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gL,L OF T:I <br />F <br />Q .A <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 />(Office Use Only) <br />4. If you need additional space, attach information on an 8Y2" X 11" page, one sided and legible. <br />New Filing ❑ Update 7 <br />Legal name of Public Agency: San Luis Obispo Public Financing Authority <br />Nature of Update: Deletion of Member Kathy Smith and addition of Member Dan Rivoire <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 Marx Address: 990 Palm Street, San Luis Obispo, California 93401 <br />Secretary or Clerk (Indicate Title): Secretary <br />Name: Anthony Me'ia Address: 990 Palm Street, San Luis Obispo, California 93401 <br />Members: <br />Name: John Ashbaugh Address: 990 Palm Street, San Luis Obispo, California 93401 <br />Name: Dan Carpenter Address: 990 Palm street, San Luis Obispo, California 93401 <br />Name: Carlvn Christianson Address: 990 Palm Street, San Luis Obispo, California 93401 <br />Name: Jan Marx Address: 990 Palm Street, San Luis Obispo, California 93401 <br />Name: Dan Rivoire Address: 990 Palm Street, San Luis Obispo, California 93401 <br />RETURN ACKNOWLEDGMENT TO: (Type or Print) December 2, 2014 <br />F D to <br />NAME I Anthony Mejia, City Clerk <br />ADDRESS 990 Palm Street Signature <br />San Luis Obispo, CA 93401 Anthony CITY /STATEIZIP L � y ejia, Secretary <br />Typed Name and Title <br />SEC/STATE NP/SF405 (REV. 05109) <br />