HomeMy WebLinkAbout2023-06-18 Public Financing Authority - Registry of Public Agencies SF-405SF-405 (REV 12/2019) 2019 California Secretary of State
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Secretary of State SF-405
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Registry of Public Agencies
Government Code section 53051)
IMPORTANT — Read Instructions before completing this form.
There is No Fee for a Registry of Public Agencies filing
Copy Fees – First page $1.00; each attachment page $0.50;
Certification Fee - $5.00
1.Type of Filing (Check one.)
Initial Filing (first Registry of Public Agencies filing for an agency)
Updated Filing (change to an existing Registry of Public Agencies record)
2.Agency Information
a. Full Legal Name of Public Agency
b. Nature of Update (complete if Updated Filing)
c.County d. Official Mailing Address
3.Chairperson, President, or Other Presiding Officer
a.Name b.Title
c.Business or Residence Address
4.Clerk or Secretary
a.Name b.Title
c.Business or Residence Address
5.Other Members of the Governing Board (Enter as many as applicable. Attach additional pages for additional members.)
Name Business or Residence Address
Name Business or Residence Address
Name Business or Residence Address
Name Business or Residence Address
Name Business or Residence Address
6.Date and Sign Below (Additional members set forth on attached pages, if any, are incorporated herein by reference and made part of this
Form SF-405, Registry of Public Agencies.)
Date Signature Type or Print Name