Developer Interest - Local Agency Surplus Land Question Title * 1. What is your name? First Last Title Question Title * 2. Phone Number (xxx) xxx-xxxx Question Title * 3. Email Address Question Title * 4. Are you completing this survey on behalf of a government entity? If yes, you can input N/A in Question 5. Yes No Question Title * 5. What is the entity number associated with your Organization/Company? The entity number is the identification number issued to the entity by the California Secretary of State at the time the entity formed, qualified, registered or converted in California. More information correlated to an entity number can be found at the California Secretary of State's Website: https://businesssearch.sos.ca.gov/. · For a corporation by entity number, the letter "C" must be entered followed by the applicable seven-digit entity number.· For a Limited Liability Company or Limited Partnership by entity number, enter only the applicable 12-digit entity number. Question Title * 6. What is the entire name of your Organization/Company (Corp, LLC, LP)? Question Title * 7. What is the address of your Organization/Company? Address City State Zip Question Title * 8. Has your organization developed affordable housing before? Yes No Question Title * 9. Has your organization developed surplus public land before? Yes No Question Title * 10. Are you interested in receiving notices from local organizations throughout the state? Yes No Question Title * 11. Are you only interested in receiving notices from local agencies in specific counties? Alameda County Alpine County Amador County Butte County Calaveras County Colusa County Contra Costa County Del Norte County El Dorado County Fresno County Glenn County Humboldt County Imperial County Inyo County Kern County Kings County Lake County Lassen County Los Angeles County Madera County Marin County Mariposa County Mendocino County Merced County Modoc County Mono County Monterey County Napa County Nevada County Orange County Placer County Plumas County Riverside County Sacramento County San Benito County San Bernardino County San Diego County San Francisco County San Joaquin County San Luis Obispo County San Mateo County Santa Barbara County Santa Clara County Santa Cruz County Shasta County Sierra County Siskiyou County Solano County Sonoma County Stanislaus County Sutter County Tehama County Trinity County Tulare County Tuolumne County Ventura County Yolo County Yuba County Question Title * 12. By adding your contact information here, are you aware that your name and contact information will be made available on HCD’s website, and upon request by local agencies? Yes No Done