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CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS
f
I C. Use Only
FAIR POLITICAL PRACTICES COMMISSION
efFlCE Of THE CITY CLERK
A PUBLIC DOCUMENT COVER PAGE OAKLAI'W
lIU MAR 30 PH 2: 23
Please type or print in ink.
(FIRST)
NAME OF FILf1 rl (LAST)


U2 fj\)LD
1. Office, Agency, or Court
AgeFN(mNtA-N CE .M fItDv(fje E WI
Division. Board. Department. District. if applicable Your Position
t(-e ue tJ L.t e P(' V;' S,'6 (J r< -e V-AJU e t 1l4-X C4 ()j..{LN /' S
If filing for multiple positions. list below or on an attachment.
Position: ____________________
Agency: _____________--========
2. Jurisdiction of Office (Check at least one box)
o State o Judge (Statewide Jurisdiction)
o Multi-County ---,------------ o County of ---------------
!tCityOf CALL. LIA N D
o Other ----------------
3. Type of Statement (Check at least one box)
r(Annual: The period covered is January 1. 2010. through December 31. o Leaving Office: Date Left ----1----1__
2010. .or.
(Check one)
o The period covered is January 1. 2010. through the date of
The period covered is ----1----1__. through December 31.
leaving office.
2010.
o Assuming Office: Date ----1----1__
o The period covered is ----1----1__. through the date
of leaving office.
o Candidate: Election Year ------
Office sought. if different than Part 1: __________________
4. Schedule Summary
Check applicable schedules or "None." Total number of pages including this cover page: '2
o Schedule A1 Investments - schedule attached
o Schedule A2 Investments - schedule attached
ti Schedule C . Income. Loans. &Business Positions - schedule attached
DSchedule D . Income Gifts - schedule attached
o Schedule B Real Property schedule attached o Schedule E Income - Gifts - Travel Payments schedule attached
or
o None No reportable interests on any schedule
5. Verification
CITY STATE ZIP CODE
61M(.{ (4tJVlD Cc/4
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('S10 ) 238 56 OA(lt4NCNe.f.. COM
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
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herein and in any attached schedules is true and complete. I acknowledge this is a publicJleel.unent.
I certify under tiof perjury nder the laws of the State of California that th
Date Signed Signature "-.... 2-8
FPPC Form 700 (2010/2011)
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
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SCHEDULE C CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Income, Loans, & Business
Name
Positions
,j)A\j:d (Other than Gifts and Travel Payments)
II> 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
o $500 - $1,000 0 $1,001 - $10,000
o $10,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary 0 Spouse's or registered domestic partner's income
o Loan repayment 0 Partnership
Sale of IPropet1y. car. boat, ele.)
o Commission or 0 Rental Income, lisl each source of $10,000 or more
Other __________________
II> 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
L{b'1 LlA T'rrrAC-e CLLS'MJO'E
ADDRESS (Business Address Acceptable) - t;t23
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BUSINESS ACTIVITY, IF ANY, OF OURCE ,
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YOUR BUSINESS POSITION
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GROSS INCOME RECEIVED
$500 - $1,000 r:X$1,001 - $10,000
o $10,001 $100,000 tJ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary 0 Spouse's or registered domestic partner's income
o Loan repayment o Partnership
o Sale of (Propet1y. car. boal, etc,)
o Commission or o Rental Income, fist each source of $10,000 or more
Other __________________
II> 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
* You are not required to report loans from commercial lending institutions, or any indebtedness created as part
of a retail installment or credit card transaction, made in the lender's regular course of business on terms
available to members of the public without regard to your official status. Personal loans and loans received
not in a lender'S regular course of business must be disclosed as follows:
NAME OF LENDER' INTEREST RATE TERM (Months/Years)
____'Yo o None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
o None Personal residence
BUSINESS ACTIVITY, IF ANY, OF LENDER
o Real Property Street address
HIGHEST BALANCE DURING REPORTING PERIOD
$500 - $1,000
City
$1,001 - $10,000
o Guarantor ______________________________________________ __
o $10,001 $100,000
DOVER $100,000
o Other ------------------
(DesCribe)
Comments:
FPPC Form 700 (2010/2011) Sch. C
FPPC TolIFree Helpline: 866/275-3772 www.fppc.ca.gov