HomeMy WebLinkAbout6/1/2021 - Admission To Public Charitable Event Disclosure Form`01 C,
BROWARD COUNTY ELECTED OFFICIAL CODE OF ETHICS'
CHARITABLE SOLICITATION DISCLOSURE FORM
Name of Elected Official: Mike Gelin
Title: City Commissioner, District 2
Governmental Entity Served:
City of Tamarc
List the name of the entity or cause for which, or individual for whom, you engaged in this
charitable solicitation:
Aetna Mega Cycle Hampton Inn & Suites
Butters Group Ron Book PA
Alex's Bicycle Pro Shop West Construction
City Bikes University Hospital
List the name(s) of any individual(s) who, or entity(ies) that, requested that you engage
in this charitable solicitation:
Level Up Cycling Movement
List the name(s) of any governmental staff member(s) who, at your direction or request,
assisted with this charitable solicitation:
Aside from any governmental staff member(s) listed above, list any resource(s) of the
governmental entity you used in connection with the solicitation (e.g., phones, emails,
expenditures of public funds):
Some emails were sent from the Tamarac email address
F-171. Digitally signed by Elberg Mike Galin
✓ of Elected Official: Elberg Mike Gelin Data 2021 �06,01 20:52:08 �04-00' _ Date: 06/01/2021
*If the solicitation disclosed on this form meets the following conditions, please check the
box next to your signature: The entity for which you are soliciting is a 501(c)
organization and you serve on a fundraising committee or on the board of directors
of such organization and periodically or regularly engage in the solicitation of
funds, goods, or services on behalf of the organization.