Lee, Sam - 2018-2019 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS REIIGEIVEI®il �//iJed
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FAIR PILITICAL PRACTICES COVER PAGE
CITY CLERK'S OFFICE
Please type or print In Ink. A PUBLIC DOCUMENT 11212'�! Z & Z,:90PP/
NAME OF FILER (LAST) (FIRST) (MIDDLE)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
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Division, {{Board, Departm4t, District, if applicable Your Position
P1UnnV\%I,XC. 4- S c., _P4- .f) I Y re [ cNL
► If filing for multiple positions, list below or on an attachment. (Do not use
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
LT City of �� L i� l^ +�% ►'% 0
3.\ Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2018, through
or- December 31, 2018.
-
The period covered is through
December 31, 2018.
❑ Assuming Office: Date assumed I I
❑ Candidate: Date of Election
❑ Judge or Court Commissioner (Statewide Jurisdiction)
I —I County of _
❑ Other
❑ Leaving Office: Date Left I
(Check one circle.)
0 The period covered is January 1, 2018, through the date of
-or- leaving office.
0 The period covered is I 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
❑ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
-or- 12 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public
I1 ( A
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
STATE ZIP CODE
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information 4ntained
herein and in any attached schedules is true and complete. I acknowledge this is a public document.
ode
certify under penalty of perjury under the laws of the State of California that the foregoing is a and co ecL
Date Signed
1; day, year)
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
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