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Richard ShawSTATEMENT OF ECONOMIC INTERES Date Received • ' � • ' 1 1 o/fialaFNae•an IBC F— FAIR POLITICAL PRACTICES COMMISSION COVER PAGE CITY OF 110SE1.1EAD Please type or print in ink A Public Document ''l •S� 3 2005 NAME (LAST) (FIRST) (MIDDLE) C II�'Tr "Lt'LEilYFi1� R SHAW RICHARD W. ( 626 292 -3300 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS (May use business address) 8838 LAS TUNAS DRIVE TEMPLE CITY CA 91780 1 . Office, Agency, or Count. Name of Office, Agency, or Court: LOS ANGELES COUNTY SHERIFF'S DEPARTMENT Division, Board, District, if applicable: T STATIO Your Position: CAPTAIN • 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 LOS ANGELES ❑ City of ❑ Multi- County I Other 3. Type of Statement (Check at least one box) 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 greater Ownership) Schedule B ❑ Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income, Loans, 8 Business Positions (l000me other than Gifts 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- r ® No reportable interests on any schedule Total number of pages completed including this cover page: ❑ Assuming Office /Initial Date: / —J ❑x Annual: The period covered is January 1, 2004, through December 31, 2004. -or- 0 The period covered is ___J ___J, through December 31. 2004. ❑ Leaving Office Date Left: (Check one) O The period covered is January 1, 2004, through the date of leaving office. -or- 0 The period covered is J —J, through the date of leaving office. Candidate 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 true and correct. Date Signed - PT '& ✓ day, yea Signature (File the originally signed statement with your I or offlnial.) FPPC Form 700 (200412005) FPPC Toll -Free Helpllne: 866IASK -FPPC