Cabeza, Charlotte - LeavingSchedule Summary (required) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A-1 - Investments - schedule attached ❑ Schedule C - Income, Loans, 8 Business Positrons - schedule attached
❑ Schedule A-2 - Investments - schedule attached ❑ Schedule D - Income - GiRs - schedule attached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or- W None - No reportable interests on any schedule
5. Verification � 4 3% IF. V 011IQt,� Wv
MAIUNG ADDRESS STREET I
(Business or Agency Address Recommended - Pubk Dawmenp
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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 We 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 co
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MY year (Fie ere odgm*sgnedpapersWea }roar filing ofval)
FPK Form 700 - Cover Page (2022/2023)
advlce�iPPc.ca.gw 8%-275-3772.viarw.fPK.u.Bw
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