Pickens, Sindee - 2017-2018 Form 700STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
RECEIVED
Date Initial Filing Received
CITY CLERK'S OFFICE
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Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
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1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Division, BOW, Department, District, if appli ble Your Position
L.�).C_
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
Position:
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County ❑ County of
2-city of I (✓ - J-C) ❑ Other
3. Type of Statement (check at least one box)
Annual: The period covered is January 1, 2017, through ❑ Leaving Office: Date Left _
December 31, 2017. (Check one)
-or-
The period covered is
December 31, 2017.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
through O The period covered is January 1, 2017, through the date of
-or-
leaving office.
O The period covered is through
the date of leaving office
and office sought, if different than Part 1: —
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
.or-
❑ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
- 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 STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS n
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my kndwledge the information corftained
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 fgregoing is true and correct
Date Signed r Signature
(month, day, year) to the or ginally signed slatemen(with your filing official.)
FPPC Form 700(2017/2018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov