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 cidditional sheets as necessary.)
1. Contractor/Organization Name:Tyd-z-L. ~(i^.fcc. t- 'T;v_
2. Type of Entity:
% non-govemment D nonprofit 5 01 (e)(3), (4), or (6)
3. Name(s) of trustees, directors, partners, officers ofContractor/Organization:
(TV., ^.v U..'I -It 1-n (,.,,-,
^ v^i. (.((c'-r'''^ Flti'v'i n?
~t^.'.cs^< ^ll(-3f-..-t-tr
I -j(."£:-- tfV.l.'- Kl.:XrM- ).< t •-
4. Names of those with more than a 10% equity, participation or revenue interest in Contraetor/Organization:
iVYvi i.'f-. t'!t:v>if-<\
1:^'^^ V^-^F .1-. --"
Prepared by: "R>C-;:3Q^ V\«'G»f-r--r--i~
Title: , C^A^' <.--i^<-< 4l-t(IV^ c^: ^ ^ ^i--t'—
Phone: ('^Ki '^-^y ^i^-l '^
Date: 3/.-3 <^?cy---^
Rev.07.10.2007^
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