Project Title:
(Include site address)
Please provide the name of each individual, partnership, corporation, LLC, or trust who has an interest in the proposed land use action. Include the
names of all applicants, developers, property owners, and each person or entity that holds an option on the property.
Individuals:
Partnerships:
Corporations:
LLCs:
Trusts:
Identify all individuals
Identify all general and limited partners
Identify all shareholders owning 10%
or more of the stock and all officers and directors (unless the corporation is listed on any major stock exchange, in which case only the identity of the exchange must be listed.
Identify all members, managers, partners, officers and directors.
Identify all trustees and beneficiaries.
Option Holders: Identify all holders of options on the real property.
Full Name: Address:
In addition, please identify the name of each civil engineer, architect, and consultant for the project.
Full Name: Address:
Additional names and addresses attached: Yes No
The above information shall be promptly updated by the applicant to reflect any change that occurs prior to final action.
I certify that the above information is true and correct:
Applicant Date
DISCLOSURE FORM
(Form 3 of 5)
May 10, 2023
1650 West Steele Lane Apartments
City of Santa Rosa Disclosure Form
Name of Property Owner - LLC and each individual who is a partner and shareholder in the LLC, and their �tle as office holder in LLC:
NAME ADDRESS
McBride Ln Apts, LLC - 2 shareholders / officers per below 19 Leona Drive, San Rafael, CA 94903
1.Patrick O'Neill, President, 51% shareholder 19 Leona Drive, San Rafael, CA 94903
2.Brenda O'Neill, Secretary, 49% shareholder 19 Leona Drive, San Rafael, CA 94903
Name of each civil engineer, architect, and consultant for the project:
Dennis Dalby, Civil Design Consultants, 2200 Range Ave., #204, Santa Rosa, CA 95403 President, 50% Shareholder
Mat Lawton, Civil Design Consultants, 2200 Range Ave., #204, Santa Rosa, CA 95403 Vice President, 50% Shareholder
Ingrid Anderson, Anderson Architecture & 4752 Stonehedge Drive, Santa Rosa, CA 95405 Planning, President, 50% Shareholder
John Anderson, Anderson Architecture & 4752 Stonehedge Drive, Santa Rosa, CA 95405 Planning, Treasurer, 50% Shareholder
Don MacNair, MacNair Landscape Architecture, P .O. Box 251, Kenwood, CA 95452 Owner and Sole Proprietor
Jean Kapolchok, J. Kapolchok & Associates, 1500 Manzanita Ave., Santa Rosa, CA 95404 Owner and Sole Proprietor
Peter Spoerl, Peter Spoerl Atorney, 1101 Fi�h Ave., St. 100, San Rafael, CA 94901 Owner and Sole Proprietor