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:
St. Gearges Medica Hinin
2. Type of Entity:
Anon-government a nonprofit 501(c)(3), (4), or (6)
3. Names) of trustees, directors, partners, officers of Contractor/Organization:
Glea Jobs Apramin m.s., Preside-t
4. Names of those with more than a 10% equity, participation or revenue interest in Contractor/Organization:
Gles John Aproniin, MiD.
Prepared by: Glen Joh- Apremin ms
Title: Rasilt, Medic Diretr
Phone: 626 4400097
Date: 5-1 - 2023
Rev.07.10.2007