Hentzen, Christopher - 2018-2019 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS
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POLITICALFAIR COVER PAGE
Please type or print in ink. A PUBLIC DOCUMENT
CITY CLERK'S OFFICE
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NAME OF FILER (LAST) (FIRST) (MIDDLE)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Division, Boapil. Department, District, if appGcaTFe Your Position
P. 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)
❑ State
❑ Multi -County
City of�� 5�
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2018, through
December 31, 2018.
.or -
The period covered is through
December 31, 2018.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
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❑ 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 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- ANone - No reportable interests on any schedule
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
5. Veritication
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
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DAYTIME TELEPHONE NUMBER e AIL .DR SS
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I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best o 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 foregoin s ue and correct.
Date Signed / 71 ��' 2'�th
1 / Signatur
(month, day, year) a the ong"MhY s;g p emenf y r t iir. , .car 1
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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