Attachment A
Kimley-Horn Public Integrity Disclosure
1 ATTACHMENT “E”
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 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
____________________________________________
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 _________________________________
73-700 Dinah Shore Drive, Unit 101, Palm Desert, CA 92210 421 Fayetteville Street, Suite 600, Raleigh, NC 27601
Kimley-Horn and Associates, Inc.
North Carolina
See attached Principal Officers and Directors
list for Kimley-Horn and Associates, Inc.
2 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
Associates Group Services, Inc.
100%, Kimley-Horn and Associates, Inc.
APHC, Inc.
100%, Associates Group Services, Inc.
APHC has no owners/investors with 5%
beneficial interest
Jean B. Fares, Sr. Vice President
June 9, 2023
PRINCIPAL OFFICERS:
Names/Titles Business Address
Barry L. Barber, Chairman 421 Fayetteville Street, Suite 600, Raleigh, NC 27601
Steven E. Lefton, CEO, President 11400 Commerce Park Drive, Suite 400, Reston, VA 20191
Richard N. Cook,
Senior Vice President, Secretary
421 Fayetteville Street, Suite 600, Raleigh, NC
27601
Tammy L. Flanagan,
CFO, Senior Vice President
421 Fayetteville Street, Suite 600, Raleigh, NC
27601
David L. McEntee, Vice President, Treasurer,
Assistant Secretary
421 Fayetteville Street, Suite 600, Raleigh, NC
27601
DIRECTORS:
Names/Titles Business Address
Barry L. Barber, Chairman 421 Fayetteville Street, Suite 600, Raleigh, NC 27601
Stephen W. Blakley, Jr., Senior Vice President 200 South Tryon Street, Suite 200, Charlotte, NC 28202
Scott W. Colvin, Senior Vice President 4582 South Ulster Street, Suite 1500, Denver, CO 80237
William E. Dvorak, Jr., Senior Vice President 111 West Jackson Boulevard, Suite 1320, Chicago, IL 60604
Tammy L. Flanagan, Senior Vice President 421 Fayetteville Street, Suite 600, Raleigh, NC 27601
Ashley M. Frysinger, Senior Vice President 11700 Katy Freeway, Suite 800, Houston, TX 77079
Brian A. Good, Senior Vice President 445 24th Street, Vero Beach, FL 32960 Jennifer L. Harry, Senior Vice President 401 B Street, Suite 600, San Diego, CA 92101 Joseph D. Kaltsas, Senior Vice President 401 B. Street, Suite 600, San Diego, CA 92101 Steven E. Lefton, CEO, President 11400 Commerce Park Drive, Suite 400, Reston, VA 20191
Brent H. Mutti, Senior Vice President 1001 West Southern Avenue, Suite 131, Mesa, AZ 85210
Aaron W. Nathan, Senior Vice President 13455 Noel Road, Suite 700, Dallas, TX 75240 Kevin M. Schanen, Senior Vice President 1920 Wekiva Way, Suite 200, West Palm Beach, FL 33411