Wayne Co - Annual (2)STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LASy)�
Office, Agency, or Court
Agency Name (Do not use acronyms)
Division, Boan1 Department, District, if applicable
Gate In1ti Received
orrrosfFoaunu
APR 10 2024
► If filing for multipl positions, list below or on an attachment. (Do not use acronyms)
Agency: Position: 'v Ig G f
2. Jurisdiction of Office (check at feast one box)
State
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ Multi -County, ❑ County of
city of Edd ❑ Other
3. Type of Statement (check at feast one box)
J��/ Annual: The period covered is January 1, 2023, through ❑ Leaving Office: Date Left ��
December 31. 2023. (Check one circle.)
-or-
The period covered is
December 31, 2023.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
through ❑ The period covered is January 1, 2023, through the date
•or• of leaving office.
_ ❑ The period covered is I—J , through
the date of leaving office.
and office sought, if different than Part 1:
Schedule Summary (required) ► 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 ] C.t/P,e�w/fe /7170
MAIUNG ADDRESS STREET 9CIN STATE ZIP CODE
(Business crAgemy Address Re mended- Public Documend)
Fr%110MI /J"M001 0 W/d 100"A �N W93 3�2
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 perjT under the laws of the State of California that the
Date Signed 07-1 Signature
'�4�
O%z6e
FPPC Form 700 -Cover Page (2023/2024)
advice&fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
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