700 Pena 2014 Assuming Office 12/02/2014Please type or print in ink.
NAME OF FILER
1. Office, Agency, or Court
STATEMENT OF ECONOMIC' INTERESTS
COVER PAGE
(LAST),o--% (FIRST)
Agency Nam (Do not use acronyms)
'.ATS cif u,�- oy, kri�w
Division, Board, Department, District, if applicable Your Position
C�u Ncl Lam. �mIJTeL
► 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
❑ Multi -County
VCity of I IV 1
3. Type of Statement (check at least one box)
❑ Annual: The period covered is January 1, 2014, through
December 31, 2014.
-or-
The period covered is I I through
December 31, 2014.
Assuming Office: Date assumed I
Date Initial Filing
CITY CLLW_'R NW, UFFICE
CALIFORNIA
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other —
❑ Leaving Office: Date Left I
(Check one)
O The period covered is January 1, 2014, through the date of
leaving office.
O The period covered is I I through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
�4. Schedule Summary
Check applicable schedules or "None."
❑ Schedule A-1 - Investments – schedule attached
"`Schedule A-2 - Investments – schedule attached
Schedule B - Real Property – schedule attached
► Total number of pages including this cover page;
Schedule C - Income, Loans, & Business Positions – schedule attached
❑ Schedule D –Income – Gifts – schedule attached
❑ Schedule E - Income –'Gifts – Travel Payments – schedule attached
.or -
El None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business Agency Address Recommended - Public Document)
5-0 � ���t � C - V), 7
DAYTIME TELEPHONE NUMBER E-MAILADDRESS
( ) -
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 for goi g 's tr d c rrect.
Date Signed Signature
( w1h, day, year) ill, the origin ul 'gnedstatement with your filing official.)
FPPC Form 700(2014/2015)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov