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y State of California <br />aX �. <br />e <br />Secretary of State <br />r+!! <br />CAteK00. lM <br />STATEMENT OF FACTS <br />ROSTER OF PUBLIC AGENCIES FILING <br />(Government Code section 53051) <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 />FILED <br />Secretary of State <br />State of California <br />DEC 19 2014 <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 [✓ <br />Legal name of Public Agency: San Luis Obispo Public Financinq 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: <br />Anthony Mejia <br />Address: 990 Palm street, San Luis Obispo, Callfornia 93401 <br />Members: <br />Name: <br />John Ashbauqh <br />Address: 990 Palm Street, San Luis Obispo, California 93401 <br />Name: <br />Dan Carpenter <br />Address: 990 Palm street, San Luis Obispo, Callfornia 93401 <br />Name: <br />Carlvn Christianson <br />Address: 990 Palm street, San Luis Obispo, California 93401 <br />Name: <br />Jan Marx <br />Address: 990 Palm Street, San Luis Obispo, California 93401 <br />Name: <br />Dan Rivoire <br />Address: 990 Palm Street, San Luis Obispo, California 93401 <br />RETURN ACKNOWLEDGMENT TO: (Type or Print) <br />NAME I Anthony Mejia, City Clerk <br />ADDRESS 990 Palm Street <br />CITY /STATE /ZIP L <br />I San Luis Obispo, CA 93401 <br />SEC /STATE NP /SF405 (REV 05/09) <br />December 2, 2014 <br />D to <br />1 <br />Zoa'-' . cj� <br />t <br />Signature -- <br />Anthony Mejia, Secreta <br />Typed Name and Title <br />