Lee, Sam - 2020-2021 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS REC , -,IVED 511 -
COVER PAGE
FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT CI CLERK'S OFFICE
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Please type or print in ink. Z �/� �Y
NAME OF FILER (LAST) (FIRST) /j,� (MIDDLE)
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1. Office, Agency, or Court
Agency Name (Do not use acronyms)
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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
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ Multi -County
❑ County of
9City of C �C- 00
❑ Other
3. Type of Statement (check at least one box)
Annual: The period covered is January 1, 2020, through
❑ Leaving Office: Date Left --
19-
December 31, 2020.
(Check one circle.)
-or-
The period covered is —J_ I
through O The period covered is January 1, 2020, through the date of
December 31, 2020.
leaving office.
- or -
❑ Assuming Office: Date assumed
O The period covered is through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1: _
14. Schedule Summary (must complete) ► Total number of pages including this cover page: '
' Schedules attached
' ❑ Schedule A•1 - Investments —schedule attached
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule A•2 -Investments —schedule attached
❑ Schedule D - income — Gifts — schedule attached '
' ❑ Schedule B - Real Property — schedule attached
❑ Schedule E . Income — Gifts — Travel Payments — schedule attached
-or- ❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
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DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( f I o ) SzLt- - 1'&&C & I r �, �.d.0 -
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of 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 foregoing � true an rrect.
Date Signed
Signature /
=;paper
FPPC Form 700 - Cover Page (2020/2021)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
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