Oddie 700bALIFORNIA FORM700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink.
NAME OF FILER (LAST)
ELEIVE
STATEMENT OF ECONOMIC TSANDKV2Zingstf ec4lved
COVER PAGE
A PUBLIC DOCUMENT CITY OF ALAMEDA
CITY CLERK'S OFFICE
Odd;e
(FIRST)
"../crier
1. Office, Agency, or Court
(MIDDLE)
e/. rr
Agency Name (Do not use acronyms)
y of Pia mecoo
Division, Board, Departfnent, District, if applicable
C'o4i,-)G"/en,4e,- Cnd%d te-
Your Position
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑County of
❑ Multi -County
g City of
Q/Y)e d a
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2021, through ❑ Leaving Office: Date Left l_—!
December 31, 2021. (Check one circle.)
-or-
The period covered is , through
December 31, 2021.
• Assuming Office: Date assumed —J—�
❑ The period covered is January 1, 2021, through the date of
leaving office.
-or-
• The period covered is —J. through
the date of leaving office.
Candidate: Date of Election /1- 1 ' a °-2-2- and office sought, if different than Part 1
4. Schedule Summary (must complete) i- Total number of pages including this cover page:
Schedules attached
❑ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
-0r- ❑ None - No reportable interests on any schedule
5. Verification
❑ Schedule C - Income, Loans, 8 Business Positions - schedule attached
.. . Schedule D • Income - Gifts - schedule attached
E Schedule E - Income - Gifts - Travel Payments - schedule attached
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
(50) £rb1/- 75?
CITY
/410M.2101/4
EMAIL ADDRESS / /'
J /M odGQ/2 y flIa,yle ra
a, . 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
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.
STATE
ZIP CODE
e A 9 't S'o
Date Signed i- 3 ' (20.2)—
(month,
02)—
(month, day, year)
Signature
(File the originally signed paper statement with your filing official)
Print
WEI
FPPC Form 700 -Cover Page (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.ippc.ca.gov
Page - 5
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
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SCHEDULE D
Income — Gifts
► NAME OF SOURCE (Not an Acronym)
Mia, /3.-7G r AS,SeMbly
ADDRESS (Business Address Acceptable)
6.+e, 041.)s .><,
BUSINESS ACTIVITY, IF ANY, OF SOURCE
.'+".0011 J n /» ! -"leo
DATE (mm/dd/yy) VALUE
121 311 $l-25--
b1a`t!Dz ) t
DESCRIPTION OF GIFT(S)
l�U ✓� di.Rsr` -11 ci e
3tAk& 5 Tr—.J43-
Gere n.or.,3 l
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE
/_1— $
$
�_J $
DESCRIPTION OF GIFT(S)
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE
—� $
/�— $
—L_1_ $
DESCRIPTION OF GIFT(S)
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE
$
$
DESCRIPTION OF GIFT(S)
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE
/-/- $
$
-/�- $
DESCRIPTION OF GIFT(S)
- NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE
$
—/—/
DESCRIPTION OF GIFT(S)
Comments'
Print
FPPC Form 700 -Schedule D (2021/2022)
advice@fppc.ca.gov • 866-275.3772 • www.fppc.ca.gov
Page -15