Post on 01-Dec-2014
description
;: i L t.l; U H· I Ct. 0 F T ltia' l~et~ki R 1\
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS oAK L¢<1NI.Wse only
FAIR POLITICAl PRACTICES COMMISS IO N
A PUBLIC DOCUMENT COVER PAGE 14 AUG -:8 PH. 5: 24 Please type or print in ink.
NAME OF FILER I . ) J . (LAST)
{/C/ / (-SC>~ (FIRST)
£1(; , (!__ (MIDDLE)
1. Office, Agency, or Court
Division, Board, Departmen( District, if applicable· 1
./1 · Your Position
f??f1Y61<'~ CY~-t 1'c f
~ If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:-------------------- Position:-----------------
2. Jurisdiction of Office (Check at least one box)
OState
D Multi-County------~--::--------~tyof oAkt./?/V_D
3. Type of Statement (Check at least one box)
D Annual: The period covered is January 1, 2013, through December 31 , 2013.
-or-The period covered is ___}___} ____ , through December 31, 2013.
D Judge or Court Commissioner (Statewide Jurisdiction)
D County of _______________ _
D Other-----------------
0 Leaving Office: Date Left ___}___} ___ _ (Check one)
0 The period covered is January 1, 2013, through the date of leaving office.
0 Assuming Office: Date assumed ___}___} 0 The period covered is ___}___} ____ , through the date of leaving office.
[!:(Candidate: Election year ~ <!:!> (" Y and office sought, if different than Part 1: L7'7d;)/ c:::?e 4. Schedule Summary
Check applicable schedules or "None." ~ Total number of pages including this cover page: ----
D Schedule A-1 - Investments - schedule attached
D Schedule A-2 - Investments - schedule attached
D Schedule B - Real Property- schedule attached
D Schedule C - Income, Loans, & Business Positions - schedule attached
D Schedule D - Income - Gifts - schedule attached
D Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-[!(Nc,ne - No reportable interests on any schedule
5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agen
DAYTIME TELEPHONE NUMBER
(Yts) I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained herein and in any attached schedules is true and complete. I acknowledge this is a public document.
I certify under pe; ;;,;~er t:;ws; e State of California that the
Date Signed .::.) / Signature--- --(month, day, year) (File the originally signed statement with your filing official.)
FPPC Form 700 (2013/2014) FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov