Mark Galonstian Date IRECmy EDivea
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS clTvop RoSeMEAD
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink.
nAME OF FILER (LAST) {FIRST) �s' E
CAA- (- 04S j 1PrJ rINA \A BY'vAi
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
C 1T9 a ( it .S "t- OAi)
Division, Board,Department, District, if applicable Your Position
Y' vk (is A1- EIli 1) i CO ?c E K-Ji' ccWEn/ f/—FC �i
n 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 E Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County—_ eaCounty of �-D S I/ct_ S
City of it o cpINA c A- ) 7 Other
3. Type of Statement (Check at mast one box)
NZ Annual: The period covered is January 1, 2017, through ❑ Leaving Office: Date Left —J
December 31, 2017. (Check one)
-OF
Dec period covered is , through
Q The period covered is January 1,2017,through the date of
�� _
December 31, 2017. leaving office.
-or-
❑ Assuming Office: Date assumed II O The period covered is_JJ ,through
the date of leaving office.
Candidate: Date of Election and office sought, if different than Part t
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
5 Schedule A-1 -Investments-schedule attached ❑Schedule C-Income, Loans, 8 Business Positions-schedule attached
5 Schedule A-2-Investments-schedule attached 5 Schedule 0-Income-Gilts-schedule attached
7 Schedule B-Real Prosody-schedule attached ❑Schedule E-Income-Gifts-Travel Payments-schedule attached
-or-
. 'None• No reportable interests on any schedule _
5. Verification
MAILING ADDRESS STREET an ---- ' -- STATE ZIP CODE
(Busmess or Agency mores,Recommended-Palk DOCYmenl)
, 3 $ ' t_L AgLvo YC6 SC v&- P c °r 1 77
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
(6 -al) ) 6 $- 2tuU
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. ,,
Dale Signed 7 1 2 1 I 0 signature 1' \ 6'��I'�'v
(month.day Yea/) (Hae the my,edy xipmd statement Oh your gag akal)
FPPC Form 700(2017/2018)
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