Raymond Chavira - Assuming CALIFORNIA FORM Date hiEe0g144�icteived
700 STATEMENT OF ECONOMIC INTtRESTS CrvCar* 00FAD
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink r'ITY t:L ICS OFFICE
NAME OF FILER (LAST) (FIRST) By (MIDDLE) r
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1. Office, Agency, or Court
Agency Name (Do not use acronyms)
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Divisio�o- d.Department, District, if applicable Your Position
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If(ding for multiple positions, list below or on an attachment. (Do not use acronyms)
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Agency: Position:_ Cow wt. l ac 6.✓\ C
2. Jurisdiction of Office (Check at least one box)
O State ❑Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County _ ❑County of _ __—
fTSity of ---eteft-€c d ❑Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2016, trough ❑ Leaving Office: Date Left /-_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.
p -Dr-
sC Assuming Office: Date assumed/Q3_ // 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) ► Total number of pages including this cover page: )
Schedules attached
G Schedule A-1 •Investments-schedule attached ❑Schedule C-Income, Loans, &Business Positions-schedule attached
O 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 j825 5cA ✓/c= Aye-, Art, ao/] ./ q[- a„,,,e4d� CA Q1.2>
MAILING ADDRESS STREET 2 city / Sprc ZIP CODE
(Busmen or Agency Address Recommended-Pubhc Omument)
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
) 537-) y�
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.rrct�
,a�" /� ✓e/d M-�� r
Y
Date Signed �. Signature '
(month,eek yaw) ff,>ethe odemslrymrcm
signedsem wnnvWr Ming official.)
FPPC Form 700(2016/2017)
FPPC Advice Email:advice@fppc.ca.gov
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