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Groce - 700CALIFORNIA FORM700 FAIR POLITICAL PRACTICES COMMISSION Please type or print in ink STATEMENT OF ECONOMIC INTERE COVER PAGE A PUBLIC DOCUMENT Date Initial Filing Reivect AUG Friff2 ` e cr''''' CI -Y NAME OF FILER (LAST) Groce (FIRST) (MIDDLE) Hannah Suzanne 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Alameda Councilmember Candidate Division, Board, Department, District, if applicable Your Position I. 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 L Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) Multi -County E County of * City of Alameda ❑ Other 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2021, through LI Leaving Office: Date Left December 31, 2021. (Check one circle.) -or- The period covered is , through ❑ The period covered is January 1, 2021, through the date of leaving office. -or- El The period covered is —J_J , through the date of leaving office. December 31, 2021. 111 Assuming Office: Date assumed 11 /8/2022 [] Candidate: Date of Election and office sought, if different than Part 1 4. Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached 4 0 Schedule A-1 - Investments - schedule attached ❑ Schedule A-2 - Investments - schedule attached I Schedule B - Real Property - schedule attached -Or- 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 (Business or Agency Address Recommended - Public Document) 909 Marina Village Pkwy #219 CITY Alameda STATE ZIP CODE CA 94501 DAYTIME TELEPHONE NUMBER ( 510 ) 359-7037 EMAIL ADDRESS hannah4alameda@gmail.com I have used all reasonable diligence in preparing this statement. I have reviewed this statement and t� 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. 1 certify under penalty of perjury under the laws of the State of California that the foregoing is true And corr Date Signed 8/15/2022 (month, day, year) Signature ) Print EMI FPPC Form 700 - Cover Page (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 5