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 10% equity, participation, or revenue interest inContractor/Organization, as follows:(If printing, please print legibly. Use additional sheets as necessary.) l.Contractor/OrganizationName: ^^^^ ^^ p^ ^u.^^ 3^c.
2. Type of Entity: ['fnon-govemment D nonprofit 501(c)(3), (4), or (6}
3. Name(s) of trustees, directors, partners, officers of Contractor/Organi^tion^ ^j^ /y^TTTT ~JnT^ A^^//
4. Names of those with more than a 10% equity, participation or revenue interest inContractor/Qrganization: ~SSZEeMZJI^.
Wf^ ^^ - ^ 'i
Prepared by: _^^_B^rLTitle: C^^erPhone: t^^ 'W6
Date: f/'/'^2^Rev.07.10.2007