Hatch Mott MacDonald - Annual 2011Date Received
STATEMENT OF ECONOMIC INTERESTS
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PUBLIC DOCUMENT COVER PAGE R '�2D12
Please type or print in ink.
NAME nG w "D (LAST) (FIRST) (MIDDLE)
1
1. Office, Agency, or Court
Agency NarA _
Division, Board, Deportment, District, if applicable f Your Position
Gn/�[� �,tt-
► If filing for multiple positions, list below or on an attachment.
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County
Xy of _ 69'd
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2011, through
December 31, 2011.
.or-
The period covered is I through
December 31, 2011.
❑ Assuming Office: Date assumed
❑ Candidate: Election Year
4. Schedule Summary
Check applicable schedules or "None."
❑ Schedule A -1 - Investments - schedule attached
❑ Schedule A -2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left —�
(Check one)
Q The period covered is January 1, 2011, through the date of
leaving office.
Q The period covered is —
the date of leaving office.
Office sought, if different than Part 1:
► Total number of pages including this cover page:
through
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
.or-
F-1 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(
Ir &u 6A q5z)QD
DAYT ME TELEPHONE NUMBER E-MAIL ADDRESS (OPTLONAL) l
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I have used all reasonable diligence in preparing this statement. I have reviewe this statemen 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
)
Y /YPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 85/275 -3772 www.fppc.ca.gov