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0m, ail <br />P'K 0 iv0d <br />STATS MENT OF ECONOMIC INTEREST S <br />Please type or print in ink, (LAST) (FIRST) (MIDDLE) <br />NAME OF FILER R <br />1. Office, Agency, or Colurt <br />Agency Name <br />"'tm Di if applicable <br />b� B Departmen S <br />, if fili f m positions, lilt below or on an attachment <br />Schedule A4 - investments - schedule attached Schedule C - Income, Loans, & Business positions - schedule attached <br />Schedule A-2 - investments - schedule attached Schedule D - Income - Gifts -- schedule attached <br />Schedule B - Real Property - schedule attached Schedule E . Income - Gifts - Travel payments - schedule attached <br />'or- <br />None - No reportable interests on any schedule <br />5,. Verification <br />AT,: ZIP CODE <br />SAUING A6DRFSS STREET <br />(Business or Agent g Addfg.Rq Rpcommended - Public Document) <br />I— — <br />I have used all reasonable diligence in preparing this statement. l have reviewed this statement and to the best of my knowledge the informa tion contained <br />herein and in any attached schedules is true and complete. I acknowledge this is a public do <br />I certify under penalty of perjury under the laws of the state of California that the foreg <br />9 <br />Date Signed - i'mordh, day, year) Signature (He the or(ginairy sigma stat amen I Wan Y our rma V ­ <br />FPPC Fornn 700 1(201012011) <br />FPPC Toll-Free Helpline: 86,61275-3772 wwvv-fppcxa.90v <br />Your Position <br />WA. ("'6) U'n L' o.'\ <br />