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:
(Ifprintmg, please print legibly. Use additional sheets as necessary.)
1. Contractor/Organization Name:
Patagonia Health, Inc.
2. Type of Entity:
e! non-govemment D nonprofit 501(c)(3), (4), or (6)
3. Name(s) of trustees, directors, partners, officers of Contractor/Organization:
Ashok Mathur, CEO
4. Names of those with more than 10% equity, participation or revenue interest in Contractor/Organization:
Abhi Muthiyan
Prepared by: Monique Dever
']-'itle: Sales and Marketing Operations Executive
Phone: 919-238-4780
Date: August 29, 2024
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{project.template.processClassification} - {project.title} Release Date: {project.releaseProjectDate}
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