DocuSign Envelope ID: 2DD71A60-C156-4A7B-9079-7F36A0344C42 Disclosure Pursuant to the
City of Pasadena Tity Clar Prodrice Amendment
Contractor/Organization hereby discloses its trustees, directors, partners, officers, and those with more than 10% equity, participation, or revenue interest in Contractor/Organization, as follows:
(If printing, please print legibly. Use additional sheets as necessary.)
1. Contractor/Organization Name: Passport Labs, Inc.
2. Type of Entity:
X non-government • nonprofit 501(c)(3), (4), or (6)
3. Name(s) of trustees, directors, partners, officers of Contractor/Organization:
David T. Evans
Keri Gohman
Matt Harris
Vanna Krantz
Brent Maxwell
Brian Mooney
Habib Kairouz
Robert Youakim
4. Names of those with more than a 10% equity, participation or revenue interest in Contractor/Organization:
Bain Capital (various affiliated entities)...
Grotech Ventures
- DocuSigned bx:
Vanna krante Vanna Krantz
Prepared by: A0A57A820022472.m
Title: Treasurer/CFO
9147256158
Phone:
2/15/2022
Date:
Rev.07.10.2007