Daniel LopezRECEIVED
Date I6I661 cPili g ""` tl
STATEMENT OF ECONOMIC INTERESTS official Use Only
• COVER PAGE
rvw,ra s OFFICE
Please type or print in ink. By,
NAME OF FILER (LAST) (FIRST) (MIDDLE)
1. Office, Agency, or Court
Agency Name (Do jnot use acronyms) %
Division, Board, Departhent, Distrilit, if applicable Your Position
► If fling for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ Multi -County
21city of
3. Type of Statement (check at least one box)
Annual: The period covered is January 1, 2017, through
December 31, 2017.
-or-
The period covered Is I I 1 - 2-0C 7, through
December 31, 2017.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left
(Check one)
O The period covered is January 1, 2017, through the date of
leaving office.
.or -
0 The period covered is —
the date of leaving office,
and office sought, if different than Part 1:
Schedule Summary (must complete) ► Total number of pages including this cover page;
Schedules attached
-or-
❑ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑ Schedule B - Real Property- schedule attached
None - No reportable interests on anv schedule
through
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gilts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
ICU IQas'wrLrn/3 614 `1,7,70
(/p2) 5?/- 2fc 7
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 foregoin is true and correct.
Date SignedTJ2_'qIe Signature
month, day year) (File the odglnelly signed statement* ith y filing official.)
FPPC Form 700(2017/2018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov