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209 WEST CIVIC CENTER, LLC, KNOWN AS CARIBOU INDUSTRIES, INC. (3)
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209 WEST CIVIC CENTER, LLC, KNOWN AS CARIBOU INDUSTRIES, INC. (3)
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1/15/2021 2:38:03 PM
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Contracts
Company Name
209 WEST CIVIC CENTER, LLC, KNOWN AS CARIBOU INDUSTRIES, INC.
Contract #
A-2020-164-01
Agency
Community Development
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6A L Ov Y <br />Secretary of State <br />Statement of Information <br />` (Limited Liability Company) <br />IMPORTANT -- Read instructions before completing this form. <br />Filing Fee - $20.00 <br />Copy Fees- First page $1,00; each attachment page $0.60; <br />Certification Fee - $6.00 plus copy fees <br />1. Limited Liability Company Name (Enter the exact name of the LLC, If you <br />209 WEST CIVIC CENTER, LLC <br />LLC-12 21-AO9599 <br />FILE® <br />In the office of the Secretary of State <br />of the State of California <br />This <br />using an ahem <br />or <br />JAN 06, 2021 <br />'or Office Use <br />see Instwolions.l <br />L 202023410759 I CALIFORNIA <br />4. Business Addresses ----J <br />a.Street Address a(Principal Office- Donmlista P,O. aox <br />Clty(no abbreviations) <br />State <br />1103 N, Broadway _ <br />Santa Ana <br />CA <br />ZIP Code <br />22701 <br />b, Moiling Address of LLC, If different than Item 4a <br />Cily too abbreviations) <br />State <br />Zlp Coda <br />1103 N. Broadway <br />a <br />Santa Ana <br />CA <br />92701 <br />c. Street Address of Callfornia Offlae, If Item 4a Ill In Callfomla- Do not list P.O Box <br />city (no abbraviabom) <br />Stale <br />Zip Code <br />1103 N, Broadway <br />Santa Ana <br />Cq <br />92701 <br />must be listed. If the manageme address <br />r member Is an Individual,-com�leta Items 6aNand Be leave Item 6b blankea If the st oneman gar member is <br />5. Manager(s) or Member(s) an entity, complete Items 5b and 6c (leave Item 5a blank). Note: The LLC cannot serve as its own manager or member. Ir the LLC <br />has additional managerslmembers, enter the name(s) and addresses on Form LLC•12A (see Instructions). <br />a. First Name, If an Individual Da not complete Item 51: Middle Name Last Name suffix <br />Michael - I F�— I Harrah I <br />It. Entity Name - Do not complete Item 5a <br />"rr^����'�•'_'��'�af elate Zip Code <br />1103 N. Broadway Santa Ana CA 92701 <br />6. Service of Process (Must provide either Individual OR Corporation.) <br />INDIVIDUAL - Complete Items as and 6b only. Must Include agents full name and California street address, <br />a. Collfonsa Agent's First Name (Hagen Is not a corporation) Mlddie Name Last Name Suffix <br />STEPHEN L. FINGAL ESQ. SFIN <br />In. Street Address If agent Is not a cot oration) • Do not enter a P.O. Box CIL ((n�o� abnmvlallans> Stofe Zip Code <br />517.0 CAMPUDR STE00 NWPORT BEACH CA 92660 <br />...- ....,uyn..,. ,.om w o„ry. vn,y inc,nue ais uaniv of om mostorea agent uorporaaon. <br />a Cal Hornia Reglslered Corporate Agent's Neme (If agent la a corporation) -Do not Crompleto Item Ga or Sb <br />7. Type of Business -_-- <br />a.Describethe type ofslor services ofiho Limited Liability Company <br />Real Estate. Investment <br />a. Chief Executive OfOcar. If elected orannninmr, <br />a. Flrsl Name <br />Middle Name <br />Last Name <br />Suffix <br />b. Address <br />City (no abbreviations) <br />State <br />ZIPCode <br />a. I ne rnronnaaon aontmneo ruirem, mcivamg any attacnmonts, is true and correct. _ <br />01/06/2021 MICHAEL F HARRAH MANAGER <br />Date Type or Print Name of Person Compleling the Penn Tide signature <br />Return Address (Optional) (For Communication from the Secretary of State related to this document, or It purchasing a copy of the tiled document enter the name of a <br />person orcompany and the mailing address. This information will become public when died. SEE INSTRUCTIONS BEFORE COMPLETING.) - <br />Name: r <br />Company: <br />Address: <br />City/State0p: L J <br />LL042(REV OV2017) page 1 of 1 2017 California Secretary of State <br />www, sas.ca.gov/businessPoe <br />
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