Form Boe-100-B - Statement Of Change In Control And Ownership Of Legal Entities Page 3

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BOE-100-B (S2B) REV. 18 (6-08)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
6. Ownership Interest Table
OWNER(S)
AFTER
BEFORE
Reporting Instructions:
Corporation - Indicate the percentage of the total outstanding shares of voting stock in the acquired entity that the acquiring person or legal
entity owned or controlled before and after ownership control was obtained.
Partnership - Indicate the percentage of the total rights to capital and profits in the acquired entity that the acquiring person or legal entity owned
before and after ownership control was obtained.
Other types of Legal Entities - Indicate the percentage of the total ownership interests in the acquired entity that the acquiring person or legal
entity owned before and after ownership control was obtained.
7. Property Schedule
Complete item 7 if you answered NO to questions 1, 2, or either 3a, 3b, or 3c on Schedule A. Please list separately each interest in real
property in California held by the acquired legal entity and any of the legal entities under its ownership control (for example, subsidiaries,
partnerships, trusts, joint ventures, limited liability companies) on the exact date that ownership control was obtained.
NAME
LOCATION
ASSESSOR'S
CO.
LEASED 35
POSSESSORY
FIXTURES
OWNED
(OWNER/LESSEE)
(STREET ADDRESS/CITY)
PARCEL NO.
NO.
YEARS +
INTEREST
ONLY
COUNTY IDENTIFICATION NUMBERS
01 Alameda
13 Imperial
37 San Diego
49 Sonoma
25 Modoc
02 Alpine
14 Inyo
38 San Francisco
50 Stanislaus
26 Mono
03 Amador
15 Kern
27 Monterey
39 San Joaquin
51 Sutter
04 Butte
16 Kings
40 San Luis Obispo
52 Tehama
28 Napa
05 Calaveras
17 Lake
41 San Mateo
53 Trinity
29 Nevada
06 Colusa
18 Lassen
42 Santa Barbara
54 Tulare
30 Orange
07 Contra Costa
19 Los Angeles
31 Placer
43 Santa Clara
55 Tuolumne
08 Del Norte
20 Madera
44 Santa Cruz
56 Ventura
32 Plumas
09 El Dorado
21 Marin
45 Shasta
57 Yolo
33 Riverside
10 Fresno
22 Mariposa
46 Sierra
58 Yuba
34 Sacramento
11 Glenn
23 Mendocino
47 Siskiyou
35 San Benito
12 Humbolt
24 Merced
36 San Bernardino
48 Solano

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