Attachment A
CASC Public Integrity Disclosure
26 PUBLIC I
NTEGRITY 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 othe
r 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 proposal is not a natural person, please identify all officers, directors, members, managers and other fiduciaries for the member, manager, trust, or other entity
Office r Director Member Manager
[name] General Partner Limited Partner
Other
Office r Director Member Manager
[name] General Partner Limited Partner
Other
Office r Director Member Manager
[name] General Partner Limited Partner
Other
Casc Engineering and Consulting, Inc.
1470 E. Cooley Drive, Colton, CA 92324
California
x
Richard J. Sidor x x
x President
Anthony Mistretta x x
x Vice President
Michelle E. Furlong x
Secretary/Treasurerx
36 27
7. Owners/Investors with a 5% beneficial interest in the Applicant Entity or a related entity
EXAMPLE
JANE DO
E
[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
Richard J. Sidor
4/23/2026
75 Chris Cummins 25
37