700: Wuu - 2016 Leaving 12/30/16CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Date Initial Filing Received
Ofriciai U& On'y
•
NAME OF FILER (LAST)
1. Office, Agency, or Court
(MIDDLE)
Agency Name (Do not use acronyms)
Board, O \A ()u1 t\ CA
Division, Boar , Department, District, if applicable
Q -A,4 c s" 9 LAat a.,
Your Position
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position.
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County 0 County of
City of 1-A, & - jt ❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2015, through vrLeaving Office: Date Left ....LZ__11l
December 31, 2015. (Check one)
-or-
The period covered is _/_/ , through
December 31, 2015.
❑ Assuming Office: Date assumed I—J
p The period covered is January 1, 2015, through the date of
leaving office.
-or-
0 The period covered is , through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
l
Schedule ,Summary:{mut:coin!? . ate
,) ► itn
Total nber of gages including this cover page:
•Schedules attattied
Schedule A-1 - Investments-- schedule attached
0 Schedule A-2 - Investments:'–.schedule attached;.;;
Schedule B -` Real property - schedule`attaehed ❑
IA' None - No reportable interests;; n arty 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
(Business or Agency Address Recommended - Public Document)
1al\1S C
DAYTIME TELEPHONE NUMBER
CITY
STATE
CA -
ZIP CODE
1'vL<3
E-MAIL ADDRESS
(`{.a el) - 1,64v pr \N9 Q- GsnnA coM
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
herein and in any attached schedules is true and complete. I acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true aril correct.
Date Signed
Signature
(month, day, year) (File the originally
signed statement with your riling official.)
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov