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Date Receiv 4 6J" <br /> , CALIFORNIA FORm 700 sTA:rEMENT OF ECONOMIC INTERESTS Cftv! <br /> ,t I. <br /> FAIR POLITICAL rRACTICES <br /> A PUBLIC DOCUMENT COVER PAGE <br /> Please type or print in ink. <br /> NAME OF FILER 4AST) it STI (MIDDLE) <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> jo; " - '7 <br /> Division, Department, District, if applicable Your Position <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 ❑County of <br /> City of /-1 /(t, 1,/(-t C, 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 I through 0 The period covered is January 1, 2011, through the date of <br /> December 31, 2011. leaving office. <br /> ❑ Assuming Office: Date assumed 1 0 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." it. Total number of pages including this cover page: <br /> ❑ Schedule A-11 -Investments—schedule attached ❑ Schedule C-Income, Loan &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 A enc Address Recommended-Public Docurwrit) <br /> J ) // .�,-2 <br /> / J/ - <br /> DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS(OPTIONAL) <br /> his 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 <br /> California that <br /> t <br /> Date Signed /_ /4' Signatu re <br /> MEL <br /> (month,day,year) <br /> FPPC Form 700(201112012) <br /> FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov <br />