Mitchell 700CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Pk PUBLIC DOCLIMENT
STATEMENT OF ECONOMIC INTERESTS
Please type or print in ink.
NAME OF FILER (LAST) (FIRST)
IV\ V-7.3-1V--L.-A-- DAN/
COVER PAGE
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
ITV C)P• 44--ittaLut,re46-14,-
Date Initial Filing Received
Us o Oqiy
APR 1 (l6W 6
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P.
K'S OFFICE
Division, Board, Department, District, if applicable Your Position
LAciz.i.
10. If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position.
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2. Jurisdiction of Office (Check at least one box)
0 State Judge or Court Commissioner (Statewide Jurisdiction)
0 Multi-County El County of
UkCity of Other
3. Type of Statement (Check at least one box)
0 Annual: The period covered is January 1, 2015, through
December 31, 2015.
-or-
The period covered is / /
December 31, 2015,
E—Assuming Office: Date assumed zots
, through
Candidate: Election year
0 Leaving Office: Date Left / /
(Check one)
0 The period covered is January 1, 2015, through the date of
leaving office.
-0T-
0 The period covered is / / , through
the date of leaving office.
and office sought, if different than Part 1
4 Schedule Summary (must complete) o. Total number of pages including this cover page
Schedules attached
I Ell Schedule A-1 Investments - schedule attached Ejl Schedule C Income, Loans, & Business Positions schedule attached
Ell Schedule A-2 - Investments - schedule attached E Schedule D - Income - Gifts - schedule attached
0 Schedule B - Real Property- schedule attached El Schedule E Income - Gifts - Travel Payments - schedule attached
one - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER '
CITY
E-MAI L ADDRESS
STATE
ZIP CODE
'4
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 1 —41 lb
(month, day, year)
Signature
( with your filing official)
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov