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700 Blum - 2014 Assuming 10/02/2013Please type or print in Ink NAME OF FILER 1. Office, Agency, or Court (LAST) RECEIVED { Date Received ATEA} E NOMIC INTF��SI 16 P�j,� only . x;� ER PAGE _ Y', CITY OF LA Q UtHITA --1 ni r–nv'c` nc:clr�G (MIDDLE) Age cy Name (Do not u e acronyms) L CIA -%J r4 y Pvv sion, Board, epartment, District, if applicable Your Position Con,VVNtsSlor"N 5,a17 !-- ► 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 2'City of �_� U /a ,LQ, Q Other 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2013, through ❑ Leaving Office: Date Left —J— I December 31, 2013. (Check one) -or- The period covered is . /01 iQ 45 through O The period'covere i. is January 1, 2013, through the date of December. 31, 2013. leaving office. �� hd Assuming Office: Date assumed /O1 1070 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 / Chad applicable schedules or "None." ► Total number of pages including this cover page: ❑ Schedule A-1 - Investments — schedule attached ❑ Schedule C - Income, Loans, & 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- &(None - No reportable . interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business arAgencyAddnm RecaermmW - FWk DoaxRo va. k.1 edrno. Qum la DAYTIME TELEPHONE NUMBER -MAIL ADDRESS (OPTIONAU I have Used all reasonable diligence in preparing this statement I have reviewed this statement and to ftrbesf 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 / ! Signatu (narkh, ft,ye 1 (Fie ft.adgirwrysFgned_sW-erdw0y—ffigof ad) FPPC Form 700(2013/2014) FPPC Advice Email: advice@fppc.ca.gov FPPC Toil -Free Helpline: 866/275-3772 www.fppc.ca.gov-