Disclosure Pursuant to the
City of Pasadena Taxpayer Protection Amendment
Pasadena City Charter, Article XVII
Contractor/Organization hereby discloses its tmstees, 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:Houchin Community Blood Bank
2. Type of Entity:
D non-government^ nonprofit 501(c)(3), (4), or (6)
3. Name(s) of trustees, directors, partners, officers of Contractor/Organization:
Joseph Engel, Houchin Community Blood Bank Board of Directors Chair Dr. Steven Chen, Houchin Community Blood Bank Board of Directors Secretary Joe Greggory, Board Director
Dom Camp, Board Director
Dr. Steven Jacobs, Board Director
Dan Clifford, Board Director
Dr. Shawn Shambaugh, Board Director and HCBB Medical Director
4. Names of those with more than a 10% equity, participation or revenue interest in Contractor/Organization:
N/A
Jonathan Bautista
Title: CEO
Phone: 661-616-2504
Date: July31. 2026
Rev.07.10.2007