ATTACHMENT B
CITY OF PALM SPRINGS – PUBLIC INTEGRITY DISCLOSURE
APPLICANT DISCLOSURE FORM
(Revised 05/16/19)
PUBLIC INTEGRITY DISCLOSURE
APPLICANT DISCLOSURE FORM
1. Name of Entity
2. Address of Entity (Principle Place of Business)
3. Local or California Address (if different than #2)
4. State where Entity is Registered with Secretary of State
If other than California, is the Entity also registered in California? Yes No
5. Type of Entity
Corporation Limited Liability Company Partnership Trust Other (please specify)
6. Officers, Directors, Members, Managers , Trustees, Other Fiduc iaries (please specify) Note: If any response is not a natural person, please identify all officers, directors, members, managers and other fiduciaries for the member, manager, trust or other entity
_________________________________________________ Officer Director Member Manager [name]
General Partner Limited Partner
Other ____________________________________
_________________________________________________ Officer Director Member Manager [name]
General Partner Limited Partner
Other ____________________________________
_________________________________________________ Officer Director Member Manager [name]
General Partner Limited Partner
Other ____________________________________
Historic Resources Group, LLC
556 S. Fair Oaks Avenue, Suite 101-154, Pasadena, CA 91105 California
■
Christine Lazzaretto
■
Paul D. Travis
■
Andrea Humberger
■
CITY OF PALM SPRINGS – PUBLIC INTEGRITY DISCLOSURE
APPLICANT DISCLOSURE FORM
(Revised 05/16/19)
7. Owners/Investors with a 5% beneficial interest in the Applicant Entity or a related entity
EXAMPLE
JANE DOE
[name of owner/investor]
50%, ABC COMPANY, Inc.
[percentage of beneficial interest in entity
and name of entity]
A.
[name of owner/investor] [percentage of beneficial interest in entity and name of entity]
B.
[name of owner/investor] [percentage of beneficial interest in entity and name of entity]
C.
[name of owner/investor] [percentage of beneficial interest in entity and name of entity]
D.
[name of owner/investor] [percentage of beneficial interest in entity and name of entity]
E.
[name of owner/investor] [percentage of beneficial interest in entity and name of entity]
I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT.
Signature of Disclosing Party, Printed Name, Title Date
PENALTIES
Falsification of information or failure to report information required to be reported may subject you to administrative action by the City.
Christine Lazzaretto, Managing Principal
Christine Lazzaretto
33 1/3%, Historic Resources Group, LLC
Paul D. Travis
33 1/3%, Historic Resources Group, LLC
Andrea Humberger
33 1/3%, Historic Resources Group, LLC
October 30, 2025
33 1. 2. 3. 4. 5.
Name
of
Entity
Chattel,
Inc.
PUBLIC
INTEGRITY
DISCLOSURE
APPLICANT
DISCLOSURE
FORM
Address
of
Entity
(Principle
Place
of
Business)
13417
Ventura
Blvd.,
Sherman
Oaks,
CA
91423
Local
or
California
Address
(if
different
than
#2)
State
where
Entity
is
Registered
with
Secretary
of
State
California
If
other
than
California
, is
the
Entity
also
registered
in
California?
n
Yes
n
No
Type
of
Entity
~
Corporation
D
Limited
Liability
Company
D
Partnership
D
Trust
D
other
(please
specify)
6. Officers.
Directors,
Members,
Managers,
Trustees,
Other
Fiduciaries
(please
specify)
Note:
If
any
response
is
not
a
natural
person,
please
identify
all
officers,
directors,
members,
managers
and
other
fiduciaries
for
the
member,
manager,
trust
or
other
entity
Robert
Jay
Chattel,
President
(29
Officer
D
Director
D
Member
D
Manager
[name)
D
General
Partner
D
Limited Partner
other
D
Offi
cer
D
Director
D
Member
D
Manager
[name]
D
General
Partner
D
Limited
Partner
Other
D
Officer
D
Directo
r
D
Member
D
Manager
[name]
n
General
Partner
n
Limited
Partner
22 34
Other
7. Owners/Investors
with
a 5%
beneficial
interest
in
the
Aoolicant
Entity
or
a
related
entity
EXAMPLE JANEDOE
50%,
ABC
COMPANY,
Inc.
[name
of
owner/investor]
[percentage
of
beneficial
interest
in
entity
and
name
of
entity]
A. Robert
Jay
Chattel Trust
100%,
Chattel,
Inc.
[name
of
owner/investor]
[percentage
of
beneficial
interest
in
entity
and
name
of
entity]
B.
.
[name
of
owner/investor]
[percentage
of
beneficial
interest
in
entity
and
name
of
entity]
C.
[name
of
owner/investor]
[percentage
of
beneficial
interest
in
entitv
and
name
of
entitv
l
D.
[name
of
owner/investor]
[percentage
of
beneficial
interest
in
entit
y and
name
of
entity
]
E.
[name
of
owner/investor]
[percentage
of
beneficial
interest
in
entity
and
name
of
entity]
I DECLARE
UNDER
PENAL
TY
OF
PERJURY
UNDER
THE
LAWS
OF
THE
STATE
OF
CALIFORNIA
THAT
THE
FOREGOING
IS
TRUE
AND
CORRECT.
Date January
13,
2020
23 CITY OF PALM SPRINGS – PUBLIC INTEGRITY DISCLOSURE
APPLICANT DISCLOSURE FORM
(Revised 05/16/19)
PUBLIC INTEGRITY DISCLOSURE
APPLICANT DISCLOSURE FORM
1. Name of Entity
2. Address of Entity (Principle Place of Business)
3. Local or California Address (if different than #2)
4. State where Entity is Registered with Secretary of State
If other than California, is the Entity also registered in California? Yes No
5. Type of Entity
Corporation Limited Liability Company Partnership Trust Other (please specify)
6. Officers, Directors, Members, Managers , Trustees, Other Fiduc iaries (please specify) Note: If any response is not a natural person, please identify all officers, directors, members, managers and other fiduciaries for the member, manager, trust or other entity
_________________________________________________ Officer Director Member Manager [name]
General Partner Limited Partner
Other ____________________________________
_________________________________________________ Officer Director Member Manager [name]
General Partner Limited Partner
Other ____________________________________
_________________________________________________ Officer Director Member Manager [name]
General Partner Limited Partner
Other ____________________________________
Architectural Resources Group, Inc.
Pier 9, the Embarcadero, #107, San Francisco, CA 94111
360 E. 2nd Street, Los Angeles, CA 90012
California
■
Naomi Miroglio, President and CFO
■
Katie Horak, Vice President
■
Lisa Yergovich, Secretary
■
CITY OF PALM SPRINGS – PUBLIC INTEGRITY DISCLOSURE
APPLICANT DISCLOSURE FORM
(Revised 05/16/19)
7. Owners/Investors with a 5% beneficial interest in the Applicant Entity or a related entity
EXAMPLE
JANE DOE
[name of owner/investor]
50%, ABC COMPANY, Inc.
[percentage of beneficial interest in entity
and name of entity]
A.
[name of owner/investor]
[percentage of beneficial interest in entity
and name of entity]
B.
[name of owner/investor]
[percentage of beneficial interest in entity
and name of entity]
C.
[name of owner/investor]
[percentage of beneficial interest in entity
and name of entity]
D.
[name of owner/investor]
[percentage of beneficial interest in entity
and name of entity]
E.
[name of owner/investor]
[percentage of beneficial interest in entity
and name of entity]
I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT.
Signature of Disclosing Party, Printed Name, Title
Date
PENALTIES
Falsification of information or failure to report information required to be reported may subject you to administrative action by the City.
Naomi Miroglio
26.09 Debbie Cooper
13.04 Katie Horak
13.04 Kitty Vieth
13.04 Maya Fott
13.04 October 30, 2025
F. Lisa Yergovich, 10.33, and G. Matthew Davis, 9.24%