Hom 700Ploazte type r print in lek
1. Office, Agency, or Court
Agency Name (De net um,: ,i‘cteryrrr,3r)
!„-)partmeot. r 1r t applicante
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A C DOCUM - T
Your Position
oir II titiorj tor inaltipte PoOdns, I t beity,k, or on an 6W3;1±1f7";&J. (L)0 001 tt3e d ronyrrW
Agency:
2. Jurisdiction of Office (Check at least one box)
Multi-CcJrity
1City di
Type of 81 (Check ;It least one box)
Annual: The period ki‘,,ered is at -t' 1, 2019, thrpogh
Deceinher 31. 2019.
-or.
The period covered is through
December 31, 2019,
Assuming Officc Nte asciurned
Position:
A16,49. -
1,11 tedger Relirdit Jeep, P'-ro Ti M Judge, Or Coyrt CrtmmissiOnef
(Slatewide Jurnwf in)
Couniy or
1,_,J Other
1.1! Leaving Office: Cate Left .
(Ciit)cir one cirdo.)
(j) The tot od covared is January 1, 2019. through the date of
Idavirig offine.
Ice period coveted is' , through
the date, of letTring officiz.
Candidata Date of Elacitien and office riought, if difkront than Pail 1:
4. Schedule Summary (must complete) 0. Total number of pages including his cover page:
Schedules attached
Schedule A-1 - (vet illatS SOR:dule attact'ed
L] Schedule A-2 - invetitoterti6 — sclwduie attached
Schedule B Reai Property — Sche(11.1k. attached
-ON [1,1 None - No reportable interests on arty Schedule
,......
5. Verification
mimi ADORESF3 SIC,!E
(eut,hrin, G./ Agency Ad+hf:n.N ReCtladrIt.Tgled - OCY'W
DAY rimE EririoNL' NihACH
iii
L_I Schedule C /orO if 0 OdeS & Silo/gess Positimes st;tiodule. attached
n Schedule D schedule attached
17:1 Schedule F income - Travel Pas/aunts schodute attached
crohit. SOritdPss
ZIP CODE
I h,ave. klo.1 all reaeriatile diligent.R. in preparing this statement. i have revieweit tOt staterridnt and In ihr hest of rny er owie go no nformaiion contairted
herein act in any attached schedules is true, and complete. i acknowledge this is a pubtic deconsepl.
I certify under penalty of perjury under the laws of the State of California that the tempi ig,ts true and correct.
1
Date Signed
(month. day, year)
,
Signature
l'olell?,:"/ 14'; 0 c,16,3;0/
Fppr. Form 709 .C*.twr t2019/2620,
;4(1,,ico@fpf,.c.C4 Kov Z(65-275-302 www.fppc,ca,R,u,■
S
SCHEDULE E
Income — Gifts
Travel Payments, Advances,
and Reimbursements
• ark either the gift or income box.
• Mark the "501(c)(3)" box for a travel payment received from a nonprofit 501(c)(3) organization
or the "Speech" box if you made a speech or participated in a panel. Per Government Code
Section 89506, these payments may not be subject to the gift limit. However, they may result
in a disqualifying conflict of interest.
• For gifts of travel, provide the travel destination.
roologgeopessisoteeltestogai
NAME C.F. SOURCE lJot an Acronym)
ADOKLSS (Husrness Ancirmss Accep!a01).°)
CITY AND StAtIE
El 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
P. NAME OF SOURC,E (Nol an Acronym;
AlIQRLSS (OffisinEffi.f. Addces., 4cc.apt.3.bitr,)
C!IY AND s
501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
LA I tftfiiIi-„ff '" HS).
If git?) (if ,li.rtr)
MI.P:;.7 CHECK` ONE: +Or. c j Mff.ffi ONE: Gift ( r Iticifi
A fipciefiiiit,',..icticipatfift in 3 rf.m-1,:it a If.fpafiffif:i0,'-afficipfiiIed in a Nan&
Oth01 PrOVide De,;;;CYlptiOn 0 :AlVt P;'fivitie
iiff If Grit PRAAle EArsCro.P.ior, CAft, Proviriv, Der5fAL.3fiAn
I. NAME OF SOURCE (Not an Acronym) l• NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
CITY AND STATE CITY AND STATE
Ir.. 7\1: H' ANY. cq- {,A0) or I: ura.yroGrr; Gh„„iy,,INAr ThAT'A 4in, ANA'. L-,r 5CHIPc.r,
1,,A-E EU:4 "I. r
,-liff)
fro- MififIFT iffilECK CiNff. Giq -or- I
(f) .F:3!.-v<v,..t411,r)rliciprIled in a II"Iariffi
C:f Other - PfriNFIlffi
GUT PrAvAkr TrrwAi r'..,ArrorAion
Comments-
i..11Vrf ):
rpft)
MO S] CrIII CK ONE: LI; l3111 [11 III an
0 1,19(L «I ::',,.K,,oc.lr'Proic4vita-,N1 in A PLoo
(„) rffvide -s a'
to. 1/ Gil:, PrAvickr Tmvol Po.A1PAAkan
FPPC Form 700 - Schedule E (2019/2020)
advIce@fppc,ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 17