Brian LewinSTATEMENT OF ECONOMIC
COVER PAGE
Please type or print in ink.
1. Office, Agency, or Court
tiia� i 0 2012
Agency Name
Gt" D1���51tay1ll/k�j dRAFEC CdMMI5512 69—
Division, Board, Department, District, if applicable our Position
`-ffza-t - --mac C— C0KMc<'sct7AJ
► If filing for multiple positions, list below or on an attachment
Agency:
Position:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ Multi- Counly
R City of 2 �S gNIFi,QO
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other —
3. Type of Statement (Check at least one box).
❑ Annual: The period covered is January 1, 2011, through
December 31, 2011.
-or-
The period covered is
December 31, 2011.
❑ Assuming Office: Dale 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
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gilts - Travel Payments - schedule attached
-or-
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Documenll
Date Signed bt a / zo I z Signature
(M Mb, deriPi Y YM)
U? Leaving office: Date Left J11 Z --
(Check one)
through O The period covered is January 1, 2011, through the date of
leaving office.
► Total number of pages including this cover page:
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 866275 -3772 www.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.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and comecL