This form must be completed by participants in a proceeding involving a license, permit, or other entitlement for use. (Please see next page for definitions of these terms.)

Important Notice

Basic Provisions of Government Code Section 84308

1. If you are a participant in a proceeding involving a license, permit, or other entitlement for use, you are prohibited from making a campaign contribution of more than $250 to any commissioner or his or her alternate. This prohibition begins on the date you begin to actively support or oppose an application for a license, permit, or other entitlement for use pending before the SF LAFCO, and continues until three months after a final decision is rendered on the application or proceeding by the SF LAFCO.

No commissioner or alternate may solicit or accept a campaign contribution of more than $250 from you and/or your agent during this period if the commissioner or alternate, knows or has reasons to know that your are a participant.

2. The attached disclosure form must be filed if you or your agent have contributed more than $250 to any commissioner or alternate for the SF LAFCO during the 12-Month period preceding the beginning of your active support or opposition. (The disclosure form will assist the commissioners in complying with the law.)

3. If you or your agent have made a contribution of more than $250 to any commissioner or alternate during the I2 months preceding the decision in the proceeding, that commissioner must disqualify himself or herself from the decision. However, disqualification is not required if the commissioner or alternate returns the campaign contribution within 30 days of learning both about the contribution and the fact you are a participant in the proceeding.

This form should be completed and filed the first time that you lobby in person, testify in person before, or otherwise directly act to influence the vote of the members of the SF LAFCO.

1. An individual or entity is a "participant" in a proceeding involving an application for a license, permit or other entitlement for use if:

A. The individual or entity is not an actual party to the proceeding, but does have a significant financial interest in the SF LAFCO's decision in the proceeding.

AND

B. The individual or entity, directly or through an agent, does any of the following:

1. Communicates directly, either in person or in writing, with a member of the SF LAFCO

for the purpose of influencing the member's vote on the application.

2. Communicates with an employee of the SF LAFCO for the purpose of influencing a Commissioner's vote on the application; or

3. Testifies or makes an oral statement before the SF LAFCO during a proceeding on a license, permit or other entitlement for use for the purpose of influencing the decision of the SF LAFCO.

2. A proceeding involving "a license, permit or other entitlement for use" includes all business, professional, trade and land use licenses and permits and all other entitlements for use, including all entitlements for land use, all contracts (other than competitively bid, labor or personal employment contracts) and all franchises.

3. Your "agent" is someone who represents you in connection with a proceeding involving a license, permit or other entitlement for use. If an agent is acting as an employee or member of a law, architectural, engineering or consulting firm, or a similar business entity or corporation, both the business entity or corporation and the individual are agents.

4. To determine whether a campaign contribution of more than $250 has been made by a participant or his or her agent, contributions made by the participant within the preceding 12 months shall be aggregated with those made by the agent within the preceding 12 months or the period of the agency, whichever is shorter. Campaign contributions made to different commissioners or alternates are not aggregated.

This notice summarizes the major requirements of Government Code Section 84308 and 2 Cal. Adm. Code Sections 18438 - 18438.8. For more information, contact Gloria Young, Executive Officer, SF LAFCO, 1 Dr. Carlton B. Goodlett Place, Room 244, San Francisco, CA 94102-4689, 415-554-5184.

PARTICIPANT DISCLOSURE FORM

To be completed only if contributions totaling more than $250 have been made.

Commission Member(s) to whom you and/or your agent made campaign contributions totaling more than $250 and date(s) of contribution(s):

PARTY DISCLOSURE FORM

Information Sheet

This form must be completed by parties in a proceeding involving a license, permit, or other entitlement for use pending before SF LAFCO. (Please see below for definitions of these terms.) This form must be completed and filed with your application, or with the first written document you file or submit after the proceeding commences.

I. Important Notice

Basic Provisions of Government Code Section 84308:

A. If you are an applicant for, or the subject of, any proceeding involving a license, permit or other entitlement for use, you are prohibited from making a campaign contribution of more than $250 to any commissioner or his or her alternate for such position. This prohibition begins on the date your application is filed or the proceeding is otherwise initiated, and the prohibition ends three months after SF LAFCO renders a final decision.

In addition, no commissioner or alternate may solicit or accept a campaign contribution of more than $250 from you during this period.

These prohibitions also apply to your agents, and if you are a closely held corporation, partnership, sole proprietorship, or other entity, to your majority shareholder or majority investor as well.

B. You must file the attached disclosure form if you, your agent(s), or majority shareholder have in the aggregate contributed more than $250 to any commissioner or his or her alternate, during the 12-month period preceding the filing of the application or the initiation of the proceeding. The term "contribution" includes contributions to the commissioner in his or her capacity as a candidate for federal, state, or local elective office.

C. If you, your agent(s), or majority shareholder have made contributions totaling more than $250 to any commissioner or alternate during the 12 months preceding the decision on the application or proceeding, that commissioner must disqualify himself or herself from the decision. However, disqualification is not required if the commissioner or alternate returns the campaign contribution within 30 days of learning about both the contribution and the proceedings.

Definitions

A. A proceeding involving "a license, permit, or other entitlement for use" includes all business, professional, trade and land use licenses and permits, and all other entitlements for use, including all entitlements for land use; all contracts (other than competitively bid, labor or personal employment contracts); all franchises; and all applications to SF LAFCO for a change of organization or reorganization.

B. Your "agent" is someone who represents you in connection with a proceeding involving a license, permit or other entitlement for use. If an individual acting as an agent is also acting in his or her capacity as an employee or member of a law, architectural, engineering, consulting firm, or similar business entity, both the business entity and the individual are "agents."

C. To determine whether a campaign contribution of more than $250 has been made by you, campaign contributions made by you within the preceding 12 months must be aggregated with those made by your agent within the preceding 12 months or the period of the agency, whichever is shorter. Campaign contributions made to different commissioners or their alternates are not aggregated.

This notice summarizes the major requirements of Government Code Section 84308 of the Political Reform Act and 2 Cal. Code of Regs. Sections 18438 - 18438.8. For more information, contact Gloria Young, Executive Officer, SF LAFCO, 1 Dr. Carlton B. Goodlett Place, Room 244, San Francisco, CA 94102-4689, 415-554-5184, or the Fair Political Practices Commission, 428 J Street, Suite 450, Sacramento, CA 95814, (916) 322-5660.

PARTY DISCLOSURE FORM

To be completed only if contributions totaling more than $250 have been made.

Commission Member(s) to whom you and/or your agent made campaign contributions totaling more than $250 and date(s) of contribution(s):