Attachment A
Public Integrity Disclosure
35 PUBLIC INTEGRITY DISCLOSURE
APPLICANT DISCLOSURE FORM
1. Name of Entity
2.Address of Entity (Principal 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
Bear Electrical Solutions, LLC
1252 State St. Aliso, CA 95002
California
x
Andrew Bader
Robert Asuncion X
X
1114 E. Kimberley Ave. Anaheim, CA 92801
36 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.
[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 *reen$rroZ,nc.
[name of owner/investor]
Robert Asuncion, Vice President
March 16th, 2026
100%, GreenArrow, Inc.