Form Si-Cid - Statement By Common Interest Development Association Page 3
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1
2
3State of California
C
Secretary of State
STATEMENT BY COMMON INTEREST
DEVELOPMENT ASSOCIATION
Filing Fee $15.00 — If amendment, see instructions.
IMPORTANT — READ INSTRUCTIONS BEFORE COMPLETING THIS FORM
1.
NAME OF ASSOCIATION
This Space For Filing Use Only
The above-named association is
Incorporated
Unincorporated
OR
.
2A.
The above-named association is formed to manage a common interest development under the:
2B.
Davis-Stirling Common Interest Development Act.
Commercial and Industrial Common Interest Development Act.
Street Address of the Business or Corporate Office of the Association, if any
(Do not abbreviate the name of the city. Item 3 cannot be a P.O.
Box.)
3.
STREET ADDRESS
CITY
STATE
ZIP CODE
TELEPHONE NUMBER
Street Address of Association’s Onsite Office
if different from the street address of the business or corporate office, or if there is no onsite office, the
address of the association’s responsible officer or managing agent of the association (Do not abbreviate the name of the city. Item 4 cannot be a P.O. Box.)
4.
STREET ADDRESS
CITY
STATE
ZIP CODE
TELEPHONE NUMBER OR EMAIL ADDRESS
President of the Association -
Name, address and either the daytime telephone number or email address (Note: Commercial and industrial associations
do not need to provide this information. The address and telephone number must be different from the address and telephone number of the association’s
onsite office or managing agent. Do not abbreviate the name of the city.)
5.
NAME
PHONE NUMBER OR E-MAIL ADDRESS
ADDRESS
CITY
STATE
ZIP CODE
Association’s Managing Agent, if any -
Name, street address, and daytime telephone number (The address and telephone number must be different
from the address and telephone number of the president of the association. Do not abbreviate the name of the city. Item 6 cannot be a P.O. Box.)
6.
NAME
PHONE NUMBER
STREET ADDRESS
CITY
STATE
ZIP CODE
Physical Location of the Development
7A. COUNTY OR COUNTIES
7B. CITY (If in an unincorporated area, enter the city closest in proximity.)
7C. FRONT STREET
7D. NEAREST CROSS STREET
Type of Common Interest Development Managed by the Association
(At least one of the types listed below must be checked. If Commercial
and Industrial, refer to California Civil Code section 6534 for definitions. Otherwise, refer to California Civil Code section 4100 for definitions.)
(* Note: A commercial and industrial development cannot be a community apartment project.)
8.
CHECK THE APPLICABLE BOX:
A PLANNED DEVELOPMENT
*A COMMUNITY APARTMENT PROJECT
A CONDOMINIUM PROJECT
A STOCK COOPERATIVE
Separate Interests
(Please note, “Zero” or “none” is not acceptable.)
9.
THE NUMBER OF SEPARATE INTERESTS IN THE DEVELOPMENT
10. THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT.
TITLE
DATE
TYPE OR PRINT NAME OF PERSON COMPLETING THE FORM
SIGNATURE
SI-CID (REV 01/2014)
APPROVED BY SECRETARY OF STATE
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