Lee, Sam - 2019-2020 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS
COMMISSIONFAIR POLITICAL PRACTICES 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)
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1. Office, Agency, or Court
Agency Name (Do not use acronyms)
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Division, Board, Departm nt, District, if applicable Your Position
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► 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
3. Type of Statement (check at least one box)
Annual: The period covered is January 1, 2019, through
December 31, 2019.
-or-
The period covered is _ ?
December 31, 2019.
❑ Assuming Office: Date assumed _ _I 1
❑ Candidate: Date of Election
Position:
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other —
❑ Leaving Office: Date Left I
(Check one circle.)
through O The period covered is January 1, 2019, 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
❑ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
-or- ❑ None - 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
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER EMAIL A RESS
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best
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 fore ing is tru ni
Date Signed ! Z ( Signatur
(month, day, year) the odginally signed paper statement with your filing official.)
ZIP CODE
CA_ q o z 45---
IAA-d-o . UV_ .
my knowledge the information contained
FPPC Form 700 - Cover Page (2019/2020)
advice@fppc.ca.gov • e66-275-3772 • www.fppc.ca.gov
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