FORM F
CITY OF GLENDALE DISCLOSURE STATEMENT
The following information must be disclosed:
List the names of all persons or legal entities having a financial interest in the Request for Proposal.
MV Transportation, Inc.
2a. If any party identified pursuant to No. 1 above is a corporation or partnership, list the names of all individuals owning more than ten percent of the shares in the corporation or owning any partnership interest in the partnership.
Individuals owning more than ten percent of the corporation:
Alexis Lodde / Alexis Lodde Family Trust
Feysan Lodde / Feysan Lodde Family Trust
2b. If any party identified pursuant to No. 1 above is a nonprofit organization or a trust, list the names of any persons serving as a director of the nonprofit organization or as a trustee or beneficiary or trustor of the trust.
N/A
3. Has the Proposer had more than $250.00 worth of business transacted with any members of the City of Glendale staff, boards, commissions, committees, and Council within the past twelve months? If yes, please indicate the person(s) with whom you have conducted business.
No
Attach additional pages as necessary.
soothen Delusin
Signature of Authorized Representative_
Date April 20, 2023
Name of Authorized Representative Dorothea DePrisco
Title Assistant Corporate Secretary
FORM G
CITY OF GLENDALE
DISCLOSURE - CAMPAIGN FINANCE ORDINANCE - CONTRACTORS AND SUBCONTRACTORS The City Council adopted Ordinance No. 5744, "Campaign Finance Ordinance," which became effective on September 9, 2011, and amended it with Ordinance No. 5768, which became effective on March 15, 2012 ("the Ordinance"). The Ordinance prohibits: (1) A contractor* (including a subcontractor*) — who has a contraci with the City of Glendale ("City"), Glendale Successor Agency or Glendale Redevelopment Agency ("GSA"), or the Housing Authority of the City of Glendale ("HA") and that contract is subject to approval by the City Council, GSA, or HA— from making a contribution to a City Council member, GSA member, HA member, City Clerk, or City Treasurer; and (2) Council members, GSA members, and HA members from voting on matters concerning a contract affecting a contractor or subcontractor who has provided a campaign contribution.
The provisions of the Ordinance restricting Council members from voting on matters affecting campaign contributors applies to a contractor whose contract requires the City Council's, GSA's, or HA's approval, and specified subcontractors. A contract with the City, GSA, or HA is known as a "City Contract." The Ordinance excludes a competitively bid contract awarded to the lowest responsible bidder.
To assist members of the City Council, GSA, and HA before they vote on a matter regarding a City Contract, the Ordinance requires City staff to prepare this report which liscloses certain information about: the contractor receiving the City Contract, and specified subcontractors) working under the City Contrac Information that must be disclosed: • Name of the person, entity, or organization (i.e., the Contractor or Subcontractor) • Name of the Chief Executive Officer/President
• Chief Operating Officer
• Chief Financial Officer
• Chairperson
• All members of the Board of Directors
• All persons who own more than 10% of the person, entity, or organization • Name of any campaign committee owned or controlled by the person, entity, or organization Please complete the following disclosure form:
Contractor(s)*:
Name Address
MV Transportation, Inc. 2711 N. Haskell Avenue, Suite 100 LB-2, Dallas TX 75204 Full Name Title Business Address State Zip
Please see attached. Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
* "Contractor" is the person, entity, or organization that is the party, or prospective party, to the contract with the City, GSA, or HA. In addition to the name of the person, or entity, the Contractor must also disclose the name(s) of that person's, entity's, or organization's Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity, or organization. Please disclose these persons' name and business address.
Attachment to Form G Disclosure - Campaign Finance Ordinance - Contractors and Subcontractors
Contractor: MV Transportation, Inc.
Full Name Title Business Address 1 City / State | Zip
Board of Directors
Harry Wilson Executive Chairman 2711 N. Haskell Ave., Ste, 1500 Dallas TX 75204 Alexis Lodde Director/Owner >10% 2711 N. Haskell Ave., Ste. 1500 Dallas TX 75204 Feysan Lodde Director/Owner >10% 2711 N. Haskell Ave., Ste. 1500 Dallas TX 75204 John Rogers Director 2711 N. Haskell Ave., Ste. 150( Dallas TX 75204 Scott Letier Director 2711 N. Haskell Ave., Ste. 150 Dallas TX 75204 Corporate Officers
Kevin Klika President/Chief 2711N. Haskell Ave., Ste. 1500 Dallas TX 75204 Operating Officer
Jamie Pierson Chief Financial Officer 2711 N. Haskell Ave., Ste. 1500 Dallas TX 75204 Scott Sosnowski Chief Sales Officer 2711 N. Haskell Ave., Ste. 1500 Dallas TX 75204 Christopher Burls Secretary 2711 N. Haskell Ave., Ste. 1500 Dallas TX 75204 Dorothea DePrisco Assistant Secretary 750 Mason Street, Suite 105 Vacaville CA 95688 Rebecca Chartan Assistant Secretary 2711 N. Haskell Ave., Ste. 1500 Dallas TX 75204 Subcontractor(s)**:
Name Address
Please see attached.
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
Campaign Committee owned or controlled by: N/A
Title Business Address City State Zip
CERTIFICATION
On behalf of the above-named D Contractor • Subcontractor:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute— or if I select additional— architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • I hereby certify that:
• I have identified all persons for which the Ordinance requires disclosure; • The information in this disclosure form (and any attachment to this form) is true, accurate, correct, and complete; and • I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is _6 pages.
April 20, 2023 _ California.
Signature: Horoshen Delnow Print Full Name: Dorothea DePrisco Address: 2711 N. Haskell Avenue, Suite 1500 LB-2, Dallas TX 75204 Phone Number: (323) 422-5946 E-mail Address: [email protected] Subcontractors)***
Name Address
R Industrial & Healthcare Supplies |18810 Morehouse Dr - Carson, CA 90746 [Full Name Title 1 Business Address City [State I Zip
N/A Chairperson N/A NIA NA N/A
Willie & Doris Reed Chief Executive Officer / President 18810 Morehouse Dr Carson CA 90746 Willie Reed Chief Operating Officer 18810 Morehouse Dr Carson CA 90746 Doris Reed Chief Financial Officer 18810 Morehouse Dr Carson CA 90746 NIA Board of Directors N/A IN/A NIA
Willie Reed More than 10% interest owner 18810 Morehouse Dr Carson CA 90746 ** "Subcontractor" is the person, entity, or organization that has entered into a contract for the performance of all or a portion of the work undertaken under ar agreement with an architect, design professional, engineer, orgeneral or prime contract, usually by a general or prime contractor. You must also disclose the names if the Subcontractor's Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownershi terest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity, o organization. Above please disclose these persons' name and business address.
Campaign Committee owned or controlled by: N/A
Title Business Address City [State Zip
N/A IN/A N/A IN/A
CERTIFICATION
On behalf of the above-named Contractor E Subcontractor:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute- or if 1 select additional- architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • I hereby certify that:
• I have identified all persons for which the Ordinance requires disclosure; • The information in this disclosure form (and any attachment to this form) is true, accurate, correct, and complete; and • I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is_6pages. 2023 at: Carso , California.
Print Full Name: Doris Reed
Address: 18810 Morehouse Dr - Carson, CA 90746
Phone Number: (213) 610-5442; (310) 351-1337 E-mail Address: [email protected] [email protected] Subcontractor(s)**:
Name Address
ALL PETRO
/ Full Name [litle Business Address State
Chairperson
Arturo Padilla Chief Executive Officer / President 20350 tiresham Street Winnetra TA 91306 rief Operating Offic
rief Financial Office
Board of Directors
Arturo la dilia More than 10% interest owner 20550 Gresham Sacei CA 91.10% * "Subcontractor" is the person, entity, or organization that has entered into a contract for the periormance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, orgeneral or prime contract, usually by a general or pame contractor. You must also disclose the names of the Subcontractor's Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity. or organization. Above please disclose these persons' name and business address.
Campaign Committee owned or controlled by: _N/A
Trie Business Address Stato I Lip
CERTIFICATION
On behalf of the above-named • Contractor X Subcontractor:
• I acknowledge that| have a continuing obligation to update this disclosure form if I substitute- or if I select additional- architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • I hereby certify that:
I have identified all persons for which the Ordinance requires disclosure; • The information in this disclosure form (and any attachment to this form) is true, accurate, correct, and complete; and • I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is Epages.
Executed on: 4/18/23 ., at: Winnetka _ California.
Signature: Print Full Name: Arturo Padilla
Address: 20350 Gresham Street Winnetka, CA 91306
PH Number:_ 818-442-8449 E-mail Address: [email protected] Subcontractor(s)**:
Name Address
JCM & Associates, Inc. dba: BlueGoose Uniforms 5443 E. Washington Bivd. Commerce, CA 90040-2105 Full Name Title Business Address City State Zip
N/A Chairperson
Chief Executive Officer / President 5443 E. Washington Blvd. Commerce California 90040 Nose Comejo (100% Owner) Chief Operating Officer
IN/A Chief Financial Officer
N/A Board of Directors
Jose Cornejo (100% Owner) More than 10% interest owner 5443 E Washington Blvd. / Commerce | California 90040 Campaign Committee owned or controlled by: n/a
Title Business Address City State
CERTIFICATION
On behalf of the above-named • Contractor • Subcontractor:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute— or if I select additional— architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • I hereby certify that:
• I have identified all persons for which the Ordinance requires disclosure; • The information in this disclosure form (and any attachment to this form) is true, accurate, correct, and complete; and • I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is 6 pages.
Executed on: April 18, 2023 at: Commerce - California.
Signature:_ Kampate Print Full Name: Jose Cornejo
Address: 5443 E. Washington Blvd. Commerce, CA 90040-2105 Phone Number: (323) 726-9040 E-mail Address: [email protected] FORM F
CITY OF GLENDALE DISCLOSURE STATEMENT
The following information must be disclosed:
List the names of all persons or legal entities having a financial interest in the Request for Proposal.
Not Applicable
2a. If any party identified pursuant to No. 1 above is a corporation or partnership, list the names of all individuals owning more than ten percent of the shares in the corporation or owning any partnership interest in the partnership.
Not Applicable
2b. If any party identified pursuant to No. 1 above is a nonprofit organization or a trust, list the names of any persons serving as a director of the nonprofit organization or as a trustee or beneficiary or trustor of the trust.
Not Applicable
Has the Proposer had more than $250.00 worth of business transacted with any members of the City of Glendale staff, boards, commissions, committees, and Council within the past twelve months? If yes, please indicate the person(s) with whom you have conducted business.
Not Applicable
Attach additional pages as necessary.
Signature of Authorized Representative W
Date 12.15.2023
W.C. Pihl
Name of Authorized Representative
Senior Vice President Business Development
Title
FORM G
CITY OF GLENDALE
DISCLOSURE - CAMPAIGN FINANCE ORDINANCE - CONTRACTORS AND SUBCONTRACTORS The City Council adopted Ordinance No. 5744, "Campaign Finance Ordinance," which became effective on September 9, 2011, and amended it with Ordinance No 5768, which became effective on March 15, 2012 ("the Ordinance"). The Ordinance prohibits: (1) A contractor* (including a subcontractor**) — who has a contract with the City of Glendale ("City"), Glendale Successor Agency or Glendale Redevelopment Agency ("GSA"), or the Housing Authority of the City of Glendale ("HA*) and that contract is subject to approval by the City Council, GSA, or HA— from making a contribution to a City Council member, GSA member, HA member, City Clerk, or City Treasurer; and (2) Council members, GSA members, and HA members from voting on matters concerning a contract affecting a contractor or subcontractor who has provided a campaign contribution.
The provisions of the Ordinance restricting Council members from voting on matters affecting campaign contributors applies to a contractor whose contract requires the City Council's, GSA's, or HA's approval, and specified subcontractors. A contract with the City, GSA, or HA is known as a "City Contract." The Ordinance excludes a competitively bid contract awarded to the lowest responsible bidder.
To assist members of the City Council, GSA, and HA before they vote on a matter regarding a City Contract, the Ordinance requires City staff to prepare this report which discloses certain information about: the contractor receiving the City Contract, and specified subcontractors) working under the City Contract.
Information that must be disclosed: • Name of the person, entity, or organization (i.e., the Contractor or Subcontractor) • Name of the Chief Executive Officer/President
• Chief Operating Officer
• Chief Financial Officer
• Chairperson
• All members of the Board of Directors
• All persons who own more than 10% of the person, entity, or organization • Name of any campaign committee owned or controlled by the person, entity, or organization Please complete the following disclosure form:
Contractor(s)*:
Name Address
Transdev Services, Inc. 720 E. Butterfield Road, Suite 300, Lombard, IL 6148 Full Name Title Business Address City State Zip
Not Applicable Chairperson
Laura Hendricks Chief Executive Officer / President 720 E. Butterfield Road, Suite 300 Lombard IL 60148 Susan Sweat Chief Operating Officer 720 E. Butterfield Road, Suite 300 Lombard IL 60148 Mathieu Le Bourhis Chief Financial Officer 720 E. Butterfield Road, Suite 300 Lombard IL 60148 Laura Hendricks. Susan Sweat, Mathieu Le Bourtis, Randall Lews|| Board of Directors 720 E. Butterfield Road, Suite 300 Lombard IL 80148 Not Applicable More than 10% interest owner
*Contractor" is the person, entity, or organization that is the party, or prospective party, to the contract with the City, GSA, or HA. In addition to the name of the person, or entity, the Contractor must also disclose the name(s) of that person's, entity's, or organization's Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity, or organization. Please disclose these persons' name and business address.
Subcontractor(s)**:
Name Address
Full Name Title Business Address City State Zip
Not Applicable Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
** "Subcontractor" is the person, entity, or organization that has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or general or prime contract, usually by a general or prime contractor. You must also disclose the names of the Subcontractor's Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownershi nterest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity, c organization. Above please disclose these persons' name and business address.
Campaign Committee owned or controlled by: Not Applicable Title Business Address City State Zip
CERTIFICATION
On behalf of the above-named • Contractor • Subcontractor:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute— or if I select additional— architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • I hereby certify that:
• I have identified all persons for which the Ordinance requires disclosure; • The information in this disclosure form (and any attachment to this form) is true, accurate, correct, and complete; and • I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is 2_ pages.
Executed on: December 15, 2023 _, at: Lombard, IL _ Galifornia:
Signature: W Print Full Name: W.C. Pih!
Address: 720 E. Butterfield Road, Suite 300, Lombard, IL 60148 Phone Number: 707-803-2954 - E-mail Address: [email protected] FORM F
CITY OF GLENDALE DISCLOSURE STATEMENT
The following information must be disclosed:
1. List the names of all persons or legal entities having a financial interest in the Request for Proposal.
Keolis Transit Services (Keolis), the Proposer, is a wholly owned subsidiary of Keolis Transit America, Inc. which in turn is ultimately a wholly owned subsidiary of Keolis S.A Our majority shareholder is the SNCF (French National Railway, 70%) and our next largest is CDP-Quebec (30%), the overseer of Quebec's pension fund. 2a. If any party identified pursuant to No. 1 above is a corporation or partnership, list the names of all individuals owning more than ten percent of the shares in the corporation or owning any partnership interest in the partnership.
Our majority shareholder is the SNCF (French National Railway, 70%) and our next largest is CDP.
Quebec (30%), the overseer of Quebec's pension fund.
2b. If any party identified pursuant to No. 1 above is a nonprofit organization or a trust, list the names of any persons serving as a director of the nonprofit organization or as a trustee or beneficiary or trustor of the trust.
N/A
3. Has the Proposer had more than $250.00 worth of business transacted with any members of the City of Glendale staff, boards, commissions, committees, and Council within the past twelve months? If yes, please indicate the person(s) with whom you have conducted business.
No, the Proposer has not.
Attach additional pages as necessary.
Signature of Authorized Representative _
Date 12/14/23
Name of Authorized Representative David Scorey
-
Title President and CEO
FORM G
CITY OF GLENDALE
DISCLOSURE - CAMPAIGN FINANCE ORDINANCE - CONTRACTORS AND SUBCONTRACTORS The City Council adopted Ordinance No. 5744, "Campaign Finance Ordinance," which became effective on September 9, 2011, and amended it with Ordinance No. 5768, which became effective on March 15, 2012 ("the Ordinance"). The Ordinance prohibits: (1) A contractor* (including a subcontractor**) — who has a contract with the City of Glendale ('City"), Glendale Successor Agency or Glendale Redevelopment Agency ("GSA"), or the Housing Authority of the City of Glendale ("HA") and that contract is subject to approval by the City Council, GSA, or HA— from making a contribution to a City Council member, GSA member, HA member, City Clerk, or City Treasurer, and (2) Council members, GSA members, and HA members from voting on matters concerning a contract affecting a contractor or subcontractor who has provided a campaign contribution.
The provisions of the Ordinance restricting Council members from voting on matters affecting campaign contributors applies to a contractor whose contract requires the City Councils, GSA's, or HA's approval, and specified subcontractors. A contract with the City, GSA, or HA is known as a "City Contract" The Ordinance excludes a competitively bid contract awarded to the lowest responsible bidder.
To assist members of the City Council, GSA, and HA before they vote on a matter regarding a City Contract, the Ordinance requires City staff to prepare this report which discloses certain information about: the contractor receiving the City Contract, and specified subcontractors) working under the City Contract.
Information that must be disclosed: • Name of the person, entity, or organization (i.e., the Contractor or Subcontractor) • Name of the Chief Executive Officer/President
• Chief Operating Officer
• Chief Financial Officer
• Chairperson
• All members of the Board of Directors
• All persons who own more than 10% of the person, entity, or organization • Name of any campaign committee owned or controlled by the person, entity, or organization Please complete the following disclosure form:
Contractor(s)*:
Name Address
Keolis Transit Services, LLC 53 State Street, 11th Floor, Boston, MA 02109 Full Name Title Business Address City State Zip
Chairperson
David Scorey Chief Executive Officer / President See above Address Ryan Adams Executive Vice President See above Address
Stephan Oehler Chief Financial Officer, Treasurer See above Address Keolis North America More than 10% interest owner See above Address * "Contractor" is the person, entity, or organization that is the party, or prospective party, to the contract with the City, GSA, or HA. In addition to the name of the person, or entity, the Contractor must also disclose the name(s) of that person's, entity's, or organization's Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity, or organization. Please disclose these persons' name and business address.
FORM F
CITY OF GLENDALE DISCLOSURE STATEMENT
The following information must be disclosed:
1. List the names of all persons or legal entities having a financial interest in the Request for Proposal.
Southland Transit, Inc. is a California S-Corporation and is wholly owned by Timmy Mardirossian.
2a. lane at all infied pas anting more tens opport or pet shares in the corporation or owning any partnership interest in the partnership.
N/A
2b. If any party identified pursuant to No. 1 above is a nonprofit organization or a trust, list the names of any persons serving as a director of the nonprofit organization or as a trustee or beneficiary or trustor of the trust.
N/A
3. Has the Proposer had more than $250.00 worth of business transacted with any members of the City of Glendale staff, boards, commissions, committees, and Council within the past twelve months? If yes, please indicate the person(s) with whom you have conducted business.
No. However, within the past twelve months the Proposer's Chief Financial Officer, Eda Aghajanian, made a personal contribution above this threshold to Elen Asatryan's campaign for State Assembly.
Attach additional pages as necessary.
signature of Authorized Representativec.
Date December 19, 2023
Name of Authorized Representative Timmy Mardirossian
Title President
FORM G
CITY OF GLENDALE
DISCLOSURE - CAMPAIGN FINANCE ORDINANCE - CONTRACTORS AND SUBCONTRACTORS The City Council adopted Ordinance No. 5744, "Campaign Finance Ordinance," which became effective on September 9, 2011, and amended it with Ordinance No. 5768, which became effective on March 15, 2012 ("the Ordinance"). The Ordinance prohibits: (1) A contractor* (including a subcontractor**)- who has a contract with the City of Glendale ("City"), Glendale Successor Agency or Glendale Redevelopment Agency ("GSA"), or the Housing Authority of the City of Glendale ("HA") and that contract is subject to approval by the City Council, GSA, or HA— from making a contribution to a City Council member, GSA member, HA member, City Clerk, or City Treasurer; and (2) Council members, GSA members, and HA members from voting on matters concerning a contract affecting a contractor or subcontractor who has provided a campaign contribution.
The provisions of the Ordinance restricting Council members from voting on matters affecting campaign contributors applies to a contractor whose contract requires the City Council's, GSA's, or HA's approval, and specified subcontractors. A contract with the City, GSA, or HA is known as a "City Contract." The Ordinance excludes a competitively oid contract awarded to the lowest responsible bidder.
To assist members of the City Council, GSA, and HA before they vote on a matter regarding a City Contract, the Ordinance requires City staff to prepare this report which discloses certain information about: the contractor receiving the City Contract, and specified subcontractors) working under the City Contract.
Information that must be disclosed: • Name of the person, entity, or organization (i.e., the Contractor or Subcontractor) • Name of the Chief Executive Officer/President
• Chief Operating Officer
• Chief Financial Officer
• Chairperson
• All members of the Board of Directors
• All persons who own more than 10% of the person, entity, or organization • Name of any campaign committee owned or controlled by the person, entity, or organization Please complete the following disclosure form:
Contractor(s)*:
Name Address
Southland Transit. Inc. 3650 Rockwell Avenue, El Monte, CA 91731 Full Name Title Business Address City State Zip
Chairperson
Timmy Mardirossian Chief Executive Officer / President Same as above Jason Snow Chief Operating Officer Same as above
Eda Aghajanian Chief Financial Officer Same as above
Sedik Mardirossian Board of Directors (Secretary) Same as above More than 10% interest owner
* "Contractor" is the person, entity, or organization that is the party, or prospective party, to the contract with the City, GSA, or HA. In addition to the name of the person, or entity, the Contractor must also disclose the name(s) of that person's, entity's, or organization's Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity, or organization. Please disclose these persons' name and business address.
Subcontractor(s)**:
Name Address
See attached
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
** "Subcontractor" is the person, entity, or organization that has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or general or prime contract, usually by a general or prime contractor. You must also disclose the names of the Subcontractor's Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity, or organization. Above please disclose these persons' name and business address.
Campaign Committee owned or controlled by: N/A
Title Business Address City State Zip
CERTIFICATION
On behalf of the above-named Z Contractor • Subcontractor:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute- or if I select additional— architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and • I hereby certify that:
I have identified all persons for which the Ordinance requires disclosure; The information in this disclosure form (and any attachment to this form) is true, accurate, correct, and complete; and I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is 2 _ pages.
Executed on: 12/15/23 _ at: El Monte California.
Signature: Print Full Name: Timmy Mardirossian
Address: 3650 Rockwell Avenue, ELMonte, CA 91731
Phone Numher: (626) 258-1310 E-mail Address: [email protected] Subcontractor(s)**:
Name Address
Trans-Global Services, Inc. 709 N. Hidalgo Avenue, Alhambra, CA 91801 Full Name Title Business Address City State Zip
Chairperson
Luisa J. Sun Chief Executive Officer/ President Same as above Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
Name Address
JCM and Associates 5443 E. Washington Blvd, Commerce, CA 90040 Full Name Title Business Address City State Zip
Chairperson
Jose "Tony" Cornejo Chief Executive Officer/ President Same as above Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
Name Address
Sectran Security, Inc. 7633 Industry Avenue, Pico Rivera, CA 90060 Full Name Title Business Address | City State Zip
Chairperson
Joe Donohoo Chief Executive Officer/ President Same as above Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
Form G - Additional Pages