Disclosure Pursuant to the
City of Pasadena Taxpayer Protection Amendment
Pasadena City Charter, Article XVII
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:
Steven Siemers Dispute Resolution, LLC
| 2. Type of Entity:
* non-government • nonprofit 501(c)(3), (4), or (6)
3. Name(s) of trustees, directors, partners, officers of Contractor/Organization:
Steven Siemers, Sole Member
4. Names of those with more than a 10% equity, participation or revenue interest in Contractor/Organization:
Steven Siemers, Sole Member - 100%
Prepared by: Steven Siemers
Sole Member
Title:
Phone: (510) 316-7256
Date: 03/08/2022
Rev.07.10.2007