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3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2010, through December 31, 2010, or- The period covered is 2010. through December 31, ❑ Leaving Office: Date Left (Check one) 0 The period covered is January 1, 2010, through the date of leaving office. ❑ Schedule A-1 - Investments — schedule attached ❑ Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule A-2 - Investments — schedule attached ❑ Schedule D - Income — Gifts — schedule attached 1K Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached -0 r- El None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE t8 srness I lidvt� ubtu dil I t�a ZLjl lo Lilt-, Ulllyt-'lluu 111111 PT pellilly MIS 77M?Mt. I have reviewed this sta herein and in any attached schedules is true and complete. I acknowledge this is a pu I certify under penalty of perjui under thp laws of the State of California that the 3 � 1 e eit Date Signed 7 (monfh, day, ear) Signature 011) I-Free Helpline: 8661275-3772 %vvvw,fppc.ca.gov STATEMENT OF ECONOMIC INTERESTS Date Recol vec! COVER PAGE Please type or print in ink AME 0 F FILER (LAST) ..... .. ... 1. Office, Agency, or Court Agency Name Division, Board, Deparlme Dig rict, l f loplicable Your Positlon oo. If filing for muItiple positQns, list below or on an attachment. 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2010, through December 31, 2010, or- The period covered is 2010. through December 31, ❑ Leaving Office: Date Left (Check one) 0 The period covered is January 1, 2010, through the date of leaving office. ❑ Schedule A-1 - Investments — schedule attached ❑ Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule A-2 - Investments — schedule attached ❑ Schedule D - Income — Gifts — schedule attached 1K Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached -0 r- El None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE t8 srness I lidvt� ubtu dil I t�a ZLjl lo Lilt-, Ulllyt-'lluu 111111 PT pellilly MIS 77M?Mt. I have reviewed this sta herein and in any attached schedules is true and complete. I acknowledge this is a pu I certify under penalty of perjui under thp laws of the State of California that the 3 � 1 e eit Date Signed 7 (monfh, day, ear) Signature 011) I-Free Helpline: 8661275-3772 %vvvw,fppc.ca.gov