ATTACHMENT C
Disclosure Form
PUBLIC INTEGRITY DISCLOSURE APPLICANT DISCLOSURE FORM 1. Name of Entity Matrix Audio Visual Designs, Inc. 2. Address of Entity (Principal Place of Business) 2525 W. Burbank Blvd. Burbank, CA 91505 3. Local or California Address (if different than #2) 4. State where Entity is Registered with Secretary of State California If other than California, is the Entity also registered in California? c Yes c No 5. Type of Entity X Corporation c Limited Liability Company c Partnership c Trust c 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 ___Alina Mirzakhanian______ a Officer c Director c Member c Manager [name] c General Partner c Limited Partner cOther ___________________________ __Hovik Mirzakhanian_____________ a Officer c Director c Member c Manager [name] c General Partner c Limited Partner c Other __________________________ ________________________________ c Officer c Director c Member c Manager [name] c General Partner c Limited Partner c Other __________________________
7. Owners/Investors with a 5% beneficial interest in the Applicant Entity or a related entity EXAMPLE Alina Mirzakhanian [name of owner/investor] 51%, Matrix Audio Visual Designs, Inc. [percentage of beneficial interest in entity and name of entity] A. Hovik Mirzakhanian [name of owner/investor] 49%, Matrix Audio Visual Designs, Inc. [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 06/05/2026