Carolyn ChuPlease type or print in ink.
STATEMENT OF ECONOMIC INTEREStS Date Received
Otrrial Use Only
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COVER PAGE ! MAR 2 4 2QG
A Public Document
NAME (LAST) (FIRs'r) (MIDDLE) DAYTIME TELEPHONE NUMBER
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MAILING ADDRESS STREET CITY STATE LIP CODE OPTIONAL: FAX/ E -MAIL ADDRESS
(May use business address)
3g C —n_ST �)t9( EY LuD.. Kc�SE/�FAD. CA.7070, C�ttu��(TY
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
Division, Board, District, if applicable:
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Your Position:
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► 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 /east one box)
❑ State
❑ County of
® City of R-0 :5 G C A n
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:
,R'Annual: The period covered is January 1, 2008,
through December 31, 2008.
-or-
0 The period covered is /_J, through
December 31, 2008.
[I Leaving Office Date Left: ---] ---J
(Check one)
O The period covered is January 1, 2008, through the
date of leaving office.
-or-
0 The period covered is I through
the date of leaving office.
❑ Candidate Election 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 70% Ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (70% or great <:r Owueahtp)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
income, Loans, & Business Positions (Interne other man Gilts
and Travel Payments)
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Gifts - Travel Payments
-or-
f�rNo 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
- ( day, year)
Signatur �- �.Ir"�.L%.-
(File the original) si ed statement with your filing official.)
FPPC Form 700 (200812009)
FPPC Toll -Free Helpline: 8661ASK -FPPC www.fppc.ca.gov
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