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Ericka HernandezSTATEMENT OF ECONOMIC COVER PAGE 'AN 0 7 2063 Please type or print in ink A Public Document CITY CLERK'S OFFICE NAME (LAST) (FIRST) (MIDDLE) ER MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX 1 E -MAIL ADDRESS (May use business address) . q/ '54A.)& IS AVto . f:0vfi1 61ME CA <� nj 1 . Office, Agency, or Court Name of Office. Agency, or Court: C41 v l oc most mWW Division, Board, District, if applicable: Your 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 ❑ City of R05[ Me-4 ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) Assuming Office /Initial Date:__1J ❑ Annual: The period covered is January 1, 2006, through December 31, 2006. -or- 0 The period covered is _J ___J_, through December 31, 2006. ❑ .Leaving Office Date Left: (Check one) O The period covered is January 1, 2006, through the date of leaving office. -or- 0 The period covered is —J ---J, through the date of leaving office. ❑ Candidate 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 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 (income Other than Gifts and Travel Payments) Schedule D ❑ Yes - schedule. attached Income — Gifts Schedule E ❑ Yes — schedule attached Income — Travel Payments -or- M 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 underthe laws of the State of California that the foregoing is tr and correct. Date Signed (men h, day, or) Signature — OYJr�� (File the originally sgnetl statement with your filing official) FPPC Form 700 (200612007) FPPC Toll -Free Helpline: 866 1ASK -FPPC STATEMENT OF ECONOMIC COVER PAGE jAN o 7 21068 Please type or print in ink A Public Document CITY CLERK'S OFFICE NAME (LAST) (FIRST) (MIDDLE) 1 111 ER MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS (May use business address) . $6y/ 5AA.) Lv AVe . 9U111 6,1/S C A Ito 2*r) 1 . Office, Agency, or Court Name of Office, Agency, or Court: C/ - /CGSr_ Division, Board, District, if applicable: 4 ssi S��,t -/ -/0 �&P C � G/ /✓ Your 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 feast one box) ❑ State ❑ County of ❑ City of Ro 5e .vr,-., ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) D Assuming Office /Initial Date: ❑ Annual: The period covered is January 1, 2006, through December 31, 2006. -or- 0 The period covered is __J __J , through December 31, 2006. ❑ Leaving Office Date Left: (Check one) • The period covered is January 1, 2006, through the date of leaving office. -or- O The period covered is —J, through the date of leaving office. ❑ Candidate 4. Schedule Summary � Total number of pages including this cover page: r 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 (Income Other than Gifts and Travel Payments) Schedule D ❑ Yes - schedule. attached Income - Gifts Schedule E ❑ Yes - schedule attached Income - Travel Payments -or- M 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 tr and correct. Date Signed (man h, day, ar) Signature .� — d (File the originally signed statement with your fling oKdal.) FPPC Form 700 (200612007) FPPC Toll -Free Helpline: 8661ASK -FPPC