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