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Statement of Facts - Secretary of State - 12/02/2014gL,L OF T:I F Q .A STATEMENT OF FACTS ROSTER OF PUBLIC AGENCIES FILING (Government Code section 53051) State of California Secretary of State Instructions: 1. Complete and mail to: Secretary of State, P.O. Box 942877, Sacramento, CA 94277 -0001 (916) 653 -3984 2. A street address must be given as the official mailing address or as the address of the presiding officer. 3. Complete addresses as required. (Office Use Only) 4. If you need additional space, attach information on an 8Y2" X 11" page, one sided and legible. New Filing ❑ Update 7 Legal name of Public Agency: San Luis Obispo Public Financing Authority Nature of Update: Deletion of Member Kathy Smith and addition of Member Dan Rivoire County: San Luis Obispo Official Mailing Address: 990 Palm Street, San Luis Obispo, California 93401 Name and Address of each member of the governing board: Chairman, President or other Presiding Officer (Indicate Title): Chair Name: Jan Marx Address: 990 Palm Street, San Luis Obispo, California 93401 Secretary or Clerk (Indicate Title): Secretary Name: Anthony Me'ia Address: 990 Palm Street, San Luis Obispo, California 93401 Members: Name: John Ashbaugh Address: 990 Palm Street, San Luis Obispo, California 93401 Name: Dan Carpenter Address: 990 Palm street, San Luis Obispo, California 93401 Name: Carlvn Christianson Address: 990 Palm Street, San Luis Obispo, California 93401 Name: Jan Marx Address: 990 Palm Street, San Luis Obispo, California 93401 Name: Dan Rivoire Address: 990 Palm Street, San Luis Obispo, California 93401 RETURN ACKNOWLEDGMENT TO: (Type or Print) December 2, 2014 F D to NAME I Anthony Mejia, City Clerk ADDRESS 990 Palm Street Signature San Luis Obispo, CA 93401 Anthony CITY /STATEIZIP L � y ejia, Secretary Typed Name and Title SEC/STATE NP/SF405 (REV. 05109)