Chen Lin - Assuming CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date initial FiUse Only
ling Deceived
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink
NAME OF FILER (LAST) (FIRST) (MIDDLE)
I—/N (,N'EN Te-
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
0..—t{ Or PtG,GnnGr‘\() PRg-� 0_,Lm114 .6rJC2
Division, Board, Department District, if applicable Your Position
F 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 ..
jvCiy of EwEfn _._ _ U Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1. 2016,through ❑ Leaving Office: Date Left J J
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_ aIl'J I fit} 0 The period covered is I L_ ,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, & Business Positions-schedule attached
U Schedule A-2-Investments-schedule attached ❑Schedule O-Income- Gifts-schedule attached
Schedule B-Real Property-schedule attached 0 Schedule E- Income- Gifts- Travel Payments-schedule attached
-Or-
`� None• No reportable interests on any schedule
5. Verification
MAILING ADDRESS SPEET CITY STATE ZIP CODE
(Business or AgencyAdimss Recommended-Put*Document)
'16n32s E . L2 LD 0w • I Po n,ox 3'N / 120scmEn) ) cR 917379
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 6Z(.) 5109 ")-1 00
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 foregoing is true and correct.
c_.)Date Signed (Ai; (7c19- SignatureYµ---
(nrnm.day yead (File the onginanV+MnedNRemer Mng official.)
FPPC Form 700(2016/2017)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/215-3772 www.fppc.ca.gov