Teresa Mack - Assuming Office 2011
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
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Please type or print in ink.
NAME OF FILER
(LAST)
(FIRST)
,^,-"NOV 2011
"c" i CLERKS r-
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1. Office, Agency, or Court
Agency Name
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Division, Board, Department, District, if applicable
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Your Position
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~ If filing for multiple positions, list below or on an attachment.
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
o State
o Multi-County
;B City of C::t I L-.(Go Y
o Judge (Statewide Jurisdiction)
o County of
o Other
3. Type of Statement (Check at least one box)
o Annual: The period covered is January 1, 2010, through December 31,
2010. .or.
The period covered is ----1----1_, through December 31,
2010.
~ Assuming Office: Date --1..LJ.QL.LiL
o Leaving Office: Date Left ----1----1_
(Check one)
o The period covered is January 1, 2010, through the date of
leaving office.
o The period covered is ----1----1_, through the date
of leaving office.
o Candidate: Election Year
Office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None."
o Schedule A.1 . Investments - schedule attached
o Schedule A.2 . Investments - schedule attached
o Schedule B . Real Property - schedule attached
~ Total number of pages including this cover page:
o Schedule C . Income, Loans, & Business Positions - schedule attached
o Schedule D . Income - Gifts - schedule attached
o Schedule E . Income - Gifts - Travel Payments - schedule attached
.or.
~None . No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
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DAYTIME TELEPHONE NUMBER
(r6B) 84-b - OZc? II)
CITY
STATE
ZIP CODE
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E-MAIL A ORES I. /
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I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the i
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 foregoi is true and correct.
Date Signed // ~ / /1;
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Signature
FPPC Form 700 (2010/2011)
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov