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 1 0% equity, participation, or revenue interest in Contractor/Organization, as follows:
(If printing, please print legibly. Use additional sheets as necessary.)
1. Contractor/Organization Name:
UCLA Center for Prehosipital Care
2. Type of Entity:
a non-government ^ nonprofit 501(c)(3),, (4), or (6)
3. Name(s) of trustees, directors, partners, officers ofContractor/Organization:
Todd LeGassick
4. Names of those with more than a 10% equity, participation or revenue interest in Contractor/Organization:
None
Prepared by: Yen Chu
Title: Accountant
Phone: (310)487-3565
Date: 10/31/2023
Rev.07.10.2007