Obama Shaw - 700CALIFORNIA FORMIOO
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink
STATEMENT OF ECONOMIC INTEF E
Filing Official Use # my
COVER PAGE
A PUBLIC DOCUMENT j_., AUG 012022. f'
CITY OF ALA ti EDP,
NAME OF FILER (LAST) (FIRS
(-)h-rr2 AA•
1. Office, Agency, or Court
iti I F°Irb Ifeceta�ed
Agency Name (Do not use acronyms)
Division, Board, Depa ment, District, if applicable
4CF/
Your Position
If filing fo multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ Mu ti -County ❑ County of
City of 4—/4 AA ed
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2021, through ❑ Leaving Office: Date Left —J
December 31, 2021. (Check one circle.)
-or•
The period covered is l—J , through
December 31, 2021.
❑ Assuming Office: Date assumed
❑ The period covered is January 1, 2021, through the date of
leaving office.
-or-
0 The period covered is —J 1 , through
%% the date of leaving office.
Candidate: Date of Election / / rU r�- and office sought, if different than Part 1:
4. Schedule Summary (must complete) Total number of pages including this cover page:
Schedules attached
E Schedule A-1 • Investments — schedule attached
Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
-or- d None - No reportable interests on any schedule
❑ Schedule C • Income, Loans, & Business Positions — schedule attached
E Schedule D • Income — Gifts — schedule attached
Schedule E - Income — Gifts — Travel Payments — schedule attached
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Reco. mended - Public Document)
/ J tia-bVI
DAYTIME TELEPHONE NUMBER
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 Califomia that the foregoing is true and correct.
CITY -
14-1/) ,
STATE
ZIP CODE
9./.-; 5o/
EMAIL ADDRESS
Date Signed ( -
(month day,
Signature
(
Print
ZEE
FPPC Form 700 • Cover Page (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
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