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CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE UIQ r:. ref ICE
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Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
5 e 1564
1. Office, Agency, or Court
A ency Nam o not use acronyms)
1l j o4-osekKerdJ . Pcll�J. V4r pi J
Divisi n, Board, Department, District, if applicable Your Position
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 Commissioneriss „'e (Statewide Jurisdiction)
LIMulti-CountyCounty of /-605hic feuCity of lo)chtMC'aC� ❑Other ✓
3. Type of Statement (check at least one box)
XAnnual: The period covered is January 1,2016, through 17 Leaving Office: Date Left_JJ
��`"'ll December 31,2016. (Check one)
or-
The period covered is , through 0 The period covered is January 1.2016,through the date of
December 31,2016. leaving office.
-or-
❑ Assuming Office: Date assumed J_J 0 The penod covered is_JJ ,through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
14.
Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A-I -Investments-schedule attached 9 Schedule C-Income, Loans, &Business Positions-schedule attached
9 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 ANNess Recommended-Public Muumene 'J //��
3s2fi ENuMERTIEtte (is, �p F-estVNY E.MAIkADDRESS E-fi , /I77i
DAYTIME TELEPHONE NS�Mdd
( w�(e ) 5L-226C Ja-60 ,a C pP/Y rkleadeo
I have used all reasonable diligence in preparing this statement I have reviewed this statement and tothebest of my knowledge tli4lnformation contained
herein and in any attached schedules is true and complete. I acknowledge this is a public document.
I certify under penaltyna/ of perjury under the laws of the State of California that the foreg •• is_ rue and correct.
Date Signed /)yyfl /// / Signature ecv
/ Hnmfh day roll ( .me o a*ysg^ed statement reheat nag office()
FPPC Form 700(2016/2017)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov