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BEN'S ASPHALT, INC.
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Last modified
11/14/2024 2:56:12 PM
Creation date
9/22/2015 4:59:11 PM
Metadata
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Template:
Contracts
Company Name
BEN'S ASPHALT, INC.
Contract #
13-2638
Agency
Public Works
Council Approval Date
8/4/2015
Expiration Date
2/5/2016
Insurance Exp Date
3/1/2016
Destruction Year
2019
Notes
Project
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State sof California S <br />` Secretary ref State <br />Statofivent of fhfcrrrnatlon <br />(Domestic Stock and Agricultunal Cooperative Corporat%nsX <br />FEES (Filing and tiiselosure}i $25.09. <br />If this Is anamendmenn, see instruetforts. <br />IMPORTANT –READ INSTRUCTIONS BEFORE COMPLETING THIS FORM - <br />I CORPORATE NAMF <br />SKEIFFItNGTON ENTERPRISES, INC. <br />2. CALPFORNIACORPORATENUWRER n. <br />02023037ry <br />Tlea Spew I., Fning use rSnly <br />No Chan a Statement(Nbt ap licable if agent address of Raca u a P 0- Sox address Sade instructions.) <br />a. If there have haensny changes too the information contained in the [set Statement oflOOnnation filed With lUerCailforh{aSeoretaty <br />of state, or no statement of information has bsen previously filed, this form must becompletedin Its entir-ety.- <br />o It there has been no Change In any of the Information contained in the llast Statement of Information fled with: the California sedlcia(y <br />of State check the bossed proceed to Islam 17. <br />_Complato Addrassas-foo Aha FollitSWing too not aobrav{afaIlls name of the platy, 1#ems �t andB cannot ba ix:p Sottas):.. }. <br />A a1.REET AGUNESS Or PRINCtPA1L EXECUTIVtE 6FFia6 CITY STATE Rip CODE <br />22OO'SOUTH YALE ST SANTA ANA CAS 92704 _ <br />6 6l`R£$T AD6nESy pP PRCIICIPNL EV€INE5.5 OFl=IC6IN CALIFORNIA, rF'ANY CITY STATE ZIP CODE <br />2700 SQUThi YALE ST - ._.__..._.. SANTA ANA .CA 92.704 _ <br />e MAILING ADORE" OF C6flP4RAtiUP.l IF b1FFF,RE`N1'THAN ITEM CrrY. - STATE ZIPOOOE <br />Names what Compiate Addresses of the Following Officers (The corporation must flet these three staters, A comparable Sic for the spechic <br />Offocr maybe adde , hpwaVer Ina it apented titles on the; to" Must not be al#eved,) <br />T CHIEF EXECUTIVE OFfICERi ADDRE9$ &iTY' $TATE LIP Ci7AE <br />WJUJAH, J. 5KEFFINGTON 2200 SOUTH YALE „ST SANTAANA. GA `92704'. <br />a SEC ETbRY ADDRESS CITY STATE ZIPCODE <br />JOHN W. SKEFEINC'ITON� 2200 SOUTH YALE STSANTAANA CA. . 92704.. <br />a 6HIL'F-MNANCIALOFFICERt ADDRESS CITY STATE ZIP CODE <br />rv. <br />JOHN \M. SKEFFiNGFON 2200 SOUTH YALE ST SANTA ANA CA 92704 <br />Names and Compiate Addresses of All Directors, Including Directors Who are Also Officers tThe porpostion must have,atbast one <br />director :Attach addlltegai sagas. o necessary:) <br />70 NAME. .. AI}p}ta=,E"S - CITY SIRTE LIPCOCrP <br />WILLIAM J• SKL'FTiNG:fON .2240 Si7U'I H YALE. ST SANTA ANA CA 92704. <br />.---.,..._..W..�. <br />17 NAME ADDRESS CITY $tA7'C ZlP COLE <br />JOHN W; 6KEFFPNtiTON w .......Z200 SOUTH YALE ST SANTA ANA CA—,L704 - <br />12 NAME RDDHE3S _ CITY_ STATE ZIP CODE <br />.,....._w_ _.__......._..... <br />ta. NUMBER OF VACANCIES ON THE BgARO'OF➢IAECTO7R5, IF ANY: <br />Agent for Service- of Process If ins igdnt Is an Individual, the agent must reside In California and Ilea' 15 must be completed vain a Colborne street <br />address,.a P 0Box address is not aoreplabla if the agent is another c lrporapmt;'the agent most hot on filo, wfh the California SecreWry of Statea <br />rFirygafp 'uesy ralt to Califurnre Corporations Code seti6ipn i5tiS.and itofn t$ mustbaleft Markt <br />)d, NAME OFA.GENT FOR SERVICE OF PROOESS: .... - <br />WILLIAM J. SKEFFINGTON <br />95 <br />FET ADDRESS 6F AGENT FOR SER7.50EOFPROCE>31$7N CALIpptiNlA.iFANiM©IVRSUAI. GtiY STATE SIR CODE <br />2200 SOUTH YALE ST SANTTA ANNA, CA. 52704 ' <br />Type of Business - ..... <br />16 DESCRIBE THE TYPE OF BUSINESS OF THE CORPORATION <br />tJvrr9'ShiP and manapEn lent of ssophs <br />,- 0Y SU6MTTINO THIS $TATEN,ENT tiF INFORMATION TO THE CAUFORNM $ECPErARV Or STATE. THE CORPORATION DERT IES THE INFORMATION <br />CONTAINED 14EREIN INCLUDING ANY ATTACHMENTS. IS TRUE ANDCiORRECT. <br />6-11-2015 .JOHN W. SKEFFINGTON OSREU OR <br />DATE T'fnE1pRlot N/iME (?F PERSON GOMPLEPING.K'41RM TITLE T: RE —.......,--- <br />81 -200 (REV 04121373) A PRO D Y ECRETARY OF STATE <br />
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