Jensen_Tracy_2022_700-A Assuming Office - Statement of Economic InterestsSTATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Leaving Office: Date Left
Schedule C - Income, Loans, & Business Positions – schedule attached
Schedule D - Income – Gifts – schedule attached
Schedule E - Income – Gifts – Travel Payments – schedule attached
//
(Check one circle.)
The period covered is January 1, 20212021, through the date of
leaving office.
The period covered is //
Annual: The period covered is January 1, 2021,2021, through
December 31, 20212021.
The period covered is
, through
the date of leaving office.
//
2. Jurisdiction of Office (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
3. Type of Statement (Check at least one box)
, through
December 31, 20212021.
Assuming Office: Date assumed
Candidate: Date of Election and office sought, if different than Part 1:
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)
//
Agency Name (Do not use acronyms)
NAME OF FILER (LAST) (FIRST) (MIDDLE)
1. Office, Agency, or Court
Division, Board, Department, District, if applicable Your Position
MAILING ADDRESS STREET CITY STATE ZIP CODE
DAYTIME TELEPHONE NUMBER
( )
(Business or Agency Address Recommended - Public Document)
EMAIL ADDRESS
5. Verification
Signature
(File the originally signed paper statement with your filing official.)
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
-or-
-or-
4. Schedule Summary (must complete)► Total number of pages including this cover page:
Schedules attached
Schedule A-1 - Investments – schedule attached
Schedule A-2 - Investments – schedule attached
Schedule B - Real Property – schedule attached
-or- None - No reportable interests on any schedule
FPPC Form 700 - Cover Page (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 5
Date Initial Filing Received
Filing Official Use Only
Please type or print in ink.
700
FAIR POLITICAL PRACTICES COMMISSION
CALIFORNIA FORM
12 2022
Filed Date: 01/19/2023 11:28 AM
SAN: 121700195-STH-0195
Filed Date: 01/19/2023 11:28 AM
SAN: 121700195-STH-0195
Jensen Tracy
City of Alameda
City Council Councilmember
Alameda
20
1
2263 Santa Clara Ave., Rm. 320 Alameda CA 94501
510 747-4700 tjensen@alamedaca.gov
01/19/2023 11:28 AM Tracy Jensen