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X11 ~ { <br />`fa e <br />STATEMENT OF ECONOMIC INTERESTS 4~af Use any <br />Please type ar print in ink. <br />COVER PAGE <br />A Public Document <br />AP, 2 2 2010 <br />NAME (LAST) (FIRST) (MEDDLE) DAYTIME TELEPFIONE NUMBER <br />A14"fq Ant <br />MAILING ADDRESS STREET CITY STATE ZIP CODE CPTICNAL; E-MAIL ADDRES <br />/n--- n,a,a...- n,.,.,...-- <br />~ I Ve1:31 dct L. ot~ <br />1. Office, Agency, or Court <br />Name of Office, Agency, or Court: <br />Division, Board,, District, if applicable: <br />r <br />-b! fLl Your Positlon: <br />00 i'1''101 I f <br />► If filing for multipfe positions, list additional agency(ies)1 <br />position(s): (Attach ,ag separate sheet if necessary.) <br />Agency: 9iVef aje4e_ rr[ ,e 1 X; W -4_4ip <br />Position: Boned ffleoib!~--r, <br />2. Jurisdiction of Office (Check at least one box) <br />❑ State <br />County of <br />LVCity of hI V r31c"ie <br />❑ Multi-County <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />E~ Assuming Office/Initial Date: I,~, / An <br />❑ Annual: The period covered is January 1, 2009, <br />through December 31, 2009. <br />-or- <br />0 The period covered is -~'_..._..I through <br />December 31, 2009. <br />❑ Leaving Office Date Left: J__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 through <br />the date of leaving office, <br />❑ Candidate Election Year: <br />4. Schedule Summary <br />r 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%6 Ownership) <br />Schedule A-2 ❑ Yes - schedule attached <br />Investments (10% or Greater ownership) <br />Schedule B Yob - schedule attached <br />Real Property u~l <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 />- <br />or-No reportable interests on any schedule <br />S. 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 />cortify under penalty of perjury underthe laws of the State <br />of California that the foregoing is true and correct. <br />Date Signed <br />Signature <br />wr your filing official.) <br />FPPC Form 700 (2008!2010) <br />FPPC Toll-Free Helpline: 8661ASK-FPPC www.fppc.r-a.gov <br />