Howard Masudag �.
Please type or print in ink.
COVER PAGE
NAME OF FILER
I
MASUOA ROWiA{'ZD 'fdslammI
1. O Ag ency, o Court
Agency Name
C LT N( oiP- R03E n6A0
Division, Board, Department, District, if applicable Your Position
TR-AF - t4c COM11109 - Tf—AWC COKAL tONfk
► If filing for multiple positions, list below or on an attachment.
Agency: Position:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ Mulfi- County
R'City of ROSGMF")
❑ Judge or Court Commissioner (Statewide Jurisdiction)
M r ugh, f
❑ Other
3. Type of Statement (check at least one box)
W/ 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 dale of
December 31, 2011. leaving office.
❑ Assuming Office: Date assumed ---]---J O The period covered is through
the date of leaving office.
❑ Candidate: Election Year
STATEMENT OF ECONOMIC INTERESTS
Office sought, if different than Part 1:
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
❑ Schedule C - Income, Loans, & Business Positions- schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
��/ -
Lb None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Addmss Recmunended - Publk Dwam nil
00Je F__VA(rl&�Y owl) . ROS W ck gU7V
(626 ) s (oa- 2171
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.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.,, `A��
Date Signed 3�1,A9 Signature ., wv_
(month, dY, year) (rile the aigi- llysigneds N( ffl Oh ymlf,&V oW1.1)
► Total number of pages including this cover page:
Date Rea
M�� 9 t � i - Dlficiai Use
i l 0
FPPC Form 700 (201112012)
FPPC Toll -Free Helpline: 866/275 -3772 wvvw.fppc.ca.gov