Kern 700 Leaving Office: Date Left //
(Check one)
The period covered is January 1, 2016, through the date of
leaving office.
The period covered is //, through
the date of leaving office.
Annual: The period covered is January 1, 2016, through
December 31, 2016.
The period covered is //, through
December 31, 2016.
StAtement Of eCOnOmiC intereStS
COver PAge
FPPC Form 700 (2016/2017)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
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
(month, day, year)
3. type of Statement (Check at least one box)
State Judge or Court Commissioner (Statewide Jurisdiction)
Multi-County County of
City of Other
2. Jurisdiction of Office (Check at least one box)
Candidate: Election year and office sought, if different than Part 1:
Assuming Office: Date assumed //
Date Initial Filing Received
Official Use Only
Please type or print in ink.
700
FAIr POLITICAL PrACTICES COMMISSION
CALIFORNIA FORM
Agency Name (Do not use acronyms)
Division, board, Department, District, if applicable Your Position
1. Office, Agency, or Court
nAme Of fiLer (LASt) (firSt) (miDDLe)
MAiLiNg ADDrESS STrEET CiTY STATE ZiP CODE
( )
DAYTiME TELEPhONE NuMbEr E-MAiL ADDrESS
(Business or Agency Address Recommended - Public Document)
Signature
(File the originally signed statement with your filing official.)
5. verification
A PuBLIC DOCuMENT
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
-or-
-or-
None - No reportable interests on any schedule
4. Schedule Summary (must complete)
Schedules attached
Schedule A-1 - Investments – schedule attached
Schedule A-2 - Investments – schedule attached
Schedule B - Real Property – schedule attached
► Total number of pages including this cover page:
-or-
Schedule C - Income, Loans, & Business Positions – schedule attached
Schedule D - Income – Gifts – schedule attached
Schedule e - Income – Gifts – Travel Payments – schedule attached
Kern Janet C
Local Agency Workers' Compensation Excess JPA
Alternate Board Member
SEE ATTACHED LIST
8 SEE ATTACHED
2
8
2263 Santa Clara Ave Alameda CA 94501-4477
510 747-4752 jkern@alamedacityattorney.org
01/31/2017 12:54 PM
8
Filed Date: 01/31/2017 12:54 PM
SAN: FPPC
Electronic Submission
COVER PAGE ATTACHMENT
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Janet Kern
Name
STATEMENT OF ECONOMIC INTERESTS
EXPANDED STATEMENT LIST
Period CoveredType of
StatementJurisdictionPosition or TitleDivision, Board,
Department, DistrictAgency Name
01/01/16 - 12/31/16AnnualCity of
Alameda
City AttorneyCity of Alameda
DESCRIPTION OF JURISDICTION
Alameda, Amador, Butte, Calaveras, Colusa, Contra Costa, Del Norte, El Dorado, Fresno, Glenn,
Humboldt, Imperial, Inyo, Kern Lake, Lassen, Los Angeles, Marin, Mendocino, Merced, Modoc,
Mono, Monterey, Napa, Nevada, Orange, Placer, Plumas, Riverside, Sacra
Description:
Multi-countyJurisdiction Type:
Local Agency Workers' Compensation Excess JPAAgency: