700 Harris CC W2 (Candidate Statement)

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ri Date lni�al Filing Receivec, STATEMENT OF ECONOMIC INTERESTS MAR V� #f 2l -7" DOCUMENT A PUBLIC COVER PAGE City of F."Nerside Please type or print in ink cibi clerl""S oface NAME OF FILER (LAST) (FIRST) (MIDDLE) 1. Office, Agency, or Court Agency Name (Do not use acronyms) .tk, of-- )2,1y'c(2RUr �u Divisiorf, Board, Department, District, if applicable Your Position ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi - County �/ i ty of �`-11�t' yQ lit- e-, 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2016, through December 31, 2016. .or- The period covered is through December 31, 2016. ❑ Assuming Office: Date assumed Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other — ❑ Leaving Office: Date Left (Check one) O The period covered is January 1, 2016, through the date of leaving office. .or- 0 The period covered is I through the date of leaving office. Xandidate: Election year 2D and office sought, if different than Part 1: A Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached KOTiD ❑ Schedule A -1 - Investments - schedule attached ❑ Schedule A -2 - Investments - schedule attached ❑ Schedule B - Real Property - schedule attached None - No reportable interests on any schedule ❑ Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached 5. Verification MAILING ADDRESS STREET CITY STATE a. this is a public document. I certify under penalty of perjury under the laws of the State of California ZIP C�OD�E__� my knowledge the information contained FPPC Form 700 (2016/2017) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov