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STATEMENT OF ECONOMIC INTERESTS <br />COVER PAGE <br />Please type or print in ink. <br />A Public Document <br />NAME ( <br />AST) <br />(FIRS <br />T <br />) <br />(MIDDLE) <br />L <br />, { <br />1 <br />, <br />j~ <br />ut's <br />LID <br />MAILING ADDRESS STREET <br />CITY <br />STATE ZIP CODE <br />(Business Address Acceptable) <br />r <br />VC V'51 <br />1 <br />1. Office, Agency, or Court <br />Name of Office, Agenc , or Court: <br />Divi on, board, District, if applicable: <br />CZ 0 q-- R e c lscav~ <br />Your Position: <br />0 V,Yl E'Y`► j 5's l <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 />12. Jurisdiction of Office (Check at least one box) <br />❑ State <br />❑ County of <br />YC of <br />❑ Multi-County <br />❑ Other <br />13. Type of Statement (Check at least one box) <br />Assuming Office/Initial Date: <br /> <br />Annual: The period covered is January 1, 2009, <br />X hrough December 31, 2009. <br />-or- <br />0 The period covered is -~i , through <br />December 31, 2009. <br />❑ Leaving Office Date Left:1 <br />(Check one) <br />0 The period covered is January 1, 2009, through the <br />date of leaving office. <br />-or- <br />0 The period covered is -J through <br />the date of leaving office. <br />❑ Candidate Election Year: <br />t Elate Rec d° , <br />:CJffi! ighUSe Only , i 9 <br />4 a; <br />DAYTIME TELEPHONE NUMBER <br />ADDRESS <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 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 Travel Payments) <br />Schedule D ❑ Yes - schedule attached <br />Income - Gifts <br />Schedule E ❑ Yes - schedule attached <br />Income - Gifts - Travel Payments <br />-o r- <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 1 17 J /Q <br />Signature <br />FPPC P6rm 700 (200912010) <br />FPPC Toll-Free Helpline: 866fASK-FPPC www.fppc.ca.gov <br />