700 Statement of Economic InterestSTATEMENT OF ECONOMIC INTERS
COVER PAGE
Please type or print in ink.
� L_q H U [
Cate Initial Filing Rece
Use
AUG 1 2 2016
NAME OF FILER (LAST) (FIRST) "�7t tt t
S Cti U`('P SA -061
1. Office, Agency, or Court
Agency Name (Do not use.acronyms)
Division, Board, Department, District, if applicable our Position
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction Of Office (Check at least one box)
Position:
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County ❑ County of
[� City of IfupQf-v,4'10 ❑ Other
3. Type of Statement (Check at least once !� .
❑ Annual: The period covered is January 1, hrough ❑ Leaving Office: Date Left — I
December 31,.244 AdIK (Check one)
.or -
The period covered is through O The period covered is January 1, 2015, through the date of
December 31, 2015. or- leaving office.
❑ Assuming Office: Date assumed O The period covered is —I through
the date of leaving office.
"'Candidate: Election year 2d and office sought, if different than Part 1:
5. Veritication
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
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 (� 4 Signature
(onth, day, year) (File the originally signed statement with your filing official.)
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov