Daniel Lopez RECEIVED
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CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink CITY C j, RK'S OFFICE
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NAME OF FILER (LAST) (FIRST)
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1. Office, Agency, or Court
Agency Name (Do not use acronyms)
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Division, Boa/d Department, District,/� if applicable Your Position
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e 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 qqL�-,� ElCounty of
City of S& 6173 ❑Other
3. Type of Statement (Check at least one box)
A Annual: The period covered is January I,2016,through 0 Leaving Office: Date Left LJ
December 31, 2016. (Check one)
or-
The period covered is ,through 0 The period covered is January 1,2018, through the date of
December 31, 2016. leaving office,
-or-
❑ Assuming Office: Date assumed iJ 0 The period covered is JJ ,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 Ad-investments-schedule attached ❑Schedule D-Income-Gifts-schedule attached
❑ Schedule B-Real Property-schedule attached ❑Schedule E •income- Gifts- Travel Payments-schedule attached
-or-
LT{1 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CIN STATE ZIP CODE
(Bushes or Agency Address Recommended-Public Document) �1I_(('�'/��))
pAVeETE HO /NNMBERL R(13V E. VWIcJEMAIL Bkrok •55R ' CA 91770
(Z ) 56q- 2100
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 foreg 's true andncorrect.
Date Signed /- Zy— 2-0/-7 Signature ti 1 /
(month day.year) (Fife the originally seined slaloms lb king official)
FPPC Form 700(2016/2017)
FPPC Advice Email:advlce@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov