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Robert Chavez - Assuming RECEIVED CTYO R STATEMENT OF ECONOMIC INTERESTS Date InitFal �ligtaWeived CALIFORNIA FORM 700 official use only COVER PAGE APR 2 2 2019 FAIR POLITICAL PRACTICES COMMISSION Please type or print in ink. A PUBLIC DOCUMENT CITY CLERK'S OFFICEBY: NAME OF FILER (LAST) (FIRST) (MIDDLE) <2 H 7— 120 61-7-0 P,9 0 L- 1. 1. Office, Agency, or Court Agency Name (Do not use acronyms) Division, Board, Department, District, if applicable Your Position ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: el rivt< `/ 0� R-Dsi . o Position:P013LIC. WORK' MAh-ht66a. 2. Jurisdiction of Office (Check at least one box) ❑State ❑Judge or Court Commissioner(Statewide Jurisdiction) ❑Multi-County ❑County of MI City of R D SL AA F O ❑Other 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2018, through ❑ Leaving Office: Date Left I I December 31, 2018. (Check one circle.) -or- The period covered is I / , through 0 The period covered is January 1, 2018, through the date of December 31, 2018. -or-leaving office. �/ 22. 2o:9 © Assuming Office: Date assumed—J� 0 The period covered is I I , through the date of leaving office. ❑ Candidate: Date of Election 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-1 -Investments-schedule attached ❑Schedule C-Income, Loans, & Business Positions-schedule attached ❑ 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 MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended-Public Document) g8 qv C v/1L .0 y (3tvo 12-OSrn,,6ao /� q I71 o DAYTIME TELEPHONE NUMBER EMAIL ADDRESS rc "k/ row mAcJ ,of 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. Date Signed Y/ 2 420 Signature (month day,year) (File th ginally signed paper statement with your filing official.) FPPC Form 700(2018/2019) FPPC Advice Email:advice@fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov Page•5