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Statement of Economic Interest Form 700 public
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700 Gerry (01-01-10 - 12-31-10)
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R all <br />�v .0 <br />RE J 4 <br />Please type or print in ink, Y <br />NAME OF FILER - (LAST) (FIRST) (MIDDLE) <br />1. Office, Agency, or Court <br />01 <br />Agency Name <br />- k <br />Division, Boafd)Depadment, District, if applicable Your Position <br />epp <br />CC) rho M 6'r <br />o. If filing for multiple positions, list below or on an attachment <br />I Type of Statement (Check at least one box) <br />Annual: The period covered is January 1, 2010, through December 31, <br />201 -or- <br />The period covered is J_ through December 31, <br />2010. <br />❑ Assuming Office: Date <br />[-] Candidate: Election Year <br />0 The period covered is <br />of leaving office. <br />Office sought, if different than Pad 1: <br />through the date <br />4. Schedule Summary <br />Check applicable schedules or "None." P- Total number of pages including this cover page: <br />❑ Schedule A-1 - Investments - schedule attached ❑ Schedule C • Income, Loans, & Business Positions - schedule attached <br />El Schedule A-2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached <br />❑ Schedule B - Real Properly - schedule attached F-1 Schedule E - Income - Gifts - Travel Payments - schedule attached <br />-or- <br />None - No reportable interests on any schedule <br />5. Verification <br />ADDRESS <br />I certify under penalty of perjury under the laws of the State of California that the <br />12-6, 1 ,� � <br />( <br />Date Signed t_0 - <br />(manih, day, year) <br />Signature <br />❑ Leaving Office: Date Left 1 ___J_ <br />(Check one) <br />0 The period covered is January 1, 2010, through the date of <br />leaving office. <br />012011) <br />FPPC Toll-Firee Helpline: 866/275-3772 www.fppc,ca.gov <br />herein and in any attached schedules is true and complete. I acknowledge this is a public document. <br />
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