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NV <br />STATEMENT OF ECONOMIC INTERESTS RECEi ED <br />I)AN <br />COVER PAGE <br />Aq cy Name <br />C6 VV% <br />Division, Board, Department, District, if applicable Your Position <br />Po 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 />.. j State ❑ Judge (Statewide Jurisdiction) <br />Assuming Office: Date 0 The period covered is J_ through the date <br />of leaving office, <br />❑ Candidate: Election Year <br />Office sought, if different than Part I. <br />4. Schedule Summary <br />Check applicable schedules or "None." o- Total number of pages including this cover page: <br />F Schedule A-1 - Investments - schedule attached ❑ Schedule C - lncome, Loans, & Busioess Positions - schedule attached <br />❑ Schedule A-2 - Investments - schedule attached [:] Schedule D - Income - Gifts - schedule attached <br />❑ Schedule B - Real Property - schedule attached El Schedule E - Income - Gifts - Travel Payments - schedule attached <br />-or- <br />F1 None - No reportable interests on any schedule <br />5. Verification <br />MAILING ADDRESS STREET aTY STATE ZIP CODE <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 that the <br />Date Signed I Signature <br />(month, day, your) <br />is true and <br />FIPPC Toll-Free Helpfine: 8661275-3772 www.fppc.ca.gov <br />