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Wayne CoSTATEMENT OF ECONOMIC Please type or print in ink. COVER PAGE Cali 1Y 1. Office, Agency, or Court FED 2 3 2g12 Your Position ► If filing for multiple positions, list below or onan "attachment. Agency: ❑ Judge or Court Commissioner (Statewide Jurisdiction) 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Mu"i -County City of Position: ❑ County of ❑ Other — 3. Type of Statement (check at Least one box) Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left \ December 31, 2011. (Check one) -or- The period covered is through O The period covered is January 1, 2011, through the date of December 31, 2011. leaving office. ❑ Assuming Office: Date assumed ❑ Candidate: Election Year O The period covered is — the date of leaving office. Office sought, if different than Part 1: through 4. Schedule Summary Check applicable schedules or "None." -- ❑ Schedule A -1 - Investments- schedule attached ❑ Schedule A -2 - Investments - schedule attached ❑ Schedule B - Real Property - schedule attached ► Total number of pages including this cover page. ❑ Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule D - Income- Gifts- schedule attached - ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached -or- I64 None - No reportable interests on any schedule 5. Verification 71P CODE I certify under penalty of perjury under the laws of the Stale of California that the foregoing is true and correct. Date Signed )I A Signature tmmN, d6 year) - (F&the.1VWly5gnEd e FPPC Form 700 (2011/2012) FPPC Toll -Free Helpline: 8661275 -3772 vaww.fppc.ca.gov 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 acknowledge this is a public document.