KohlstrandParsons 700If filing for multiple positions, list below or on an attachment,
Agency:
Position
2. Jurisdiction of Office (Check at least one box)
MAILING ADDRESS .STREET. CITY STATE ZIP CODE
(Business or Agency Address Recommended Public DoCument)
Alam
a A
DAYTIME TELEPHONE NUMBER E f AIL ADDRESS (OPTIONAL)
W T .1. 4
I have used all reasonable diligence in preparing this statement. 1 have reviewed this statement and to the host of my knowledge the information contained
herein and in any attached schedules is true and complete, l acknowledge this is a public document.
I certify under penalty of perjury under the lags of the State of California that the foregoing is true and correct,
Date Signed d Si g na to r e
g (month, day year) (File the originally signed statement with your filing official j
FPPC Form 700 (2011/20121
FPPC Toll -Free 1 elpline: 666/275 -3772 www.fppc.ca.gov
E�tvi roTrahs
ame
Address (Business Address.Acceptable)
Check one
Trust; go to 2 Business Entity; c ir�ptete tho hox; t go to
GENERAL DESCRIPTIO .OF. BUSINESS ACTIVITY
MA RA
FAIR 1VIARKET VALUE 1F APPLICAB .E. LIST DATE
10,001 $1001000 ACQUIRED
DISPOSED
00:001. $1,0001000..
Over $1,000;000:.'
NATURE OF INVESTMENT
Sole Proprietorship Partnership n
E YOUR BUSINESS POSITION
lather
Name
Address (Business Address Acceptable
Chec* one
[l Trust, go to 2 Bys.iness .Entity, .corrrpiete the box. uteri go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
3
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Description of Business. Activity. or
City or Ctber Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
$2,000 $10,000
$10,001 S10 0 000
$100,001 $1,000,000 ACQUIRED. DISPOSED.
E Cver $1,000,000
NATURE OF INTEREST
Property Ownership /Deed of Trust E] .Stock Partnership
C Leasehold 0 Other
Yrs. remaining
Check box if additional schedules reporting investments or real property
are attached
Comments: FPPC. Form 700. (201112012) Sch, A -2
FPPC Toll-Free Helpline. 86612 5 -3772. wvvw.fppc,ca -gov
ADDRESS. (Business. Address Acceptable)
BUSINESS ACTIVITY, IF ANY. of .ENDER
Cit
Guarantor
Other
(Describe)
FPPC Form 700 (201 12012) Sch. C
FPPC Tall -Free Helpline: 366/275-3772 www fppc.ca.gov