1-1 OWNERSHIP DISCLOSURE FOR CONTRACTORS & CONSULTANS
CITY OF VISALIA
Ownership Disclosure for Contractors and
Consultants
NAMES OF PRINCIPALS, PARTNERS, AND/OR TRUSTEES:
F
irm Name: _______________________________________________________________________ Firm Address: _______________________________________________________________________ L
ist the names of all principals, partners, and/or trustees. For corporations provide names of of ficers, directors and all stockholders owning more than 10% equity interest in corporation:
_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ S
ubmitted by: Name __________________________________________________________ Date __________________________________________________________ CWE
1561 E. Orangethorpe Avenue, Suite 240, Fullerton, CA 92831 Vik Bapna, Chief Executive Officer
Jason Pereira, Secretary
Farooq Qureshi
June 8, 2022