Jason Chacon Date klyegiliVeiteived
CALIFORNIA FORM 70 1 - STATEMENT OF ECONOMIC IN -ERESTS OITwES tteft*OFAC
FAIR eALPUBLIC DOCUMENT51ON COVER PAGE JUN 14 2016
Please type or print in ink. CITY CI PRIM nc;IM
NAME OF FILER (LAST) O� (FIRST) Br (MIDDLE)
C HA( \
1. Office, Agency, or Court
-Name (Do not use acronyms) I
Agency �
kA Ot � CLa� • ®Its � 4- wie ,o^-_ __
Division, Bdard, Department, District, if a licable Your Position
?a i V Gusto )
• 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 Jurisdiction)
❑Multi-County ❑County of
❑City of _ ❑Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2015,through ❑ Leaving Office: Date Left r_t
December 31, 2015. (Check one)
-or-
The period covered is_1_1_ , through 0 The period covered is January 1,2015,through the date of
December 31, 2015. leaving office.
-or-
Assuming Office: Date assumed 0 ELI/r ((o 0 The period covered is____/_/ ,through
the date of leaving office.
❑ Candidate: Election year_ _ and office sought, if different than Part 1'.
4. Schedule Summary (must complete) • Total number of pages including this cover page:
Schedules attached
❑ 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
i] Schedule B•Real Properly—schedule attached ❑Schedule E•Income—Gifts—Travel Payments—schedule attached
-Of-
0 None- No reportable interests on any schedule _
5. Verification
MAILING ADDRESS STREET Cm STATE ZIP CODE
(Business or Agency Address Rewmmended-Public Oat
86262CP (1.1(57L el P. cc, Ql V(rC, Ca . 6
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 56Z) ZG(—(9 l °I Podr/gfu@�n +-.cL ; / . ce -k
I have used all reasonable diligence in preparing this statement. I have reviewed this stal ment a66d to the bes 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 perj ury under the laws of the State of California that the foregoing is tru- and corr
Date Signed 10(2/0(P(O 2--((CO Signature
(month.day year) (File the originally signed statement wan your Nmg Obi)
L.7 FPPC Form 700(2015/2016)
FPPC Advice Email:advice @fppc.ca.gov
FPPC Toll-Free Helpline:866/275.3172 www.fppc.ca.gov
CALIFORNIA FORM Date In I aI L r a kecelvs.
700 STATEMENT OF ECONOMIC INTERESTS
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink
NAME OF FILER (LAST) (FIRST) )MIDDLE)
hacmn Jg50C) C
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
G k OP PO son-lc me/
Division, d, Department,District if applicable Your Position
po / . d eccrtc.-1-rd ✓1 D; for
• 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 Jurisdiction)
❑Multi-County ❑County of
gOity of 2e SLMoticii ❑Other
3. Type of Statement (Check at least one box)
Annual: The period covered Is January 1.2016,through ❑ Leaving Office: Date Left_/_/
December 31, 2016. (Check one)
or-
The period covered is ,through 0 The period covered is January 7,2016,through the date of
December 31, 2016. -or-leaving office.
❑ Assuming Office: Date assumed JJ O The period covered is_/_/ ,through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A-I -Investments-schedule attached ❑Schedule C-Income, Loans, 8 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-Gibs- 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 Mmommet o-Pubic Document)
& g' 3g" Vile QNod lal5lYhCitt-1 Cq l7 0
DAYTIME TELEPHONE NUMBER EMAIL/CORERS
( L,2(/) 5 (1,9 - ZI(o ( 3C(LAcon G� cll„mye.groScr✓ eM d. cy°
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 forcg{oinIstru¢.anNeorrect.
Date Signed 3/2- I Signature -
(Mak day,Year? (Herne uyna55 591611Stelement with your Ming Via)
FPPC Form 700(2016/2017)
FPPC Advice Email:advice@fppc-ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.ISov