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08-650481 <br />State of California <br />Secretary of State <br />STATEMENT OF INFORMATION <br />(Domestic Stock and Agricultural Cooperative Corporations) <br />FEES (Filing and Disclosure): $25.00. If amendment, see Instructions. <br />IMPORTANT— READ INSTRUCTIONS BEFORE COMPLETING THIS FORM <br />ENDORSED - FILED <br />In the a loo of the Secretary of State <br />of the State of California <br />JAN 1 1 Zoos <br />This Space For. Firms Use Only <br />1 CORPORATE NAME (Please do not alter If name is preprinled) S <br />AMENDED <br />C2330162 <br />Gillis & Panlchapan Architects, Incorporated <br />2900 Bristol Street <br />Suite G-205 <br />Costa Mesa, CA 92626 <br />DUE DATE: <br />COMPLETEADDRESSES FOR THE FOLLOWING Do not ahbrevlats the name of the city, Items 2 and 3 cannot be P.O. Boxes. <br />2 STREETADORESS OF PRINCIPAL EXECUTIVE OFFICE CRY STATE LP CODE <br />2900 Bristol Street, Suite G-205 Costa Mesa CA 92626 <br />3 STREETADDRESS OF PRINCIPAL BUSINESS OFFICE IN CALIFORNIA. IF ANY CITY STATE ZIP CODE <br />2900 Bristol Street, Suite G-205 Costa Mesa CA 92626 <br />4 MAILING ADDRESS OF THE CORPORATION. IF DIFFERENTTHAN ITELI Z CITY STATE ZIP CODE <br />NAMES AND COMPLETE ADDRESSES OF THE FOLLOWING OFFICERS (Tbe corporation must have Ihme three orAoars. A comparable Idle <br />for dla specific officer may be added; however, the pmpdnted dies on this form must not be altered. <br />5. CHIEF EXECUTIVE OPFICERr ADDRESS CITY STATE ZIP CODE <br />Donald J. Gillis 2900 Bristol Street, Suite G-205 Costa Mesa CA 92626 <br />6 SECRETARYI ADDRESS CITY STATE ZIP CODE <br />Cynthia E. Gillis 2900 Bristol Street, Suite G-205 Costa Mesa CA 92626 <br />7 CHIEF FINANCIAL OPFICSIU ADDRESS CITY STATE ZIP CODE <br />Longkavach Panlchapan 2900 Bristol Street, Suite G-205 Costa Mesa CA 92626 <br />NAMES AND COMPLETE ADDRESSES OF ALL DIRECTORS, INCLUDING DIRECTORS WHO ARE ALSO OFFICERS (The corporation <br />must have at least am director, Attach addNonel Pages;, ifrrecosea . <br />e NAME ADDRESS CITY STATE ZIP CODE <br />Donald J. Gillis 2900 Bristol Street, Suite G-205 Costa Mesa CA 92626 <br />9. NAME ADDRESS CITY STATE ZIP CODE <br />10 NAME ADDRESS CITY STATE ZIP COOS , <br />I I. NUMBER OF VACANCIES ON THE BOARD OF DIRECTORS. IF ANY. <br />AGENT FOR SERVICE OF PROCESS (If the agent Is an Individual, the agent must reside In CaBromis and item 13 must be completed with a California <br />street address (a P.O. Box address Is nat acceptable). If the agent Is anothe'or <br />oromdon, the agent must have an file with the California Secretary of Slate a <br />carI ficate pursuant to Go oradans Code section 1505 end Item 13 must be left blank. <br />12, NAME OF AGENT FOR SERVICE OF PROCESS <br />Fred M. Whitaker <br />13 STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA. IF AN INDIVIDUAL CITY STATE ZIP CODE <br />2424 S.E, Bristol Street, Suite 300 Newport Beach CA 92660 <br />TYPE OF BUSINESS <br />14 DESCRIBE THETYPE OF BUSINESS OF THE CORPORATION <br />Architectural Services <br />15 BY SUBMITTING THIS STATEMENT OF INFORMATION TO THE CALIFORNIA SECRETARY OF STATE THE CORPORATION CERTIFIES THE INFORMATION <br />CONTAINED HEREIN. INCLUDING ANY ATTACHMENTS. IB TRUE AND CORRECT, <br />1/7108 Fred M. Whitaker Agent <br />oATE TYPE/PRINT NAME OF PERSON COMPLETING FORM TITLE SIGNATURE <br />SI-20D C (REV 01120D8) APPROVED 6Y SECRETARY OF STATE <br />