Natalie Haworth - Assuming CALIFORNIA FORM 700 STATEMENT OF ECONOMIC MESTS D103.7,1-41,,p1. ived
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE JUL 0 2 2018
Please type or print in ink. CITY CLERK'S OFFICE
NAME OF FILER (LAST) (FIRST) BY: MIDDLE
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1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Division, Board/Department, District, if applicable our Position
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► 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
City of f4VQr14 ❑Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2017,through ❑ Leaving Office: Date Left I I
December 31, 2017. (Check one)
-or-
The period covered is_J I , through 0 The period covered is January 1, 2017, through the date of
December 31, 2017. -or-leaving office.
[Assuming Office: Date assumed / oLl Ulf) 0 The period covered is l 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: _I
—
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-
LI4 Ione - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-
gencyAddressRecommmended-PPubliic Document)
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DAYTIME E NUMBERVVVVJJ E-MAIL ADDRESS
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I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to th4-6est of my knowledge the formation 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 61 42/20193 Signature AO" dtAllAat4"
(month,day,year) (File the originally signed statement with your 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