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ATTACHMENT B - PUBLIC INTEGRITY BUSINESS DISCLOSURE

Palm Springs City Council
May 12, 2026

Document
ATTACHMENT B - PUBLIC INTEGRITY BUSINESS DISCLOSURE
Meeting
May 12, 2026
Body
Palm Springs City Council
Original file
272 KB
Text extracted from the city's file for reading and search. Open the original on palmsprings.primegov.com. That file is the official record.

ATTACHMENT B

PUBLIC INTEGRITY BUSINESS DISCLOSURE
Docusign Envelope ID: 6A6E05F0-AD84-40E9-BE2F-6FBE294B6538 PUBLIC INTEGRITY DISCLOSURE APPLICANT DISCLOSURE FORM 1. Name of Entity West Aviation Group dba Sierra Aviation Group inc

2. Address of Entity (Principal Place of Business) 9229 Archibald Ave Rancho Cucamonga CA 91730

3. Local or California Address (if different than #2) N/A

4. State where Entity is Registered with Secretary of State California
If other than California, is the Entity also registered in California?  Yes  No

5. Type of Entity  XCorporation  Limited Liability Company  Partnership  Trust  Other (please specify) X

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 Heba Abulazm
________________________  X Officer  Director  Member  Manager X

[name]  General Partner  Limited Partner  Other ___________________________ [email protected]
Emad Boules
_______________________________  Officer  X Director  Member  Manager X

[name]  General Partner  Limited Partner Director of finance  Other __________________________
[email protected]
X
X
X
Docusign Envelope ID: E569B4D2-1CDD-4B5C-898E-F879B97DF2AE X
X
X
________________________________  Officer  Director  Member  Manager [name]  General Partner  Limited Partner  Other __________________________ Docusign Envelope ID: 6A6E05F0-AD84-40E9-BE2F-6FBE294B6538

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.

Docusign Envelope ID: E569B4D2-1CDD-4B5C-898E-F879B97DF2AE Heba Abulazm
100%
Signature of Disclosing Party, Printed Name, Title CEO/President Heba Abulazm
Date
3/12/2026
Docusign Envelope ID: 6A6E05F0-AD84-40E9-BE2F-6FBE294B6538 City of Palm Springs, CA.

Business Disclosure Supplementary Instructions
In an effort to ensure we capture the required business entity information in accordance with the attached instructions, we provide you these supplementary instructions to clearly identify the required information, and the format the information should be provided.

If you, as the applicant, are a business entity (i.e. a corporation or limited liability company), and it is also comprised of other business entities as its members or having a financial interest, all other such business entities must also be disclosed, including those entities other business entities, if any.

Ultimately, the City’s disclosure document (attached) requires a listing identifying all natural persons having any financial interest over 5% of the business entities (and any other business entities comprising your business entity).

As an example, Applicant is: Acme Brothers, Inc., a California corporation, whose officers are: John Doe, Jill Doe, and Jay Doe, which is owned 50% by Acme Brothers, LLC, a California limited liability company, and John Doe (25% interest) and Jill Doe (25% interest). Acme Brothers, LLC, is managed by Acme Brothers 2, Inc., a California corporation, whose officers are: George Doe, Bill Doe, and Jane Doe, which is owned 100% by Acme Brothers 2, LLC, a California limited liability company, which is managed by George Doe, with George Doe and Jane Doe having 50% interest each.

The full business entity disclosure in this example would resemble the following:

1. Acme Brothers, Inc., a California corporation a. Officers: John Doe, Jill Doe, and Jay Doe b. Ownership: i. 50% Acme Brothers, LLC, a California limited liability company ii. 25% John Doe iii. 25% Jill Doe 2. Acme Brothers, LLC, a California limited liability company a. Managers: Acme Brothers 2, Inc., a California corporation b. Ownership: 100% Acme Brothers 2, Inc., a California corporation 3. Acme Brothers 2, Inc., a California corporation a. Officers: George Doe, Bill Doe, and Jane Doe b. Ownership: 100% Acme Brothers 2, LLC, a California limited liability company Docusign Envelope ID: E569B4D2-1CDD-4B5C-898E-F879B97DF2AE

4. Acme Brothers 2, LLC, a California limited liability company a. Managers: George Doe b. Ownership: i. 50% Docusign Envelope ID: E569B4D2-1CDD-4B5C-898E-F879B97DF2AE

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