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- I PH 5: 05 COVER PAGE
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Official Use Only
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NAME (LAST) (FIRST) (MIDDLE)
Fifth Senate District of California - During the reporting period, did you have any reportable
Division, Board, District, if applicable: interests to disclose on:
State of California Schedule A-1 DYes - schedule attached
Position: Investments (Less than 10% Ownership)
D MUlti-County _ _ _ _ _ _ _ _ _ _ _ _ _ __ -or-
_ D No reportable interests on any schedule
D Other - - - - - - - - - - - - - - - - - -
Total number of pages completed including this
3. Type of Statement (Check at least one box) 2
cover page: _,..,;;;...._
D Candidate
FPPC Form 700 Amendment (2001/2002)
FPPC Toll-Free Helpline: 866/ASK-FPPC