700 Blakeley 2022STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Division, Board, Department, District, if applicable - Your Position
► If filing for mu tlple positions, list belo r on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
Position:
KtL;t1Vtu
Date Initial Filing Received
,. CP,ic,.....,5; Cw
FEB 0 9 2023
CITY OF LA QLHNTA
CRY CLERK DEPAFiTWW
State [ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Juri n)
[ Multi -County County of
,City of � [Other
3. Type of Statement (Check at least one box)
iAnnual: The period covered is January 1, 2022, through [ Leaving Office: Date Left—J
December 31, 2022. (Check one circle.)
.or -
The period covered is
December 31, 2022.
[ I Assuming Office: Date assumed i-
Candidate: Date of Election
through J The period covered is January 1, 2022, through the date of
leaving office.
.or -
The period covered is through
the date of leaving office.
and office sought, if different than Part 1:
Schedule Summary (required) ► Total number of pages including this cover page:
Schedules attached
Schedule A-1 - Investments — schedule attached
[ Schedule A-2 - Investments — schedule attached
[ Schedule B - Real Property — schedule attached
-Or- ❑ None - No reportable interests on any schedule
5. Verification ,
MAILING ADDRESS
STATE'ZIP CODE
UAY I IME I ELEPHUNE NUMBER EMAIL ADDRESS
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the bes 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 07 _ —5- J
(mon(h, day, year)
(
FPPC Form 700 - Cover Page (2022/2023)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
Page - 5
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Investments must be itemized.
Do not attach brokerage or financial statements.
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF IS BUSINESS
i
FAIR MARKET VALUE
L] $2,000 - $10,000 $10,001 - $100,000
X$100,001 - $1,000,000 Over $1,000,000
NATURE OF INVESTMENT
L Stock LJ Other
(Describe)
Partnership [ Income Received of $0 - $499
Lj Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
1 /22 1 2
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
$2,000 - $10,000 r $10,001 - $100,000
$100,001 - $1.000,000 Over $1,000,000
NATURE OF INVESTMENT
Stock ] Other
(Describe)
Partnership ❑ Income Received of $0 - $499
[—] Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
f /22 1 /22_
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
$2,000 - $10,000 -1 $10,001 - $100,000
LJ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
Ll Stock I—] Other
escri e
Partnership ❑ Income Received of $0 - $499
Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE LIST DATE:
/ —j22— i —j22_
ACQUIRED DISPOSED
Comments:
► NAME OF BUSINESS ENTITY
fy�iw //
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
$2,000 - $10,000 $10,001 - $100,000
$100,001 - $1,000,000 [ Over $1,000,000
NATURE OF INVESTMENT
Stock Other
(Describe)
Partnership [] Income Received of $0 - $499
Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE. LIST DATE:
.22 1 122
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
$2,000 - $10.000 [ $10,001 - $100,000
$100,001 - $1.000,000 L_ Over $1,000,000
NATURE OF INVESTMENT
Stock ] Other
(Describe)
Partnership [i Income Received of $0 - $499
M Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
1 /22 _� /22
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
L— $2,000 - $10,000 $10,001 - $100,000
L_ $100,001 - $1,000,000 [ Over $1,000,000
NATURE OF INVESTMENT
F Stock Other
esc e
Partnership I Income Received of $0 - $499
Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
/ /22 1 /22
ACQUIRED DISPOSED
FPPC Form 700 -Schedule A-1 (2022/2023)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 7