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CO0048503 (3)
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CO0048503 (3)
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Last modified
11/19/2024 3:47:15 PM
Creation date
3/5/2021 11:43:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0048503
PE
4200
STREET_NUMBER
13550
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242
APN
05502002
ENTERED_DATE
1/23/2019 12:00:00 AM
SITE_LOCATION
13550 W HWY 12
RECEIVED_DATE
1/23/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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F532244 <br />FILED <br />In the office of the Secretary of State <br />of the State of California <br />APR-10 2015 <br />This Space for Filing Use Only <br />_____________________N , .: <br />,,, 4 • .. - • . - , . . 4 Pi ..• <br />401# Y Secretary of State <br /> <br />., . <br />Statement of Information <br />(Domestic Nonprofit, Credit Union and Consumer Cooperative Corporations) <br />Filing Fee: $20.00. If this is an amendment, see instructions. <br />IMPORTANT — READ INSTRUCTIONS BEFORE COMPLETING THIS FORM <br />CORPORATE NAME <br />GRINDSTONE JOE ASSOCIATION <br />CALIFORNIA CORPORATE NUMBER <br />CO217860 <br />Complete Principal Office Address (Do not abbreviate the name of the city. Item 3 cannot be a P.O. Box.) <br />STREET ADDRESS OF PRINCIPAL OFFICE IN CALIFORNIA, IF ANY CITY STATE ZIP CODE <br />1029 N COUNTRY CLUB BLVD, STOCKTON, CA 95204 <br />MAILING ADDRESS OF THE CORPORATION CITY STATE ZIP CODE <br />CATHERINE SAWYER 1029 N COUNTRY CLUB BLVD, STOCKTON, CA 95204 <br />Names and Complete Addresses of the Following Officers (The corporation must list these three officers. A comparable title for the specific <br />officer may be added; however, the preprinted titles on this form must not be altered.) <br />CHIEF EXECUTIVE OFFICER/ ADDRESS CITY STATE ZIP CODE <br />ANNETTE STEPHENS 4329 ANNANDALE DRIVE, STOCKTON, CA 95219 <br />SECRETARY ADDRESS CITY STATE ZIP CODE <br />TED PHILLIPS 5910 RIVER GLEN COURT, CARMICHAEL, CA 95608 <br />CHIEF FINANCIAL OFFICER/ ADDRESS CITY STATE ZIP CODE <br />CATHERINE SAWYER 1029 N COUNTRY CLUB BLVD, STOCKTON, CA 95204 <br />Agent for Service of Process If the agent is an individual, the agent must reside in California and Item 9 must be completed with a California street <br />address, a P.O. Box address is no acceptable. If the agent is another corporation, the agent must have on file with the California Secretary of State a <br />certificate pursuant to California Corporations Code section 1505 and Item 9 must be left blank. <br />NAME OF AGENT FOR SERVICE OF PROCESS <br />CATHERINE SAWYER , <br />STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA, IF AN INDIVIDUAL CITY STATE ZIP CODE <br />1029 N COUNTRY CLUB BLVD, STOCKTON, CA 95204 <br />Common Interest Developments <br />Check here if the corporation is an association formed to manage a common interest development under the Davis-Stirling Common Interest <br />Development Act, (California Civil Code section 4000, et seq.) or under the Commercial and Industrial Common Interest Development Act, <br />(California Civil Code section 6500, et seq.). The corporation must file a Statement by Common Interest Development Association (Form SI-CID) as <br />required by California Civil Code sections 5405(a) and 6760(a). Please see instructions on the reverse side of this form. <br />THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT. <br />04/10/2015 CATHERINE SAWYER TREASURER <br />DATE TYPE/PRINT NAME OF PERSON COMPLETING FORM TITLE SIGNATURE <br />SI-100 (REV 01/2014) APPROVED BY SECRETARY OF STATE
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