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. Cqntractor/Organization Name:
^<fLrf9~e^ Solo^rUO/^
2. Type of Entity:
>^4non-govemment D nonprofit 501 (c)(3), (4), or (6)
3. Name(s) of trustees, directors, partners, officers ofContractor/Organizadon:
^e^.-e.c^ ^ (<^.r p<4 - <^^o
L-e-e^r^f^^^s.r-^i - 4-'^ esSi <^ <s.rv4-
£t\-LQ.^-e^^ '^a.i'fa^l - (C^o^-^e cxr-e^TOuc^'T'/U. c,^t^r«-r-
4. Names of those with more than a 10% equity, participation or revenue interest in Contractor/Organization:
^\^^^r^ L' Ca.f-ft^
L^e^^n^ ۥ t^Cf^l
^.ttT-C-b-tt-^-^- A kLrt(-PU>-(
Prepared by: <^^c <a^ c^£^^f./^ ^
.r^^—^n
Title:
Phone:
Date:
.(^F^^
^^-(S 9 ^-^-3^
^^^--^o^'
Rev.07.10.2007