertisement to encourage NC election participation - BAC to be sent separately to Monica. Does not save with vote tallys. General Operations Expenditure Elections $35.00 7 FACEBK Z8EH4Z2662 03/06/2021 Facebook advertisement to encourage NC election participation - BAC to be sent separately to Monica. Does not save with vote tallys. General Operations Expenditure Elections $35.00 Reporting Month: March 2021 NC Name: East Hollywood Neighborhood Council Budget Fiscal Year: 2020-2021

Transcript of Monthly Expenditure Report

Monthly Expenditure Report

Monthly Cash Reconciliation

Beginning Balance Total Spent RemainingBalance Outstanding Commitments Net Available

$18234.24 $3595.44 $14638.80 $2000.00 $0.00 $12638.80

Monthly Cash Flow Analysis

Budget Category Adopted Budget Total Spent thisMonth

Unspent BudgetBalance Outstanding Net Available

Office

$27815.24

$783.07

$6438.80

$0.00

$6438.80 Outreach $1221.07 $0.00

Elections $791.30 $0.00

CommunityImprovement Project $2500.00 $0.00 $2500.00 $0.00 $2500.00

Neighborhood PurposeGrants $5000.00 $800.00 $2700.00 $2000.00 $700.00

Funding Requests Under Review: $0.00 Encumbrances: $0.00 Previous Expenditures: $20081.00

Expenditures

# Vendor Date Description BudgetCategory Sub-category Total

1 LOS FELIZ LEDGER 03/01/2021 Approval for election info advertisingin Los Feliz Ledger

GeneralOperationsExpenditure

Elections $250.00

2 GOOGLEGSUITE_easthol 03/02/2021 Monthly gsuite expense as approved

in annual admin packetGeneral

OperationsExpenditure

Office $108.00

3 PAYPAL EASTSIDERLL 03/03/2021Expenses for advertisement toencourage NC participation inEastsider publication

GeneralOperationsExpenditure

Elections $99.00

4 FACEBK 732HMYS562 03/05/2021Facebook advertisement toencourage NC election participation -BAC to be sent separately to Monica.Does not save with vote tallys.

GeneralOperationsExpenditure

Elections $35.00

5 COPYCAT LA 03/05/2021 Printinf of fliers to encourageparticipation in NC Election

GeneralOperationsExpenditure

Elections $92.65

6 FACEBK JLL54Z2662 03/06/2021Facebook advertisement toencourage NC election participation -BAC to be sent separately to Monica.Does not save with vote tallys.

GeneralOperationsExpenditure

Elections $35.00

7 FACEBK Z8EH4Z2662 03/06/2021Facebook advertisement toencourage NC election participation -BAC to be sent separately to Monica.Does not save with vote tallys.

GeneralOperationsExpenditure

Elections $35.00

Reporting Month: March 2021

NC Name: East HollywoodNeighborhood Council

Budget Fiscal Year: 2020-2021

8 MAILCHIMP MISC 03/06/2021Contact management service viamailchimp as approved throughannual admin packet.

GeneralOperationsExpenditure

Office $14.99

9 FACEBK 9QPHNYS562 03/07/2021Facebook advertisement toencourage NC election participation -BAC to be sent separately to Monica.Does not save with vote tallys.

GeneralOperationsExpenditure

Elections $50.00

10 FACEBK NJ95HZN562 03/08/2021Facebook advertisement toencourage NC election participation -BAC to be sent separately to Monica.Does not save with vote tallys.

GeneralOperationsExpenditure

Elections $75.00

11 FACEBK QS328ZA662 03/09/2021Facebook advertisement toencourage NC election participation -BAC to be sent separately to Monica.Does not save with vote tallys.

GeneralOperationsExpenditure

Elections $75.00

12 SITEGROUNDHOSTING 03/09/2021 EHNC web hosting annual fee as

approved by admin packetGeneral

OperationsExpenditure

Office $179.88

13 FACEBK Z29FSZJ662 03/11/2021Social media advertising toencourage election participation, asother facebook expenses in March of2021

GeneralOperationsExpenditure

Elections $44.65

14 DANNYCOHEN.DESIGN 03/15/2021 Website design support as approvedin FY 20-21 admin packet

GeneralOperationsExpenditure

Office $310.00

15 AMZN MKTP USYW33199F3 03/17/2021

PPE Materials for volunteerssupporting produce distribution eventto low-income community members.

GeneralOperationsExpenditure

Outreach $76.18

16 COPYCAT LA 03/17/2021Printing of tenant support informationfliers in community for communityinformational outreach approved byboard.

GeneralOperationsExpenditure

Outreach $26.16

17 AMZN Mktp US4S5TS8573 03/18/2021

PPE Materials for volunteerssupporting produce distribution eventto low-income community members.

GeneralOperationsExpenditure

Outreach $67.86

18 AMZN Mktp USC22A94YB3 03/18/2021

PPE Materials for volunteerssupporting produce distribution eventto low-income community members.

GeneralOperationsExpenditure

Outreach $40.40

19 AMZN Mktp US3C6LF34B3 03/18/2021

PPE Materials for volunteerssupporting produce distribution eventto low-income community members.

GeneralOperationsExpenditure

Outreach $40.47

20 EXTRA SPACE 0353 03/27/2021 Monthly storage space payment asapproved in annual admin packet

GeneralOperationsExpenditure

Office $170.20

21 Quien es tu Vecindario 02/23/2021Approval of a second NPG to supportQuien es tu vecindario to fundmarketing materials associated withredlining education event.

NeighborhoodPurposeGrants

$300.00

22 Quien es tu Vecindario 03/03/2021NPG of $500 approved to supportmarketing of digital east hollywoodRedlining education event

NeighborhoodPurposeGrants

$500.00

23 The Laundry Truck LA 02/17/2021

Approval of up to $970 for servicesprovided by The Laundry Truck toprovide laundry washing services topeople experiencing homelessnessat The Hope Center during EHNC'sfree haircu...

GeneralOperationsExpenditure

Outreach $970.00

Subtotal: $3595.44

Outstanding Expenditures

# Vendor Date Description Budget Category Sub-category Total

1Barnsdall ArtsFriends of the

Junior Arts Council03/03/2021 Approval of NPG for 2000 dollars

by Friends of the...NeighborhoodPurpose Grants $2000.00

Subtotal: Outstanding $2000.00

THE LAUNDRY TRUCK LA INVOICE340 S. AVENUE 17, SUITE BLOS ANGELES, CA 90031(818) 489-1732 INVOICE # DATE

12/28/20

BILL TO CUSTOMER ID TERMS

East Hollywood Neighborhood Council Due Upon Receipt

DESCRIPTION QTY-DAYS UNIT PRICE AMOUNT

LAUNDRY TRUCK COST FOR 1 SERVICE DAY $ 970.00

AT HOPE CENTER ON 10/27/20 $ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

TOTAL $ 970.00

If you have any questions about this invoice, please contactAngelica Naccarati - [email protected]

1

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No: Board Motion and/or Public Benefit Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

10/19/2020

East Hollywood Neighborhood Council 10/19/2020

2020/2021 IX. D.

Approval of up to $970 to bring The Laundry Truck to the upcoming Free Haircuts event,bringing laundry services to people experiencing homelessness at The Hope Center.

Arasele Torrez Dist. 6 Rep XNinoska Suarez Vice President/At-Large Rep XRogelio Pardo Treasurer/Dist. 3 Rep XJeff Zarrinnam Corresponding Treasurer/Business Rep X

Chelsea Mottern Faith Representative XFaye Altobar Corresponding Secretary/Comm. Srv. Rep

Daniel Strongman Dist. 1 Rep XShahan Suzmeyan Public Safety Rep X

Lynn Campbell Arts/Culture Rep XDoug Haines Tenant Rep XJillian Schultz Property Owner Rep XKyle Gregory At Large Rep X

Lisa Scott Dist. 2 Rep XJasmin Torres Youth Rep XKevin Acevedo Student Rep XJeffrey Maloney Homeless & Displacement Rep. XSkylar Summers Dist. 5 Rep XLucine Poturyan Dist. 4 Rep X

Yes 8 3 3 1 2

Rogelio Pardo10/19/2020

THE LAUNDRY TRUCK LA INVOICE340 S. AVENUE 17, SUITE BLOS ANGELES, CA 90031(818) 489-1732 INVOICE # DATE

12/28/20

BILL TO CUSTOMER ID TERMS

East Hollywood Neighborhood Council Due Upon Receipt

DESCRIPTION QTY-DAYS UNIT PRICE AMOUNT

LAUNDRY TRUCK COST FOR 1 SERVICE DAY $ 970.00

AT HOPE CENTER ON 10/27/20 $ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

TOTAL $ 970.00

If you have any questions about this invoice, please contactAngelica Naccarati - [email protected]

1

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No: Board Motion and/or Public Benefit Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

10/19/2020

East Hollywood Neighborhood Council 10/19/2020

2020/2021 IX. D.

Approval of up to $970 to bring The Laundry Truck to the upcoming Free Haircuts event,bringing laundry services to people experiencing homelessness at The Hope Center.

Arasele Torrez Dist. 6 Rep XNinoska Suarez Vice President/At-Large Rep XRogelio Pardo Treasurer/Dist. 3 Rep XJeff Zarrinnam Corresponding Treasurer/Business Rep X

Chelsea Mottern Faith Representative XFaye Altobar Corresponding Secretary/Comm. Srv. Rep

Daniel Strongman Dist. 1 Rep XShahan Suzmeyan Public Safety Rep X

Lynn Campbell Arts/Culture Rep XDoug Haines Tenant Rep XJillian Schultz Property Owner Rep XKyle Gregory At Large Rep X

Lisa Scott Dist. 2 Rep XJasmin Torres Youth Rep XKevin Acevedo Student Rep XJeffrey Maloney Homeless & Displacement Rep. XSkylar Summers Dist. 5 Rep XLucine Poturyan Dist. 4 Rep X

Yes 8 3 3 1 2

Rogelio Pardo10/19/2020

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No: Board Motion and/or Public Benefit Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total: We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Ninoska Suárez
1/25/2021

Neighborhood Council Funding Program

This form is to be completed by the applicant seeking the Neighborhood Purposes Grant and submitted to the Neighborhood Council from whom the grant is being sought. All applications for grants must be reviewed and approved in a public meeting. Upon approval of the application the Neighborhood Council (NC) shall submit the application along with all required documentation to the Office of the City Clerk, NC Funding Program.

Name of NC from which you are seeking this grant: ________________________________________________________

SECTION I- APPLICANT INFORMATION

1a)

1b)

1c)

Organization Name Federal I.D. # (EIN#) State of Incorporation Date of 501(c)(3) Status (if applicable)

Organization Mailing Address City State Zip Code

Business Address (If different) City State Zip Code

1d) PRIMARY CONTACT INFORMATION:

Name

2) Type of Organization- Please select one:

Phone Email

Public School (not to include private schools) or 501(c)(3) Non-Profit (other than religious institutions) Attach Signed letter on School Letterhead Attach IRS Determination Letter

3) Name / Address of Affiliated Organization (if applicable) City State Zip Code

SECTION II - PROJECT DESCRIPTION

4) Please describe the purpose and intent of the grant.

5) How will this grant be used to primarily support or serve a public purpose and benefit the public at-large. (Grants cannot be used as rewards or prizes for individuals)

The purpose of this grant is to help cover the cost of 40 posters marketing our organization's Redliningpanel series on March 4, March 11 and March 18. The quote for 40 posters is attached.

Our arts and education campaign, for which we will place these posters at 40 legacy businesses in East Hollywood, will provide different stakeholders in the community the opportunity to speak about and consider the past, present and future of East Hollywood with fellow neighbors/stakeholders.

Quien Es Tu Vecindario 85-2097857 CA

4226 Burns Avenue, Apt 3 Los Angeles CA 90029

Jimmy Recinos (323) 497-6001 [email protected]

East Hollywood NC

Personnel Related Expenses Requested of NC Total Projected Cost $ $ $ $ $ $ Non-Personnel Related Expenses Requested of NC Total Projected Cost $ $ $ $ $ $

SECTION III - PROJECT BUDGET OUTLINE You may also provide the Budget Outline on a separate sheet if necessary or requested.

6a)

6b)

7) Have you (applicant) applied to any other Neighborhood Councils requesting funds for this project? No Yes If Yes, please list names of NCs: ________________________________________________

8) Is the implementation of this specific program or purpose described in Question 4 contingent on any other factors or

sources or funding? (Including NPG applications to other NCs) No Yes If Yes, please describe:

Source of Funding Amount Total Projected Cost $ $ $ $ $ $

9) What is the TOTAL amount of the grant funding requested with this application: $__________________

10a) Start date: ____/____/____ 10b) Date Funds Required: ____/____/____ 10c) Expected Completion Date: ____/____/____(After completion of the project, the applicant should submit a Project Completion Report to the Neighborhood Council)

SECTION IV - POTENTIAL CONFLICTS OF INTEREST

11a) Do you (applicant) have a current or former relationship with a Board Member of the NC? No Yes If Yes, please describe below: Name of NC Board Member Relationship to Applicant

11b) If yes, did you request that the board member consult the Office of the City Attorney before filing this application?

Yes No *(Please note that if a Board Member of the NC has a conflict of interest and completes this form, or participates in the discussion and voting of this NPG, the NC Funding Program will deny the payment of this grant in its entirety.)

SECTION V - DECLARATION AND SIGNATURE I hereby affirm that, to the best of my knowledge, the information provided herein and communicated otherwise is truly and accurately stated. I further affirm that I have read the documents "What is a Public Benefit," and "Conflicts of Interest" of this application and affirm that the proposed project(s) and/or program(s) fall within the criteria of a public benefit project/program and that no conflict of interest exist that would prevent the awarding of the Neighborhood Purposes Grant. I affirm that I am not a current Board Member of the Neighborhood Council to whom I am submitting this application. I further affirm that if the grant received is not used in accordance with the terms of the application stated here, said funds shall be returned immediately to the Neighborhood Council.

12a) Executive Director of Non-Profit Corporation or School Principal - REQUIRED*

PRINT Name Title Signature Date

12b) Secretary of Non-profit Corporation or Assistant School Principal - REQUIRED*

PRINT Name Title Signature Date

* If a current Board Member holds the position of Executive Director or Secretary, please contact the NC Funding Program at (213) 978-1058 or [email protected] for instructions on completing this form

PAGE 2 NCFP 107

Printing costs for posters to be placed at differentbusinesses in East Hollywood.

300.00 300.00

0.00

3 7 21 73 21 3 18 21

Jimmy Recinos 2-18-21

2-18-21Kryzia Monroy

0.00

300.00

Executive Director

Secretary

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No:

Board Motion and/or Public Benefit

Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement

Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public

meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public

meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

12/21/2020

Neighborhood Council Funding Program

This form is to be completed by the applicant seeking the Neighborhood Purposes Grant and submitted to the Neighborhood Council from whom the grant is being sought. All applications for grants must be reviewed and approved in a public meeting. Upon approval of the application the Neighborhood Council (NC) shall submit the application along with all required documentation to the Office of the City Clerk, NC Funding Program.

Name of NC from which you are seeking this grant: ________________________________________________________

SECTION I- APPLICANT INFORMATION

1a)

1b)

1c)

Organization Name Federal I.D. # (EIN#) State of Incorporation Date of 501(c)(3) Status (if applicable)

Organization Mailing Address City State Zip Code

Business Address (If different) City State Zip Code

1d) PRIMARY CONTACT INFORMATION:

Name

2) Type of Organization- Please select one:

Phone Email

Public School (not to include private schools) or 501(c)(3) Non-Profit (other than religious institutions) Attach Signed letter on School Letterhead Attach IRS Determination Letter

3) Name / Address of Affiliated Organization (if applicable) City State Zip Code

SECTION II - PROJECT DESCRIPTION

4) Please describe the purpose and intent of the grant.

5) How will this grant be used to primarily support or serve a public purpose and benefit the public at-large. (Grants cannot be used as rewards or prizes for individuals)

The purpose of this grant is to help cover the cost of 40 posters marketing our organization's Redliningpanel series on March 4, March 11 and March 18. The quote for 40 posters is attached.

Our arts and education campaign, for which we will place these posters at 40 legacy businesses in East Hollywood, will provide different stakeholders in the community the opportunity to speak about and consider the past, present and future of East Hollywood with fellow neighbors/stakeholders.

Quien Es Tu Vecindario 85-2097857 CA

4226 Burns Avenue, Apt 3 Los Angeles CA 90029

Jimmy Recinos (323) 497-6001 [email protected]

East Hollywood NC

Personnel Related Expenses Requested of NC Total Projected Cost $ $ $ $ $ $ Non-Personnel Related Expenses Requested of NC Total Projected Cost $ $ $ $ $ $

SECTION III - PROJECT BUDGET OUTLINE You may also provide the Budget Outline on a separate sheet if necessary or requested.

6a)

6b)

7) Have you (applicant) applied to any other Neighborhood Councils requesting funds for this project? No Yes If Yes, please list names of NCs: ________________________________________________

8) Is the implementation of this specific program or purpose described in Question 4 contingent on any other factors or

sources or funding? (Including NPG applications to other NCs) No Yes If Yes, please describe:

Source of Funding Amount Total Projected Cost $ $ $ $ $ $

9) What is the TOTAL amount of the grant funding requested with this application: $__________________

10a) Start date: ____/____/____ 10b) Date Funds Required: ____/____/____ 10c) Expected Completion Date: ____/____/____(After completion of the project, the applicant should submit a Project Completion Report to the Neighborhood Council)

SECTION IV - POTENTIAL CONFLICTS OF INTEREST

11a) Do you (applicant) have a current or former relationship with a Board Member of the NC? No Yes If Yes, please describe below: Name of NC Board Member Relationship to Applicant

11b) If yes, did you request that the board member consult the Office of the City Attorney before filing this application?

Yes No *(Please note that if a Board Member of the NC has a conflict of interest and completes this form, or participates in the discussion and voting of this NPG, the NC Funding Program will deny the payment of this grant in its entirety.)

SECTION V - DECLARATION AND SIGNATURE I hereby affirm that, to the best of my knowledge, the information provided herein and communicated otherwise is truly and accurately stated. I further affirm that I have read the documents "What is a Public Benefit," and "Conflicts of Interest" of this application and affirm that the proposed project(s) and/or program(s) fall within the criteria of a public benefit project/program and that no conflict of interest exist that would prevent the awarding of the Neighborhood Purposes Grant. I affirm that I am not a current Board Member of the Neighborhood Council to whom I am submitting this application. I further affirm that if the grant received is not used in accordance with the terms of the application stated here, said funds shall be returned immediately to the Neighborhood Council.

12a) Executive Director of Non-Profit Corporation or School Principal - REQUIRED*

PRINT Name Title Signature Date

12b) Secretary of Non-profit Corporation or Assistant School Principal - REQUIRED*

PRINT Name Title Signature Date

* If a current Board Member holds the position of Executive Director or Secretary, please contact the NC Funding Program at (213) 978-1058 or [email protected] for instructions on completing this form

PAGE 2 NCFP 107

500.00Printing costs for posters to be placed at differentbusinesses in East Hollywood.

500.00

500.00

3 7 21 3 7 21 3 18 21

Jimmy Recinos

Kryzia Monroy

2/18/21

2/18/21

0.00 0.00

Executive Director

Secretary

3/15/2021 East Hollywood Neighborhood Council Mail - Fwd: Sales Receipt

https://mail.google.com/mail/u/1?ik=03c83cf774&view=pt&search=all&permthid=thread-f%3A1694367817826469391&simpl=msg-f%3A1694367817826469391 1/3

Rogelio Pardo <[email protected]>

Fwd: Sales Receipt 1 message

Jeff Zarrinnam <[email protected]> Mon, Mar 15, 2021 at 11:11 PMTo: Rogelio Pardo <[email protected]>

Vaya con Dios,

Jeff ZarrinnamEHNC Board MemberCorresponding TreasurerBusiness RepresentativeExecutive CommitteePLUM CommitteeBudget & Finance CommitteeBusiness CommitteeEast Hollywood Neighborhood Council

Mobile: 323-208-2267

Sent from my iPhone

Begin forwarded message:

From: SiteGround <[email protected]> Date: March 9, 2021 at 2:34:19 AM PST To: [email protected]: Sales Receipt

Order Details

3/15/2021 East Hollywood Neighborhood Council Mail - Fwd: Sales Receipt

https://mail.google.com/mail/u/1?ik=03c83cf774&view=pt&search=all&permthid=thread-f%3A1694367817826469391&simpl=msg-f%3A1694367817826469391 2/3

Date: 2021-03-09

Order ID: R6362802

Transaction ID: 821578163731415375

Payment Method: MasterCard *5122

Product Description Qty Price

Renewal: 1 Year StartUp Hosting (USADC) - Hosting Plan

1 179.88 USD

Total Paid: 179.88 USD

Billing Details

Cardholder Name: Jeff Zarrinnam

Email: [email protected]

Phone: 3232082267

Address: 1160 North Vermont Avenue

City: Los Angeles

ZIP Code: 90029

State/Province: CA

Country: United States

Renewal sales are final.

3/15/2021 East Hollywood Neighborhood Council Mail - Fwd: Sales Receipt

https://mail.google.com/mail/u/1?ik=03c83cf774&view=pt&search=all&permthid=thread-f%3A1694367817826469391&simpl=msg-f%3A1694367817826469391 3/3

The SiteGround service(s) listed above are provided on a subscription basis withongoing renewal payments. If the auto-renewal option is on, it is set automatically forthe same period as your last service renewal. Renewal settings can be managed inthe SiteGround Client area.

To get an invoice for this purchase, please visit your SiteGround Customer Area >Billing section.

Thank you for choosing SiteGround.com!

SG Hosting Inc. 901 N. Pitt St, Suite 325, Alexandria 22314 VA, USA

3/31/2021 East Hollywood Neighborhood Council Mail - Payment Confirmation: Thank you for your payment.

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Date: 3/27/2021 7:11:10 AM

Amount: $170.20

AccountNumber: 1006326471

Unit Number: 4235

Rogelio Pardo <[email protected]>

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3/31/2021 East Hollywood Neighborhood Council Mail - Payment Confirmation: Thank you for your payment.

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© 2018 Extra Space Storage LLC.

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Transaction ID3527160374061649-7341980

Product TypeFacebook

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$50.00 USDYou're being billed because you reached your $50.00 billing threshold.

Campaigns

EHNC Elections

From Mar 5, 2021, 2:00 PM to Mar 6, 2021, 9:45 PM$50.00

EHNC Ads 5,705 Impressions $50.00

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Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No:

Board Motion and/or Public Benefit

Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement

Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public

meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public

meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

12/21/2020

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No:

Board Motion and/or Public Benefit

Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement

Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public

meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public

meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

12/21/2020

Receipt for Kyle GregoryAccount ID: 212996105

Invoice/Payment DateMar 7, 2021, 10:13 PM

Payment MethodMasterCard*9239Reference Number: NJ95HZN562

Transaction ID3620173101427041-7346781

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Facebook, Inc.1601 Willow RoadMenlo Park, CA 94025-1452United States United States

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Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No:

Board Motion and/or Public Benefit

Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement

Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public

meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public

meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

12/21/2020

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No:

Board Motion and/or Public Benefit

Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement

Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public

meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public

meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

12/21/2020

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Receipt for Kyle GregoryAccount ID: 212996105

Invoice/Payment DateMar 11, 2021, 1:35 AM

Payment MethodMasterCard*9239Reference Number: Z29FSZJ662

Transaction ID3652720974838927-7362972

Product TypeFacebook

Paid

$44.65 USDAd spend since Mar 8, 2021.

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Facebook, Inc.1601 Willow RoadMenlo Park, CA 94025-1452United States United States

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Danny Cohen Design Receipt

4000 Sunset Dr.

Los Angeles CA 90027

United States

+1 202-997-1776

Receipt number 2324-1872

Invoice number EHNC-0011

Date paid March 15, 2021

Payment method – 9239

Paid by

East Hollywood Neighborhood Council

P.O. Box 292359

Los Angeles, California 90027

United States

+13236393462

[email protected]

Shipped to

East Hollywood Neighborhood Council

P.O. Box 292359

Los Angeles, California 90027

United States

+13236393462

$310.00 paid on March 15, 2021

Thank you for your business!

Description Qty Unit price Amount

MAR 12 – APR 12, 2021

Website Maintenance & Service (EHNC) 1 $310.00 $310.00

Subtotal $310.00

Amount paid $310.00

Please let me know if you have any questions or concerns — [email protected]

Questions? Call Danny Cohen Design at +12029971776. 2324-1872 – Page 1 of 1

3/15/2021 Amazon.com - Order 111-9010196-7398645

https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=111-9010196-7398645 1/1

Item(s) Subtotal: $69.56Shipping & Handling: $0.00

-----Total before tax: $69.56

Estimated tax to be collected: $6.62 -----

Grand Total:$76.18

Details for Order #111-9010196-7398645 Print this page for your records.

Order Placed: March 15, 2021Amazon.com order number: 111-9010196-7398645Order Total: $76.18

Not Yet Shipped

Items Ordered Price2 of: Medpride Medical Vinyl Examination Gloves (Medium, 100-Count) Latex Free Rubber| Disposable, Ultra-Strong, Clear | Fluid, Blood, Exam, Healthcare, Food Handling Use |No PowderSold by: HLmedical (seller profile) Condition: New

$14.79

2 of: Forehead Thermometer for Adults, The Non Contact Infrared Baby Thermometer forFever, Body Thermometer and Surface Thermometer 2 in 1 Dual Mode MedicalThermometerSold by: LPOW (seller profile) Condition: New

$19.99

Shipping Address: Ninoska Suarez640 1/2 N Westmoreland AveLos Angeles, CA 90004United States

Shipping Speed: Amazon Day Delivery

Payment informationPayment Method: MasterCard | Last digits: 9239 Billing addressNinoska Suarez640 1/2 N Westmoreland AveLos Angeles, CA 90004United States

To view the status of your order, return to Order Summary.

Conditions of Use | Privacy Notice © 1996-2021, Amazon.com, Inc. or its affiliates

Jeff Zarrinnam07/20/2020

3/15/2021 Amazon.com - Order 111-4196060-8991457

https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o01?ie=UTF8&orderID=111-4196060-8991457 1/1

Item(s) Subtotal: $61.98Shipping & Handling: $0.00

-----Total before tax: $61.98

Estimated tax to be collected: $5.88 -----

Grand Total:$67.86

Details for Order #111-4196060-8991457 Print this page for your records.

Order Placed: March 15, 2021Amazon.com order number: 111-4196060-8991457Order Total: $67.86

Not Yet Shipped

Items Ordered Price2 of: Purell Advanced Hand Sanitizer with Refreshing Aloe 33.8 oz (Pack of 2)Sold by: FLOWER OF LIFE ENTERPRISE INC (seller profile) Condition: New

$30.99

Shipping Address: Ninoska Suarez640 1/2 N Westmoreland AveLos Angeles, CA 90004United States

Shipping Speed: Economy Shipping

Payment informationPayment Method: MasterCard | Last digits: 9239 Billing addressNinoska Suarez640 1/2 N Westmoreland AveLos Angeles, CA 90004United States

To view the status of your order, return to Order Summary.

Conditions of Use | Privacy Notice © 1996-2021, Amazon.com, Inc. or its affiliates

Jeff Zarrinnam07/20/2020

Jeff Zarrinnam

07/20/2020

Jeff Zarrinnam

07/20/2020

Please return this portion with your payment.

3/1/21 $750.00Online: Top $750.00Sale Ad3/1/21 -$250.00CC #9239 March 2021Pmt Applied

Ad Insertions included in this Invoice

Items: 2

Advertising

Total Balance Due by 3/16/2021

Amount EnclosedRemit Payment to:Los Feliz LedgerNEW ADDRESS:1920 Hillhurst Avenue #104Los Angeles, CA 90027

3/1/2021Invoice Date:

11600Invoice #

1776Account #

Advertising Invoice

Bill to:

Kyle GregoryEast Hollywood Neighborhood CouncilP.O. Box 292359Los Angeles, CA 90029

Sold to: Account ID: 1776Bill to ID: 1776

Date Description AppliedCharge Disc TotalType

Kyle GregoryEast Hollywood Neighborhood CouncilP.O. Box 292359Los Angeles, CA 90029

InvoiceInvoice #

Invoice Date:Terms:

Rep: ACNet 153/1/202111600

$500.00

Please make check payable toLos Feliz Ledger

Thank you for your business. Now our goal is to increase yours.Total Balance Due by 3/16/2021

Total Charges $750.00

$500.00

-$250.00Payments AppliedDiscount

NEW ADDRESS: Los Feliz Ledger1920 Hillhurst Avenue, #104Los Angeles, CA 90027323-741-0019

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No: Board Motion and/or Public Benefit Statement (CIP and NPG):

Method of Payment: (Select One) Check Credit Card Board Member Reimbursement Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total: We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

TheEastsiderLLC

JesusSanchez

Phone:[email protected]

Invoice#:62620InvoiceDate:Mar3,2021

Duedate:Mar3,2021

Amountdue:

$0.00

INVOICE

Paid

BillTo:

[email protected]

Description Quantity Price Amount

SponsoredPostLiteUpto3photosand250words.PublishesSunday.

1 $99.00 $99.00

Subtotal $99.00

Shipping $0.00

Total $99.00

Amountpaid -$99.00

Amountdue $0.00USD

Notes

Thankssomuchforyourbusiness!

TermsandConditions

Advertisermustownorhavetherighttopublishanytext,artworkorphotos.

TheSponsoredPostissubjecttoreviewandfinalapprovalbyTheEastsider.

TheEastsiderdoesnotguaranteefuturewebsite

Scan.Pay.Go

trafficorresponsetoadvertisements.

Locationandsizeofadsmayvarywhendisplayedonmobileandtabletdevicesandemaildigest.

Allsalesarefinal

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No: Board Motion and/or Public Benefit Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total: We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

3/2/2021
Ninoska Suarez

Receipt for Kyle GregoryAccount ID: 212996105

Invoice/Payment DateMar 5, 2021, 9:35 AM

Payment MethodMasterCard*9239Reference Number: 732HMYS562

Transaction ID3523591194418567-7333537

Product TypeFacebook

Paid

$35.00 USDYou're being billed because you reached your $35.00 billing threshold.

Campaigns

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From Mar 4, 2021, 12:00 AM to Mar 5, 2021, 9:34 AM$35.00

EHNC Ads 4,438 Impressions $35.00

Facebook, Inc.1601 Willow RoadMenlo Park, CA 94025-1452United States United States

Powered by TCPDF (www.tcpdf.org)

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No:

Board Motion and/or Public Benefit

Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement

Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public

meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public

meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

12/21/2020

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No:

Board Motion and/or Public Benefit

Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement

Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public

meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public

meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

12/21/2020

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No: Board Motion and/or Public Benefit Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

12/21/2020

Receipt for Kyle GregoryAccount ID: 212996105

Invoice/Payment DateMar 5, 2021, 6:48 PM

Payment MethodMasterCard*9239Reference Number: JLL54Z2662

Transaction ID3574772559300432-7336206

Product TypeFacebook

Paid

$35.00 USDYou're being billed because you reached your $35.00 billing threshold.

Campaigns

EHNC Elections

From Mar 4, 2021, 5:35 PM to Mar 5, 2021, 6:48 PM$35.00

EHNC Ads 4,762 Impressions $35.00

Facebook, Inc.1601 Willow RoadMenlo Park, CA 94025-1452United States United States

Powered by TCPDF (www.tcpdf.org)

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No:

Board Motion and/or Public Benefit

Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement

Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public

meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public

meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

12/21/2020

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No:

Board Motion and/or Public Benefit

Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement

Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public

meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public

meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

12/21/2020

Receipt for Kyle GregoryAccount ID: 212996105

Invoice/Payment DateMar 6, 2021, 7:21 AM

Payment MethodMasterCard*9239Reference Number: Z8EH4Z2662

Transaction ID3576061569171531-7338709

Product TypeFacebook

Paid

$35.00 USDYou're being billed because you reached your $35.00 billing threshold.

Campaigns

EHNC Elections

From Mar 4, 2021, 12:00 AM to Mar 6, 2021, 7:21 AM$35.00

EHNC Ads 4,694 Impressions $35.00

Facebook, Inc.1601 Willow RoadMenlo Park, CA 94025-1452United States United States

Powered by TCPDF (www.tcpdf.org)

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No:

Board Motion and/or Public Benefit

Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement

Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public

meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public

meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

12/21/2020

Office of the City Clerk

Administrative Services Division

Neighborhood Council (NC) Funding Program

Board Action Certification (BAC) Form

NC Name: Meeting Date:

Budget Fiscal Year: Agenda Item No:

Board Motion and/or Public Benefit

Statement (CIP and NPG):

Method of Payment: (Select One) □ Check □ Credit Card □ Board Member Reimbursement

Vote Count

Recused Board Members must leave the room prior to any discussion and may not return to the room until after the vote is complete.

Board Member’s First and Last Name Board Position Yes No Abstain Absent Ineligible Recused

Board Quorum: Total:

We, the authorized signers of the above named Neighborhood Council, declare that the information presented on this form is accurate and complete, and that a public

meeting was held in accordance with all laws, policies, and procedures. The above was approved by the Neighborhood Council Board, at a Brown Act compliant public

meeting where a quorum of the Board was present.

Authorized Signature Authorized Signature:

Print/Type Name: Print/Type Name:

Date: Date:

NCFP 101 BAC Rev020118

Jeff Zarrinnam

12/21/2020