Mandy Wong Date Initlal HMO Receive°
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS
FAIRPOLITICAL
PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink
NP31E OF FILER ILAai) 1 G FIRSiI M) r l 1 (MIDDLE)1. Office, AgeenncUUUly,,,`vor Court
Agency Name (Do not use acronyms)
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Division, Board. Department, District, if applicable yNr�y7��r„•,l, Your Positi
{fel C So 1/C01,1 C- ` t J CaitGnitclIV
e If filing for multiple positions,list be ow or on an attachment. (Do not use acronyms)
Agency. Position_
2. Jurisdiction of Office (Check at least one box)
❑State D Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County ,L ❑County of
City of g.osr,me6.4 ❑Other
3. Type of Statement (Check at least one box)
'4 Annual: The period covered is January 1,2016,through ❑ Leaving Office: Date Left J�
�"'-C December 31,2016. (Check one)
-0r-
The period covered is—JJ trough 0 The period covered is January t,2016, through the date of
December 31,2016. or leaving office.
❑ Assuming Office: Date assumed 0 The period covered is JJ through
the date of leaving office.
9 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
9 Schedule A-1 -Investments-schedule attached 9 Schedule C•income, Loans, g Business Positions-schedule attached
9 Schedule A-2-Investments-schedule attached 9 Schedule D-Income-Gifts-schedule attached
9 Schedule B-Real Property-schedule attached 9 Schedule E-Income-Gifts-Travel Payments-schedule attached
-or-
None- No reportable interests on any schedule ''
5. Verification $8`38 f'�I I-eM 151 eosafl -8A 1 G1i
17 70
MAILING ADDRESS STREET CITY STATE ZIP CODE
(&sines w Agency Adarea'Recommened-Pudic Dcu q
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
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I have used all reasonable diligence in preparing this statement. I have reviewed this statement Mid to the besNol my knowledge the information coed
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 tree and correct
Date Signs ._�1 7 Signature
/
(moth day year) �Ee. aMv -.el=sre'il J
FPPC Form 700(2016/2017)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3272 www.fppc.ca.gov