Rafael FajardoSTATEMENT OF ECONOMIC
COVER PAGE
Please type or print in ink.
4
(FIRST)
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1. Office, Agenc or Court
Agency Name
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Division, Board, Department, District, if applicable Your Position
► If filing for multiple positions, list below or on an attachment.
Agency: Position:
2. Jurisdiction of Office (check at least one box)
❑ State ❑ Judge (Statew Jurisdiction)
❑ Multi- County ❑ County of
City of ll � ❑ Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2010, through December 31, ❑ Leaving Office: Date Left � J-
2010. - (Check one)
The period covered is __J___J through December 31, O The period covered is January 1, 2010, through the date of
2010, leaving office.
❑ Assuming Office: Date O The period covered is ___J __J_, through the date
of leaving office.
❑ Candidate: Election Year 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
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business wAgency Address Rewvmended - Pub'k Document)
DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS
( )
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 cornett -
Date Signed 0 11/0 / l Signat
(month, day,, yearl (Rte Poe wigmly sigrred statement wdh you ag.ftW )
FPPC Form 700 (2 01 012 011)
FPPC Toll -Free Helpline: 8661275 -3772 w .fppc.ca.gov