Wayne CoSTATEMENT OF ECONOMIC
COVER PAGE
Please type or print in ink.
A Public Document
,� j ., Date F2eCelved �'�
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MAC; 2 9 2013
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NAME (LAST) (FIRST) tMIIIULtI
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MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: E -MAIL ADDRESS
(Business Address Acceptable) /1 �r.� F MO
1 . Office, Agency, or Court
Name of Office, Agency, or Court :
�
Division, Boar , District, if applicable:
YO Position:
► 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
X Cityof /- —
❑ Multi- County
❑ Other
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 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 —J_J —, through
the date of leaving office.
❑ Candidate Election Year:
4. Schedule Summary
P. 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 lo% ownership)
Schedule A -2 ❑ Yes – schedule attached
Investments (1o% or Greater ownership)
Schedule B ❑ Yes – schedule attached
Real Property
Schedule C ❑ Yes — schedule attached
Income, Loans, & Business Positions (income Omer than Gins
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 fI2'1I
(month, day, year)
signature .�,��1✓'1+�I
(Fle the originally signed statema t with your filing ot6oral.)
FPPC Form 700 (2009/2010)
FPPC Toll -Free Helpline: B66 /ASK -FPPC www.fppc.ca.gov