Michelle RamirezSTATEMENT OF ECONOMIC
Please type or print in ink.
(LAST)
(FIRST)
Date Received
DAYTIME TELEPHONE NUMBER
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MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May use business address)
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U.24 C. Va114 v Boultvatol r koSe me4ol . CA 94 -D
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
C I
,7y 04 G31rmcaol
Division, Board, District, if applicable:
Comm u "/ $((Lp
Your Position :✓f
Ecolliom lc.DewI!y rhtef A mi&s kA lyr
If filing for multiple positions, list additional agency(ies)i
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
Y Cityof � OSeMeod
❑ Multi- County
❑ Other
of Statement (Check at least one box)
❑ Assuming Officellnitial Date: ---J ---J
Annual: The period covered is January 1, 2007,
through December 31, 2007.
-or-
0 The period covered is __J ___J—, through
December 31, 2007.
❑ Leaving Office Date Left:
(Check one) -
O The period covered is January 1, 2007, through the
date of leaving office.
-or-
0 The period covered is __J__J through
the date of leaving office.
❑ Candidate
COVER PAGE
A Public Document
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 10% ownership)
Schedule A -2 ❑ Yes – schedule attached
Investments po% or greater Ownership)
Schedule B ❑ Yes – schedule attached
Real Property
Schedule C ❑ Yes – schedule attached
Income, Loans, 8 Business Positions (Income Other than Gies
and Travel Payments)
Schedule D ❑ Yes – schedule attached
Income – Gifts
Schedule E ❑ Yes – schedule attached
Income – Travel Payments
-or-
(1Q 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 .313 1.0 00
(month, year)
Signatur JdJ III,
it t e originally signed Wernerft with f' icial.)
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