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Please type or print in ink. <br />NAME OF FILER (LAST) (RRST) (MIDDLE) <br />C <br />1. Office, Agency, or Court I <br />Division, Board, Department, District, if applicable Your Position <br />I , " 4 <br />- ------------ <br />o 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 />F State <br />D Judge (Statewide Jurisdiction) <br />❑ Multi-County <br />El County of <br />K ., <br />N.City of � 451 C <br />— 14- —� <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />L] Annual: The period covered is January 1, 201C, through <br />December 31, Leaving Office: Date Left <br />P� <br />2010. or- <br />(Check one) <br />The period covered is through December 31, C) The period covered is January 1, 2010, through the date of <br />2010. <br />leaving office, <br />Assuming Office: Date. <br />J G L <br />The period covered Is —c—L-a ll through the date <br />Q.t <br />of leaving office. <br />F Candidate: Election Year Office sought, If different than Part 1:. <br />4. Schedule Summary <br />Check applicable schedules or "None," <br />P. Total number of pages including this cover page: <br />❑ Schedule A-1 - Investments — schedule attached <br />❑ Schedule C - Income, Loans, & Business Positions — schedule attached <br />❑ Schedule A-2 - Investments — schedule attached <br />[] Schedule D - Income — Gifts — schedule attached <br />Schedule B - Real Property — schedule attached <br />❑ Schedule E • Income — Gifts — Travel Payments — schedule attached <br />"or- <br />None - No reportable interests on any schedule <br />5. Verification <br />MAILING ADDRESS STREET <br />(Business crA enc Address Recommended - Public Do <br />CITY STATE ZIP CODE <br />1 4 ' 1 /fs ' , ' Ckc CA <br />I have used all reasonable diligence In preparing this statement, I have reviewed this statement to thAest of my knowledge the information contained <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 forec oin is true and corm <br />I L ". 2 I k <br />Date Signed "; -- 1 (. I Signature <br />{month, day year) <br />(2010/2011) <br />fppc.ca.gov <br />