Shen 700Leaving Office: Date Left //
(Check one circle.)
The period covered is January 1, 2019, through the date of
leaving office.
The period covered is //, through
the date of leaving office.
Annual: The period covered is January 1, 2019, through
December 31, 2019.
The period covered is //, through
December 31, 2019.
Statement of economic intereStS
cover Page
A PubliC DoCument
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, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction) (Statewide Jurisdiction)
Multi-County County of
City of Other
2.Jurisdiction of Office (Check at least one box)
Candidate: Date of Election and office sought, if different than Part 1:
Assuming Office: Date assumed //
Date Initial Filing Received
Filing 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 EMAiL ADDRESS
(business or Agency Address Recommended - Public Document)
Signature
(File the originally signed paper statement with your filing official.)
5.Verification
► 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
FPPC Form 700 - Cover Page (2019/2020)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 5
Shen Yibin
Local Agency Workers' Compensation Excess JPA
Alternate Member of the Board
SEE ATTACHED LIST
SEE ATTACHED
07 08 2019
2
1750 Creekside Oaks Dr Ste 200 Sacramento CA 95833-3648
916 290-4621
01/06/2020 05:31 PM Electronic Submission
Filed Date: 01/06/2020 05:31 PM
SAN: FPPC
COVER PAGE ATTACHMENT
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Yibin Shen
Name
STATEMENT OF ECONOMIC INTERESTS
EXPANDED STATEMENT LIST
Agency Name Division, Board,
Department, District Position or Title Jurisdiction Type of
Statement Period Covered
City of Alameda City Attorney City of
Alameda
Annual 05/13/19 - 12/31/19
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