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STATEMENT OF ECONOMIC INTERE~CEIV, nfyd <br />Please type or print in ink. <br />COVER PAGE <br />A Public Document <br />2009 <br />~Y4~F F.i. 1~•t tir'.y-.~ri ~~11 <br />CI~!~ l ~I ~C'k L+ilrr~ <br />NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER <br />V E:_~ &Ff _ A n - <br />MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS <br />(May use business address <br />l <br />I CA <br />1. Office, Agency, or Court <br />Name of Office, Agenn+cy, or Court: + <br />WMAd <br />Division, Board, District, il! a cable: <br />Your Position: <br />► If filing for multiple positions, list additional agency(ies)1 <br />position(s): (Attach a separate sheet if necessary.) <br />Agency: <br />Position: <br />2. Jurisdiction of Office (Check at least one box) <br />❑ State <br />❑1 County of <br />Uv 16ity of <br />❑ Multi-County <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />❑ Assuming Office/Initial Date: II <br />❑ Annual: The period covered is January 1, 2008, <br />through December 31, 2008. <br />-or- <br />0 The period covered is through <br />December 31, 2008. <br />❑ Leaving Office Date Left: -~1I <br />(Check one) <br />O The period covered is January 1, 2008, through the <br />date of leaving office. <br />-o r- <br />0 The period covered is I I through <br />the date of leaving office. <br />[RI~andidate Election Year. <br />4. Schedule Summary <br />► Total number of pages <br />including this cover page: <br />► Check applicable schedules or "No reportable <br />interests." <br />have disclosed interests on one or more of the <br />attached schedules: <br />Schedule A-1 Yes - schedule attached <br />Investments (Less than 10% Ownership) <br />Schedule A-2 ❑ Yes - schedule attached <br />investments (10% or greater ownership) <br />Schedule B ❑ Yes - schedule attached <br />Real Property <br />Schedule C ❑ Yes - schedule attached <br />Income, Loans, & Business Positions (income other than Gifts <br />and Travef Payments) <br />Schedule D Yes - schedule attached <br />Income - Gifts <br />Schedule E es - schedule attached <br />income - Gifts - Travel Payments <br />-or- <br />❑ No reportable interests on any schedule <br />5. Verification <br />have used all reasonable diligence in preparing this <br />statement. I have reviewed this statement and to the best <br />of my knowledge the information contained herein and in any <br />attached schedules is true and complete. <br />I certify under penalty of perjury under the laws of the state <br />of California that the foregoing is true and correct. <br />Date Signed <br />FPPC Form 700 (200812009) <br />FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov <br />