Jean ScottCALIFORNIA
(MIDDLE)
FORM
700
Div _
7ZFZ�E(o t "Z
FAIR POLITICAL
STATE ZIP CODE
PRACTICES
COMMISSION
Please type or print in ink.
COVER PAGE
A Public Document
MAR 1 1 2010
NAME (LAST) (FIRST)
(MIDDLE)
'f)XANI i IJUMBER
s co - Tr
Div _
7ZFZ�E(o t "Z
MAILING ADDRESS STREET CITY
STATE ZIP CODE
OPTIONAL: E -MAIL ADDRESS
(Business Address Acceptable)
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1 . Office, Agency, or Court
Name of Office, Agency, or Court:
G( esc (2osEr-Aci�(>
Division, Board, District, if applicable:
PV*_kes P, -fd I�`ECtrEA+
Your /Position: O
/�- SSIS'rf�m[T�lY1 =G ?"- CS 1W,(Z r
► If filing for multiple positions, list 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
City of ?_OSEanEQeJ
❑ Multi- County
❑ Other
4. Schedule Summary
► Total number of pages A
including this cover page: J-
► 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 10% Ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (10% or Greater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, & Business Positions dar.a other than Gilts
and Travel Payments)
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income — Gifts — Travel Payments
-or-
IYf No reportable interests on any schedule
E
K f t,
° "9•
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: —/ )
Annual: The period covered is January 1, 2009,
through December 31, 2009.
-or-
0 The period covered is o l 1 - 0 ( I Z�9 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 Election Year:
STATEMENT OF ECONOMIC I
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 — " —
tlay, year)
Signature
(Fi 1he onginelly signed statement wiPo your filing olficial.J
FPPC Form 700 (2009/2010)
FPPC Toll -Free Helpline: 8661ASK -FPPC www.fppc.ca.gov