700 Adolph 2014 Election1111111[FAIR
ALIFORNIA FORM 700
POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
RECEIVER
CIT`( C! E SI MWE
STATEMENT OF ECONOMIC INTERESTS Oh:rser Use GNy
COVER PAGE 7,114 Alit —7 AH 9: 3S
I. vttice, agency, or court
Agency Name (Do not use acronyms)
Department,
Your
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
Position:
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County ❑ County of
ificityof L& Quiiiiin% ❑ Other _
3. Type of Statement (Check at feast one box)
❑ Annual: The periodcovered is January 1, 2013, through ❑ Leaving Office: Date Left
-or- December 31, 2013. (Check one)
The period covered is through O The period covered is January 1, 2013, through the date of
December 31, 2013. leaving office.
❑ Assuming Office: Date assumed �./� O The period covered is !_J - , through
the date of leaving office.
-� Candidate: Election year 01 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 - 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
(BBuusiness or Agency Address Re Document) LA
CA
I have used all reasonable dlllgence 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 f eg_oing. is truenand (c'(o/m) C
Date Signed & A Signature �LI�X� V r
(month, der, year)ile the F
- o i mal
_. ( 9 Nsrynedshalemen with your (,ting 'a1.J
FPPC Form 700 (2013/2014)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov