Dani Cullens p�RECEIVED
T OF EOSEMFAC
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS D
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE CITY CLEP,CS OFFICE
Please type or print in ink. BY , ----
NAME OF FILE (LAST) (FIRST) ,
�'
A A 1 � f ns Ct .
1. Office, Agency, or Court
Agency me (Do n999t use acronyms) (�
Division, Board,De artment,District,�ipf applicable Your Position
-- ctn. b� q -e r -cc--term
• If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
❑State ❑Judge or Court Commissioner(Statewide Jun:
D Multi-County �('') p 0 County of
`ic City of I2- Cr Sn�Y�-P 0.Gf ❑Other
3. Type of Statement (Check at least one box)
n Annual: The period covered is January 1, 2014,through ❑ Leaving Office: Date Left_J J
December 31, 2016. (Check one)
or-
The period covered is___/_( ,through 0 The period covered is January 1,2015,tl
December 31, 2015. leaving office.
or-
❑ Assuming Office: Date assumed I I 0 The period covered is 1 J .
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part It
4. Schedule Summary (must complete) ► Total number of pages including this cover page:4_
Schedules attached
❑ Schedule A-1 •Investments-schedule attached ❑Schedule C-Income,Loans, 8 Business Positions-
❑ Schedule A•2-Investments-schedule attached ❑Schedule D-Income-Gifts-schedule attached
❑ Schedule B-Real Property-schedule attached ❑Schedule E-Income-Gifts-Travel Payments-sc
-Of-
_ p None • No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP
(Business or Agency Address Recommended-Publk Document)
%838 i. vv11c oi 13LV61 Res€ . A, Di C 9 i770
DAYTIME TELEPHONE NUMBER I E-MAIL ADDRESS
(9S) ) z69' `i31S O( v„ . c - iIsA s e '3n,m,A • cow
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the
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 fore ng true and correct.
1 ,
Date Signed 11 I9 II b Signature 1 " --
(month,dayyeM) \ r-e the originally signed gelamenr Th your filing olri[ia)
FPPC Form 700(2015/2016)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov