Shen_Yibin_2023_700 Statement of Economic Interests CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
A PUBLIC DOCUMENT Filed Date: 01/02/2024 02:08 PM
SAN: FPPC
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Shen Yibin
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Local Agency Workers' Compensation Excess JPA
Division, Board, Department, District, if applicable Your Position
Alternate Member of the Board
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: SEE ATTACHED LIST Position:
2. Jurisdiction of Office (Check at least one box)
❑State ❑Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
x❑Multi-County SEE ATTACHED ❑County of
❑City of ❑Other
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2023, through ❑ Leaving Office: Date Left / I
December 31, 2023. (Check one circle.)
-or-
The period covered is I / , through O The period covered is January 1, 2023, through the date
December 31, 2023. -or-of leaving office.
❑ Assuming Office: Date assumed / / 0 The period covered is I I , through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1:
4. Schedule Summary (required) ► Total number of pages including this cover page: 2
Schedules attached
❑ Schedule A-1 - Investments—schedule attached ❑ Schedule C - Income, Loans, & Business Positions—schedule attached
❑ Schedule A-2 - Investments—schedule attached ❑ Schedule D - Income— Gifts—schedule attached
❑ Schedule B-Real Property—schedule attached ❑ Schedule E- Income— Gifts— Travel Payments—schedule attached
-or- x❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
1750 Creekside Oaks Dr Ste 200 Sacramento CA 95833-3648
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 916 )290-4621
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 01/02/2024 02:08 PM Signature Yibin Shen
(month,day,year) (File the originally signed paper statement with your filing official.)
FPPC Form 700 -Cover Page (2023/2024)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
Page-5
STATEMENT OF ECONOMIC INTERESTS
CALIFORNIA FORM 700
COVER PAGE ATTACHMENT FAIR POLITICAL PRACTICES COMMISSION
Name
Yibin Shen
EXPANDED STATEMENT LIST
Agency Name Division, Board, Position or Title Jurisdiction Type of Period Covered
Department, District Statement
City of Alameda City Attorney City of Annual 01/01/23- 12/31/23
Alameda
DESCRIPTION OF JURISDICTION
Agency: Local Agency Workers' Compensation Excess JPA
Jurisdiction Type: Multi-county
Description: 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