Statement of Facts - Roster of Public Agency Filings

Government Code Section 53051 [1] requires public agencies to file a Statement of Facts within 70 days after the commencement of its legal existence.

When there is a change in information, the agency is required to file an amended Statement within 10 days.

The Statement shall contain the following facts:

  • The full, legal name of the public agency.
  • The official mailing address of the governing body of the public agency.
  • The name and residence or business address of each member of the governing body of the public agency.
  • The name, title, and residence or business address of the chairman, resident, or other presiding officer, and clerk or secretary of the governing body of such public agency.

The Secretary of State and the County Clerk of each county shall establish and maintain an indexed "Roster of Public Agencies."

Original to:
Secretary of State P.O. Box 942877
Sacramento, CA 94277-0001
916-653-3984

Copy to:
Santa Cruz County Clerk
701 Ocean St., Room 310
Santa Cruz, CA 95060
831-454-2060

The form is available online at sos.ca.gov


53050. The term "public agency," as used in this article, means a district, public authority, public agency, and any other political subdivision or public corporation in the state, but does not include the state or a county, city and county, or city.