Jensen - 700CALIFORNIA FORM700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink.
STATEMENT OF ECONOMIC INTEREST
COVER PAGE
A PUBLIC DOCUMENT
NAME OF FILER (LAST)
Sens
1. Office, Agency, or Court
(FIRST)
ifq
Date Initial Filing Receiv
Ausgrffravy
CITY OF ALAMLDA
CITY CLERK' - ‘'E
(MIDDLE)
Lynn
Agency Name (Do not use acronyms) ah.Ai Ame,{:i A,
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Division, Board, epartment, istrict, if 4pplicable '� Your Position
'Otintteb tined 14 ear
► 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
❑ Multi -County
XCity of
All Qr/leca
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2021, through ❑ Leaving Office: Date Left
December 31, 2021. (Check one circle.)
-or-
The period covered is _/_/ , through
December 31, 2021.
❑ Assuming Office: Date assumed
❑ The period covered is January 1, 2021, through the date of
leaving office.
-or-
El The period covered is , through
the date of leaving office.
X Candidate: Date of Election D /2422 and office sought, if different than Part 1
4. Schedule Summary (must complete) r Total number of pages including this cover page:
Schedules attached
Schedule A-1 - Investments — schedule attached
Schedule A-2 - Investments — schedule attached
E Schedule B - Real Property — schedule attached
-or- Xi None - No reportable interests on any schedule
5. Verification
Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
MAILING ADDRESS STREET CITY
(Business or Agency Address Recommended- Publi�'bocum�nt) � � I8in
B,`ptiIj,/^{.w�(1(iyr!�. G�®(/J�/
STATE ZIP CODE
0-1561
DAYTIME TELEPHOE NUMBER
( ib) `22
E!AIL ADDRESS
r 6'
I have used all reasonable diligence in preparing this statement. I have reviewed this stat-ment and t
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 issue and correc
best of my knowledge the information contained
Date Signed
(month, pay, year)
Signature
( )
Print
Clear
FPPC Form 700 -Cover Page (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
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