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STATEMENT OF ECONOMIC IN'i _..tESTS rl <br />m <br />COVER PAGE ~a <br />Please type or print in ink. A Public Document <br />NAME (LAST) (FIRST) (MIDDLE) <br />L f,\e ~c <br />MAILING ADDRESS STREET CITY STATE <br />(Bu <br />Ive~s1c~.. <br />1. Office, Agency, or Court <br />Name of Office, Agency, or court: <br />~I of Y S lc~A <br />D,.Boardp~s#ri if applic~~abpple:~ <br />Your P~ositio~n:,,,y <br />► If filing for multiple positions, list additional agency(ies)/ <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 />❑ County of <br />City of +VeAS'C~A <br />Multi-County <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />❑ Assuming Office/initial Date: I__ I <br />Annual: The period covered is January 1, 2009, <br />through December 31, 2009. <br />-or- <br />0 The period covered is I I through <br />December 31, 2009. <br />Leaving Office Date Left: J.. / <br />(Check one) <br />O The period covered is January 1, 2009, through the <br />date of leaving office, <br />-or- <br />0 The period covered is i through <br />the date of leaving office. <br />ZIP CODE <br />F'F-6 1 <br />4. Schedule Summary <br />► Total number of pages <br />including this cover page: <br />► Check applicable schedules or "No reportable <br />interests." <br />I have disclosed interests on one or more of the <br />attached schedules: <br />Schedule A-1 ❑ Yes - schedule attached <br />investments (Less the, 10% Ownership) <br />Schedule A-2 ❑ Yes - schedule attached <br />Investments (10% or Greater Colnership) <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 Travel Payments) <br />Schedule D ❑ Yes - schedule attached <br />Income - Gifts <br />Schedule E ❑ Yes - schedule attached <br />Income - Gifts - Travel Payments <br />-or- <br />No reportable interests on any schedule <br />5. Verification <br />I 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 a LNO <br />❑ Candidate Election Year: <br />