Laserfiche WebLink
� If filing for multiple positions, list below or on an attachment. <br />.L. <br />L-J Schedule A-1 - Investments – schedule attached V) Schedule C - Income, Loans, & Business Positions – schedule attached <br />❑ Schedule A-2 - Investments – schedule attached ❑ Schedule D - Income – Gifts – schedule attached <br />0 Schedule B - Real Property – schedule attached ❑ Schedule E - Income – Gifts – Travel Payments – schedule attached <br />-or- <br />El None - No reportable interests on any schedule <br />5, Verification <br />MAILING ADDRESS SIREET CITY <br />(Business or Agencv Address Recommended - Public Document) <br />I have used all reasonable c1lilgence in preparing this statement. I have revie <br />herein and in any attached schedules is true and complete. I acknowledge this is a public document. <br />I certify under penalty of perjury under the laws of the State of California <br />Date Signed <br />f 1— (61 <br />(month, day, yeaO <br />S <br />STATE <br />filing Offxml) <br />FPRC Form 700 (201012011) <br />FPPC Toll-Free Helpline, 8661275-3772 www.fppc.ca.gov <br />