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Michael Reyes RECEIVED CITY OF RoSF MEAD Date ; do Fill g Received CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS 1510B-0-)/T FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT COVER PAGE CITY CLERK'S OFFICE Please type or print in ink NAME OF FILER (LAST) (FIRST) (MIDDLE) I� ErC7 hi Ct/A7 J -TEvo-✓ 1. Office, Agency, or Court Agency Name (Do not use acronyms) C r 7 Y 0 in I c 1 e— n & v u n ce n e r c_ -J r z-7 y J -,c,.-o.-s Division, Board, Department District, d applicable Your Position v. If fling 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 El City of /Cc1C ntMO _,_ ❑Other 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2015,through ❑ Leaving Office: Date Left_/_/ - December 31,2015. (Check one) or- The period covered is_)_/ through 0 The period covered is January 1,2015,through the date of December 31, 2015. leaving office. -or- ❑ Assuming Office: Date assumed jj 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) I. Total number of pages including this cover page: Schedules attached ❑ Schedule A-I •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-Gifts-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 Document) Zen 8ae En r > (m) < Ct acv . ac.tnc..ri ffi . 7r72m DAYTIME TELEPHONE NUMBER EMAIL ADDRESS ( 6< t ) 5-6g- Z2 9 n,1-ere-) 9 c / rr of ,Ce'c,.e-.o, 04 5 I have used all reasonable diligence in prepadng 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 Date Signed /3 /yC Signature / -- (month,day year) (Fie the wlpi*SiPned statement web your fiTip°Ikea!) FPPC Form 100(2015/2016) FPPC Advice Email:advice @fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov