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1 . Office, Agency, or Court
Name of Office, Agency, or Co
C � U Sem_a &
Divi��oard D , if plicable:��
Your Position:
fir•, K�yta�14
► If filing for multiple positions, list additional agen (ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Cheek at least one box)
❑ State
❑ County of
City of
❑ Multi- County
❑ Other
Type of Statement (Check at least one box)
❑ Assuming Office/Initial Date:
❑ Annual: The period covered is January 1, 2008,
through December 31, 2008.
\ ! -or-
"� The period covered is 1. A r n G d through
!!! ��` December 31. 2008.
❑ Leaving Office Date Left: ---J ---J—
(Check one)
O The period covered is January 1, 2008, through the
date of leaving office.
-or-
0 The period covered is — /_J, through
the date of leaving office.
❑ Candidate Election Year:
STATEMENT OF ECONOMIC INTERESTS Es use o te 1 ed
rgy
LIAR 2 6 200"
COVER PAGE
A Public Document
1 111 U
(FIRST) (MIDDLE)
are
CITY STATE ,
DAYTIME TELEPHONE NUMBER
( 0" 1 J) 1'G 1 - 11
OPTIONAL: FAX/ E -MAIL ADDRESS
4. Schedule Summary
► Total number of pages I
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 (m% or greeter Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, & Business Positions (Income 00ner than Gies
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
(mo dh, day, year)
Signature -
fle the originally signed s ent with your fling ofedal.)
FPPC Form 700 (200812009)
FPPC Toll -Free Helpline: 8661ASK -FPPC wwwJppc.ca.gov