Mandy WongSTATEMENT OF ECONOMIC
Please type or print in ink.
COVER PAGE
A Public Document
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NAME (LAST)
(FIRST)
(MIDDLE)
DAYTIME TELEPHONE NU
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MAILING ADDRESS STREET
(Business Address Acceptable)
CITY
STATE
ZIP CODE
OPTIONAL: E -MAIL ADDRESS
30 1 ax
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CA
9 1 - 7 0
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
Gibx D-F I �S
Division, Woard, bistrict, if applicable:
Your Position:
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► If filing for multiple po tion I t additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
�2<ity of 9
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office/Initial Date: ___J __J
Annual: The period covered is January 1, 2009,
through December 31, 2009.
-or-
0 The period covered is through
December 31, 2009.
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 2009, through the
date of leaving office.
-or-
0 The period covered is through
the date of leaving office.
❑ Candidate El Year:
4. Schedule Summary
► Total number of pages
including this cover page:
► Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A -1
❑ Yes - schedule attached
Investments (Less
than to% ownership)
Schedule A -2
❑ Yes - schedule attached
Investments (lo%
or Greater ownership)
Schedule B
❑ Yes - schedule attached
Real Property
Schedule C
❑ Yes - schedule attached
Income, Loans, &
Business Positions (Income other than Gifts
and Travel Payments)
Schedule D
❑ Yes - schedule attached
Income - Gifts
Schedule E
❑ Yes - schedule attached
Income - Gifts -
Travel Payments
-or-
®-No reportable interests on any schedule
5. Verification
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 certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed 3 / 1 0
( day, year)
Signature \
le the originally signed statena, 'th ur filing official.)
FPPC Form 700 (200912010)
FPPC Toll -Free Helpline: 866 /ASK -FPPC www.fppc.ca.gov
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