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STATEMENT OF ECONOMIC INTERESTS <br />COVER PAGE <br />Please type or print in ink. <br />Rlllc FiEm Receivea <br />Cfflcfali' se �n <br />AR 10 20117 <br />NAME OF FIL %r— (LAST) (FIRST) ,� ," �-�(MIDU�E)'t � ire <br />(J o vk- te, V., V` <br />1. Office, Agency, or Court <br />Agency Name (Do not use acronyms) <br />(_ , � )( a f 9, ,, e,�, s.` <br />Division, Board, Dep rtment, District, if applicable Your Position <br />U; A--I C o v" C : t <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 />Position: <br />❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ multi-county <br />® City of R I y (,V'S :J 2 <br />❑ County of <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />❑ Annual: The period covered is January 1, 2016, through ❑ Leaving Office: Date Left l I <br />December 31, 2016. (Check one) <br />-or- <br />The period covered is J I through O The period covered is January 1, 2016, through the date of <br />December 31, 2016. -or- leaving office. <br />❑ Assuming Office: Date assumed I 1 O The period covered is I through <br />the date of leaving office. <br />DKcandidate: Election year Z. 0 (Zi 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 />❑ Schedule B - Real Property — schedule attached <br />.or- <br />R None - No reportable interests on any schedule <br />5. Verification <br />❑ Schedule C - Income, Loans, & Business Positions — schedule attached <br />❑ Schedule D - Income — Gifts — schedule attached <br />❑ Schedule E - Income — Gifts — Travel Payments — schedule attached <br />MAILING ADDRESS STREET CITY STATE ZIP CODE <br />�. JGVS.T ote Ci-i 9 Z <br />E -MAIL ADDRESS <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 tha <br />Date Signed 1 P— 17 Signatu <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 />