Disclosure Pursuant to the
City of Pasadena Taxpayer Protection Amendment
Pasadena City Charter, Article XVII
Contractor/Organization hereby discloses its tmstees, 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:
Union Station Homeless Services
2. Type of Entity:
D non-governmentSnonprofit 501(c)(3), (4), or (6)
3. Name(s) of trustees, directors, partners, officers of Contractor/Organization:
Jesse Torres, Chair Desarae Jones
Maxine Harris, Vice Chair
Tony Gronroos, Treasurer
Ancrpla Slprranyflna Slpprpl-flrv
Cynthia Kirby
T^ancy Naecker
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Jan Sanders Charles Thuss, Assistant Secretary and Treasurer Vinayak BhameLisa Smith
Lori BondarBill Ticknor
Jordan uomgold
Domiiiick Con-ey
Steve Townsend
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Kevm Ineber
PUIII Wald, M.D.
Jay Walters Katharine Harrineton. Ph.D
Dr. Jesse Hong
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4. Names of those with more than a 10% equity, participation or revenue interest in Contractor/Organization:
Prepared by: clareHolzer
j'^^g. Jr. Contracts Manager
Phone:626.547.6717
Date:11/09/2022
Rev.07.10.2007