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700 Standerfer (01-01-10 - 12-31-10)
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STATEMENT OF ECONOMIC INTERESTS REG !Wzf" <br />COVER PAGE FL-.B 1 6 2011 <br />(� Ity of'Rhfers, de <br />Please type or print in ink. C t 6Aerk's Offlc;e <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />1. Office, Agency, or Court <br />Agency Name <br />0. <br />Division, [3 d,)Departmert, District, if applicable <br />Your Po sition <br />Lo <br />i- if filing for multiple positions, list below or on an attachment, <br />Agency: <br />Position: <br />2. Jurisdiction Of Office (Check at least one box) <br />❑ State <br />❑ Judge (Statewide Jurisdiction) <br />L Multi-County <br />❑ county of <br />-N—City of L�e40 <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />A / Annual: The Annu period covered is January 1, 2010, through December 31, ❑ Leaving Office: Date Left <br />2,010, -or- <br />(Check one) <br />The period covered is through December 31, 0 The period covered is January 1, 2010, through the date of <br />2010, <br />leaving office, <br />❑ Assuming Office: Date <br />0 The period covered is through the date <br />of leaving office. <br />❑ Candidate: Election Year Office sought, if different than Part 1: <br />4. Schedule Surnmary <br />Check applicable schedules or "None." <br />o. Total number of pages including this cover page: <br />r] Schedule A-1 - Investments — schedule attached <br />X Schedule C - Income, Loans, & Business Positions — schedule attached <br />❑ Schedule A-2 - Investments — schedule attached <br />❑ Schedule D - Income — Gifts — schedule attached <br />Ll Schedule B - Real Property — schedule attached <br />❑ Schedule E • Income — Gifts — Travel Payments — schedule attached <br />- <br />or- None - No reportable interests on any schedule <br />5. Verification <br />'MAILING <br />ADDRESS sTREET <br />CITY ----- §TATE ZIP CODF <br />I certify under penalty of perjury under the laws of the State of California <br />Date Signed t I <br />(month, day, year) <br />FPPC IForm 700 (201012011) <br />FPPC Toll-Free Helpflne: 866/275-3772 www,fppe.ca.gov <br />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 <br />herein and in any attached schedules is true and complete. I acknowledge this is a public document, <br />
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