Herrera Diana - Leaving (Planning Commissioner) RECEIVED
OSEAD
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received
CALIFORNIA FORM Official Use Only
COVER PAGE FEB 10 2020
L. TICES COMMISSION
Please type or print in ink. A PUBLIC DOCUMENT any CLE�C�': 70E
BY:
NAME OF FILER (LAST) (FIRST) (MIDDLE)
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1. Office, Agency, or Court
Agency Name (Do not use acronyms)
0,1+j of Ruse-crvi e-a_---
Division, Board, Department, District, if applicable Your Position /�
I,(Ctinhtvia LO 141 IP)
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 0 Judge or Court Commissioner(Statewide Jurisdiction)
0 Multi-County 0 County of
$City of Ro S-✓vl e4 0 Other
3. Type of Statement (Check at least one box)
O Annual: The period covered is January 1,2018,through 14 Leaving Office: Date Left ,3(?.../ 2 D`
December 31,2018. (Check one circle.)
-or-
The period covered is_J—J ,through 0 The period covered is January 1, 2018,through the date of
December 31, 2018. -or-leaving office.
❑ Assuming Office: Date assumed—J_ I 0 The period covered is—1—J , 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 0 Schedule C• Income,Loans, &Business Positions–schedule attached
O Schedule A-2-Investments–schedule attached 0 Schedule D- Income–Gifts–schedule attached _
❑ Schedule B-Real Property–schedule attached ❑Schedule E-Income–Gifts– Travel Payments–schedule attached
or•
0 None- No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY I STATE ZIP CODE
(Business or Agency Address Recommended-Public Document) •
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EMAIL
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 c ect.
Date Signed CP2l5/ ° -° Si gnature Aa4/1A
'
(month,des year) (File the ori,fly 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
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