700 Long - 2019 Leaving Office 06/30/2019STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink. A PUBLIC DOCUMENT
NAME OF FILER (LAST)
(FIRST)
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AUG 202
ja CL�WHEP FITMENT
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1. Office, A ency, or Court
Agency N m (Do not use acror7ym
"Oj
,
Division, fl ard, Department, District, if applicable
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
❑ County of
["City of .Ze W&
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2018, through
/
Leaving Office: Date Left,,, lYO 1. gl
December 31, 2018.
(Check one circle.)
.or -
The period covered is J
through O The period covered is January 1, 2018, through the date of
December 31, 2018.
-or- leaving office.
❑ Assuming Office: Date assumed J— - 1
O The period covered is I I through
the date of leaving office.
❑ Candidate: Date of Election _ and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page: T
Schedules attached
❑ Schedule A-1 - Investments — schedule attached
❑ Schedule C - Income, Loans, 8 Business Positions — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule B - Real Property — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
-or- V None - No reportable interests on any schedule
5. Verification�l��
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MAILING ADDRESS STREET
CITY STATE 21F CODE
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER
E-MAILADDRE
I have used all reasonable diligence in preparing this statement.
I have reviewed this statement and to the bes 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 and correct.
Date Signed / V'e,")/,
5ignaturE-�`'��
(month, day, year)
(File the angi signed paper slalement with your filing official.)
FPPC Form 700 (2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
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