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5 p OF rN <br />••, F <br />m <br />tb r <br />C4lIFOPNP <br />STATEMENT OF FACTS <br />ROSTER OF PUBLIC AGENCIES FILING <br />(Government Code section 53051) <br />State of California <br />Secretary of State <br />Instructions: <br />1. Complete and mail to: Secretary of State, <br />P.O. Box 942877, Sacramento, CA 94277 -0001 (916) 653 -3984 <br />2. A street address must be given as the official mailing address or as <br />the address of the presiding officer. <br />3. Complete addresses as required. <br />page 1 of 2 <br />(Office Use Only) <br />4. If you need additional space, attach information on an 8'/" X 11" page, one sided and legible. <br />New Filing Update r7 <br />Legal name of Public Agency: San Luis Obispo Public Financing Authority <br />Nature of Update: New Filin <br />County: San Luis Obispo <br />Official Mailing Address: 990 Palm Street, San Luis Obispo, California 93401 <br />Name and Address of each member of the governing board: <br />Chairman, President or other Presiding Officer (Indicate Title): Chair <br />Name: Jan Howell Marx Address: 990 Palm Street, San Luis Obispo, California 93401 <br />Secretary or Clerk (Indicate Title): Secretary <br />Name: Anthony J. Mejia Address: 990 Palm Street, San Luis Obispo, California 93401 <br />Members: <br />Name: See Attachment 1 Address: <br />Name: Address: <br />Name: Address: <br />Name: Address: <br />Name: Address: l �" <br />RETURN ACKNOWLEDGMENT TO: (Type or Print) Je�'JT Z 'L,o t y <br />Date <br />NAME L r1tic a pguirm 1 <br />ADDRESS �C3c H=dngt'�' & atclifFe LIP C; Signature <br />400 pitol Mall, Ste. 3000 <br />CITY /STATE /ZIP L Sac.Late'rito, CA 95814 J Patricia L. Eichar, Managing Associate <br />Typed Name and Title <br />ecrlcrn TC eiomc enc ,o�„ ,.,...� <br />