HomeMy WebLinkAbout~Form 700 - Antos ro)
"ECEN22d
CALIFORNIA FORm7OO STATEMENT OF ECONOMIC INTERESTS
FAIR POLITICAL PRACTICES COMMISSION AUG 0 7 2014
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink. CITY CLERK
CITY OF SEAL agA(-H
NAME OF FILER (LAST) (FIRST) (M 1—DD-Lr)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
11 Jjr C04tA;Clt 4- 7'/'_IC 7-
Division, Board, Department, District, if applicable Your Position
o. 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 ❑Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County ❑County of
in City Of S�4 L a 64-6 H ❑Other
3. Type of Statement (Check at least one box)
r] Annual: The period covered is January 1,2013,through ❑ Leaving Office: Date Left I I
-or- December 31, 2013. (Check one)
The period covered is I through 0 The period covered is January 1, 2013,through the date of
December 31, 2013, leaving office.
❑ Assuming Office: Date assumed 1 0 The period covered is through
the date of leaving office,
Candidate: Election year 10 IA and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or"None. lio. Total number of pages including this cover page:
❑ Schedule A-1 -Investments-schedule attached ❑ Schedule C-Income, Loans, &Business Positions-schedule attached
❑ Schedule A-2-Investments-schedule attached ❑ Schedule D-Income-Gifts-schedule attached
❑ Schedule B-Real Property-schedule attached ❑ Schedule E-Income-Gifts- Travel Payments-schedule attached
'Or.
None-No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS(OPTIONAL)
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 3 -1 f Signat(month,day,year) annowth Y._fmg
FPPC Form 700(2013/2014)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov