HomeMy WebLinkAbout700: Wiatrak 2018 - Assuming Office 05/28/2018STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink
NAME OF FILER ST) (FIRST) (MIDDLE)
IATML ;7a s 6L
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Division, Board, Department, District, if applicable
r Position
P. 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:
Cial
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑, Multi -County _
tld�lty of Lam(/�(,
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2017, through
December 31, 2017.
-or-
The period covered is I I through
December 31, 2017.
Assuming Office: Date assumed 5 1 —034.�J 2015
❑ Candidate: Date of Election
❑ County of
❑ Other
❑ Leaving Office: Date Left
(Check one)
O The period covered is January 1, 2017, through the date of
leaving office.
.or-
0 The period covered is I I through
the date of leaving office.
and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ 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
.o��r-
�
d one - No reportable interests on any schedule
5. VerificatioW. 6 0 x y5"3 �„ 6 Lii vim. Ce- 9'ZZY7
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
(00 ) 776,- `yI/S �.i�s� 1144e'/,c
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of monowledge 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 foregoin 's true and correct.
Date Signed s_ 7910161 Signature ��&_
(month, day, year) ile t pally sig statement with your filing official.)
FPPC Form 700(2017/2018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov