Disclosure Pursuant to the
City of Pasadena Taxpayer Protection Amendment
Pasadena City Charter, Article VII
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:
Maxim Healthcare Service Holdings, Inc
2. Type of Entity:
* non-government • nonprofit 501(c)(3), (4), or (6)
3. Names) of trustees, directors, partners, officers of Contractor/Organization:
Oak Investment Trust
Oak Investment Trust I|
Stephen Bisciotti
William Butz
4. Names of those with more than a 10% equity, participation or revenue interest in Contractor/Organization:
Stephen Bisciotti
Oak Investment Trust I/
Oak Investment Trust
Prepared by: Florence Ugokwe
Title: Assistant Controller
Phone: 410-910-9238
Date: 6/8/2022
Rev.07.10.2007