Diana HerreraSTATEMENT OF ECONOMIC INTERESTS Dat Izee O
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COVER PAGE
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Please type orprint in ink A Public Document
NAME (LAST) ( FIRST)
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F _ (MIDDLE) DAYTIME
TELEPHONE .NUMBER
, .
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL : I 00ftESS
(May use business address)
1 . Office, Agency, or Court
Name of Office, Agency, or Court: I
R_ o�
Division, Board, District, if app able:
PI0_ V\ 14"\;,�� - �
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 (cheek at /east one box)
❑ Stale
❑ County of
ity of
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:
1 Annual: The period covered is January 1, 2004,
through December 31, 2004.
-or-
0 The period covered is - -_J through.
December 31, 2004.
❑ Leaving Office Date Left:
(Check one)
• The period covered is January 1, 2004, through the
date of leaving office.
-or-
0 The period covered is —, through
the date of leaving office.
❑ Candidate -
4. Schedule Summary
(Check applicable schedules or "No reportable interests.
�+ During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 ❑ Yes – .schedule - attached
Investments (Less than 10% Ownership)
Schedule A -2 ❑ Yes – schedule attached
Investments (10% or gnaive, Ownership)
Schedule B ❑ Yes – schedule attached
Real Property
Schedule C ❑ Yes – schedule attached
Income, Loans, 8 Business Positions (Income Other than Gets and
Travel Payments)
Schedule D (Eliminated – report loans on Schedule C)
Schedule E ❑ Yes – schedule attached
Income – Gifts.
Schedule F ❑ Yes – schedule attached
Income – Travel Payments
or
�. No reportable interests on any schedule
Total number of pages
completed including this cover page:
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
Signature
FPPC Form 700 (200412005)
FPPC Toll -Free Helpline: B661ASK -FPPC