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Farid HentabliSTATEMENT OF ECONOMIC COVER PAGE iMkI G Please type or print in ink. NAME OF FILER (LAST) (FIRST) C� (MIDDLE) 1. Office, Agency, or Court Agency Name / 1 Division Board, De t D�i trict, if applicable c \ � our Position A"e � ► If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (check at least one box) ❑ State ❑ Multi -County ❑ City of through O The period covered is January 1, 2011, through the date of leaving office. 3. Type of Statement (check at least one box) Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left 1 1 December 31, 2011. (Check one) -or- The period covered is December 31, 2011. ❑ Assuming Office: Date assumed ❑ Candidate: Election Year ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other O The period covered is I through the date of leaving office. Office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or None. ° ► Total number of pages including this cover page. ❑ Schedule A -1 - Investments- schedule attached ❑ Schedule C - Income, Loans, & Business Positions- schedule attached ❑ Schedule A -2 - Investments - Schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule B - Real Property- schedule attached ❑ Schedule E - Income - Gilts - Travel Payments - schedule attached -or- No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recwnme ded - Public Document) DAYTIME TELEPHONE NUMBER E- MAILADD ESS(OPTION L) ra 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 correc {�-- -� Date Signed 2 Signature ( Q'tA 1 (mondt ft, pa,) (Filellp odgina signedsGtementmthyourfiiinga /friar.) FPPC Form 700 (201112012) FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov