Pickens, Cynthia - 2018-2019 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS IRECi1,IIlED rI
CALIFORNIA•' :i i
700
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
CITY CLERK'S OFFICE
Please type or print in ink. A PUBLIC DOCUMENT :Z// 31iD! `7 C 7. 2—
NAME OF FILER (LAST) (/ (FIRST) / ` \ (MIDDLE)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Division, Board, Department, District, if applicable!. Your Position
► 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
❑ Multi -County
Cri!"
city of l_ �7c'(4
1
3. Type of Statement (Check at least one box)
D�Annual: The period covered is January 1, 2018, through
December 31, 2018.
.or -
The period covered is I I
December 31, 2018.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left I I
(Check one circle.)
through O The period covered is January 1, 2018, through the date of
-or- leaving office.
O The period covered is —
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
❑ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
-or- ,Q None - No reportable interests on any schedule
through
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document) _
DAYTIME TELEPHONE NUMBER ADDRESS
I have used all reasonable diligence in preparing this statement. I have reviewed th statement and to the best of my knowled a the information con ed
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.
C._
Date Signed I l 1 Signature - 4
I (month, day, year) (File the originally s ad paper statement with your filing official.)
FPPC Form 700 (2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
Page - 5