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Statement of Facts - SOS Parking Authority - 03/27/17eta GF }N r ti• A W Y i= 4[,F0% 10, 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 8'/2" X 11" page, one sided and legible. New Filing ❑ Update 0✓ Legal name of Public Agency: San Luis Obispo Parkinq Authority Nature of Update: Reorganization County- San Luis Obispo Official Mailing Address: 990 Palm Street, San Luis Obispo, California 93401- 3249 Name and Address of each member of the governing board: Chairman, President or other Presiding Officer (Indicate Title) Chair Name: Heidi Harmon Address: 990 Palm Street, San Luis Obispo, California 93401 Secretary or Clerk (Indicate Title): Secretary Name: Carrie Gallaqher Address: 990 Palm Street, San Luis Obispo, California 93401 Members: Name: Heidi Harmon Address: 990 Palm Street, San Luis Obispo, California 93401 Name: Aaron Gomez Address: 990 Palm Street, San Luis Obispo, California 93401 Name: Carlvn Christianson Address: 990 Palm Street, San Luis Obispo, California 93401 Name: Andy Pease 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) NAME I Carrie Gallagher, City Clerk ADDRESS 990 Palm Street San Luis Obispo, CA 93401 CITY/STATE/ZIP L SEC/STAFE NP/SF 405 (REV 05/09) March 27, 2017 Date 1 Signature Carrie Gallagher, Secreta Typed Name and Title