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-Date Received- <br /> CALIFORNIA F• - 700 STATEMENT OF ECONOMIC IN i CRESTS ofec,a,Use o„iy <br /> DOCUMENT FAIR POLITICAL PRACTICES COMMISSION <br /> A PUBLIC COVER PAGE <br /> Please type or print in ink. <br /> NAME OF FILER (LAST)((LAST) (FIf2S1) (MIDDLE) <br /> � <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> Division, Board, apartment,/Diisttric1t, if applicable Your Position <br /> L0. �► rra� �I' 12�t2 a��ØCyet G e <br /> ► If filing for multiple positions, list below or on an attachment. <br /> Agency: Position: <br /> 2. Jurisdiction of Office (Check at least one box) <br /> ❑State ❑Judge or Court Commissioner(Statewide Jurisdiction) <br /> ❑Multi-County <br /> � r_1 County of <br /> City of j t�I 0-6-Sr d-g-, ❑Other <br /> 3. Type of Statement (Check at least one box) <br /> Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left I I <br /> December 31, 2011. (Check one) <br /> -or- <br /> The period covered is I through O The period covered is January 1, 2011, through the date of <br /> December 31, 2011, leaving office. <br /> ❑ Assuming Office: Date assumed— 1 O The period covered is I— I through <br /> the date of leaving office. <br /> ❑ Candidate: Election Year Office sought, if different than Part 1: <br /> 4. Schedule Summary <br /> Check applicable schedules or "None." ► Total number of pages including this cover page: <br /> ❑ Schedule A-1 - 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 /> MAILING ADDRESS STREET CITY STATE ZIP CODE <br /> (Business or Agency Address Recommended-Public Document) <br /> DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS(OPTIONAL) <br /> ( ) <br /> I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best 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 foregoing is true and correct. <br /> Date Signed -� %0 / ? - Signature <br /> (month,day,year) <br /> FPPC Form 700(2011/2012) <br /> FPPC Toll-Free Helpline:866/275-3772 www.fppc.r-a.gov <br />