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700: West - 2014 Leaving 11/18/2014RECEIVE® STATEMENT OF ECONOMIC INTERESTS DEC Dived A PUBLIC • • COVER PAGE �TvbF-iAc�ull TA AMEW Please type or print in ink. (`°ny("1LI2fLDW NAME OF FILER (LAST) (FIRST) (MIDDLE) 1. Office, Agency, or Court Agency Name (Do not use acronyms) Division, Board, Pppartment, District, if Your ► 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 - City,'of A U t u'i(*r 3. Type of Statement (Check at least one box) Annual;; The,period covered is January 1, 2013, through December 31, 2013. The"period covered is I I through December 31, 2013. ❑ Assuming Office: Date assumed I I ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other ER/Leaving Office: Date Left _&J-4ti- G�QI (Check one) , i he period covered is January 1, 2013, through the date of leaving office. IeThe period covered is / I / I I.*?®1 , 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." ► 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�g_ , j q,�- G(AA ' Lfv QL�)�� 9�a5 3 MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (OPTIONAL) 717-70 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 and correct. Date Signed `r Signatua:�2. 1►�G/� L �,c� (month, day, year) (File the originally signed statement with your filing official.) FPPC Form 700 (2013/2014) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov