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HomeMy WebLinkAboutFORMATION STATE FILING SF-405 Secretary of State Registry of Public Agencies (Government Code section 53051) C9[IFOPPP IMPORTANT—Read Instructions before completing this form. There is No Fee for a Registry of Public Agencies filing Copy Fees — First page$1.00; each attachment page$0.50; Certification Fee-$5.00 This Space For Office Use Only 1. Type of Filing (Check one.) Initial Filing (first Registry of Public Agencies filing for an agency) Updated Filing (change to an existing Registry of Public Agencies record) 2. Agency Information a.Full Legal Name of Public Agency City of Rancho Cucamonga Parking Authority b.Nature of Update(complete if Updated Filing) c.County d.Official Mailing Address San Bernardino 10500 Civic Center Drive, Rancho Cucamonga CA 91729 3. Chairperson, President, or Other Presiding Officer a.Name b.Title L. Dennis Michael Chair c.Business or Residence Address 10500 Civic Center Drive, Rancho Cucamonga CA 91729 4. Clerk or Secretary a.Name b.Title Janice C. Reynolds City Clerk c.Business or Residence Address 10500 Civic Center Drive, Rancho Cucamonga CA 91729 5. Other Members of the Governing Board (Enter as many as applicable.Attach additional pages for additional members.) Name Business or Residence Address Lynne B. Kennedy 10500 Civic Center Drive, Rancho Cucamonga CA 91729 Name Business or Residence Address Ryan A. Hutchison 10500 Civic Center Drive, Rancho Cucamonga CA 91729 Name Business or Residence Address Kristine D. Scott 10500 Civic Center Drive, Rancho Cucamonga CA 91729 Name Business or Residence Address Ashley N. Stickler 10500 Civic Center Drive, Rancho Cucamonga CA 91729 Name Business or Residence Address 6. Date and Sign BeloW(Additional members set forth on attached pages,if any,are incorporated herein by reference and made part of this Form SF-405,Registry of Public Agencies.) Date Si ur Type or Print Name SF-405(REV 12/2019 2019 California Secretary of State bizfile.sos.ca.gov City of Rancho Cucamonga SUPPLIER ID SUPPLIER NAME CHECK DATE I CHECK NO. REMITTANCE ADVICE S-001262 SecretaryOf State 10/03/2024 448025 INVOICE NO. DATE PO NUMBER DESCRIPTION INVOICE AMOUNT SF-405 09/26/2024 Initial Filing FEES- Registry of Pub 6.00 Agencies TOTAL 6.00 City of Rancho Cucamonga SUPPLIER ID SUPPLIER NAME CHECK DATE CHECK NO. REMITTANCE ADVICE S-001262 Secretary Of State 10/03/2024 448025 INVOICE NO. DATE PO NUMBER DESCRIPTION INVOICE AMOUNT SF-405 09/26/2024 Initial Filing FEES- Registry of Pub 6.00 Agencies TOTAL 6.00 5 CITY OF RANCHO CUCAMONGA CHECK No. 448025 10500 Civic Center Drive 90-3582/1222 M- Rancho Cucamonga,CA 91730 zr (909)477 2700 DATE 10/03/24 m� A/P ACCOUNT D: i:( PAY EXACTLY z< z- PAY Six and 00/100 ***$6.00 a� m( z z� THIS CHECK EXPIRES AND IS VOID 180 DAYS FROM ISSUE DATE M�-r mr A' Secretary Of State m` TO THE SPECIAL FILINGS UNIT OORDER PO BOX 942870 MAYOR g? SACRAMENTO, CA 94277-2870 Z 1 V CIT TREASURER _v/ II90044 0 2 Silo ROD L 2 2 2 3 S8 2 POD L S13 300 L8 L84 Sn® I § mmmmmm \ G � CD co � « ) ƒ CD 0 ( § LLJ } \\� 2 m/ 3 (\)/ d k° / & ƒ@@E _: z 2222 2 }\\\ / (j o\ oo = w m CO=V)