Laserfiche WebLink
ff FM eived <br />STATEMENT OF ECONOMIC INTERESTS ,`c ZR <br />COVER PAGE <br />MAR 0 6 2017 <br />Please type or print in ink. <br />NAME OF FILER (LAST) <br />IA <br />1! A . v. /_ alb 3c.c <br />1. Office, Agency, or Court <br />Agency Name (Do not use acronyms) <br />A l w /-1 : 0 1 <br />DivisioVBoard, Department, District, if applicable Your Position <br />► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) <br />Agency: <br />2. Jurisdiction of Office (Check at least one box) <br />❑ State <br />❑ Multi- County <br />City of ; &P–S y � <br />3. Type of Statement (Check at least one box) <br />❑ Annual: The period covered is January 1, 2016, through <br />December 31, 2016. <br />-or- <br />The period covered is I through <br />December 31, 2016. <br />❑ Assuming Office: Date assumed Jam. <br />Position: <br />❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ County of <br />E . <br />❑ Leaving Office: Date Left —J I <br />(Check one) <br />O The period covered is January 1, 2016, through the date of <br />-or- <br />leaving office. <br />O The period covered is I through <br />the date of leaving office. <br />__K Candidate: Election year / l q and office sought, if different than Part 1: <br />4. Schedule Summary (must complete) ► Total number of pages including this cover page: - <br />Schedules attached <br />❑ Schedule A -1 - Investments – schedule attached <br />❑ Schedule A -2 - Investments – schedule attached <br />[M Schedule B - Real Property – schedule attached <br />.or- <br />El None - No reportable interests on any schedule <br />❑ Schedule C - Income, Loans, & Business Positions – schedule attached <br />❑ Schedule D - Income – Gifts – schedule attached <br />❑ Schedule B - Income – Gifts – Travel Payments – schedule attached <br />5. Verification <br />MAILING ADDRESS STREET CITY STATE ZIP CODE <br />a6 <br />I have used all reasonable diligence in preparing this statement. I have reviewed this stAenTdnt 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 foreaoina.is true and corrert_ <br />Date Signed �1 Signature <br />(month, day, year) <br />FPPC Form 700 (2016/2017) <br />FPPC Advice Email: advice @fppc.ca.gov <br />FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov <br />