Hatch Mott MacDonald - Annual 2012Please type or print in ink.
NAME OF FILER
1. Office. Aaencu or Court
Agency Nam(
A .
(LAST)
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
(FIRST)
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Division, ar , partment, District, if applicable Your Position
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► If filing for multiple positions, list below or on an attachment.
Agency:
Position:
(� Date Received.
Official Use Only
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2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County ❑ County of
[-City of 6% I c-m/ ❑ Other
3. Type of Statement (Check at least one box)
( Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left I
December 31, 2012. (Check one)
-or-
The period covered is I through O The period covered is January 1, 2012, through the date of
December 31, 2012. leaving office.
❑ Assuming Office: Date assumed — 1 O The period covered is J I through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary '
Check applicable schedules or "None." ► Total number of pages including this cover page:
❑ 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
(
EAAAIL ADDRESS (OPTIONAL)
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I have used all reasonable diligence in preparing this statement. I have reviewed th s statement andjt6 best of my knowledge the information contained
herein and in any attached schedules is true and complete. I acknowledge this is a
(2012/2013)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov