CSG Consultants - Annual 2014CALIFORNIA FORm STATEMENT OF ECONOMIC INTERESTS h Date �R com
.. A,t, X015
DOCUMENT A PUBLIC COVER PAGE Citl(CLMS OMCE
0
Please type or print in ink. GILM CA
NAME OF FILER (LAST) (FIRST)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
(,+" O�- CA_)1Yfvf _
Dirisiun, Board, Department, District, if applicable Your Position
► If filing for mu Iple positions, list below or on an attachment. (Do not use acronyms)
Agency: _ Position:
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County ❑ County of
(City of ❑ Other
3. Type of Statement (Check at least one box)
Ix Annual: The period covered is January 1, 2014, through ❑ Leaving Office: Date Left I
-or-
December 31, 2014. (Check one)
The period covered is I I through O The period covered is January 1, 2014, through the date of
December 31, 2014. leaving office.
❑ Assuming Office: Date assumed I 1 O The period covered is —
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
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
► Total number of pages including this cover page: i
through
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - 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
(
E -MAIL ADDRESS
M
(65o) S22 -256g 1 l nk� CC.
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my
herein and in any attached schedules is true and complete. I acknowledge this is a public document.
p2
information contained
I certify under penalty of perjury under the laws of the State of California that
)
FPPC Form 700 (2014/2015)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
Date Initi Ili
n!
'Rd
"I m
qp
c
NAME OF FILER (LAST) (FIRST) �,w L+x. '
1. Office, Agency, or Court
Agency Name (Do not use acronyms) �3
G1-Ty or 61k fty FLAW CHtiC4<FK
Division, Board, Department, District, if applicable Your Position
i VIV ppiNLI C co HMVN1 -1y D -VVLVW nom-t )
P. 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)
Position:
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County
V City of h % L ��
3. Type of Statement (Check at least one box)
Pq Annual: The period covered is January 1, 2014, through
December 31, 2014.
-or-
The period covered is —lam through
December 31, 2014.
❑ Assuming Office: Date assumed I I
❑ Candidate: Election year
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
❑ County of
❑ Other
❑ Leaving Office: Date Left I I
(Check one)
O The period covered is January 1, 2014, through the date of
leaving office.
O The period covered is —
the date of leaving office.
and office sought, if different than Part 1:
through
► Total number of pages including this cover page:_
❑ Schedule C - Income, Loans, & Business Positions – schedule attached
❑ Schedule D - Income – Gifts – 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
(
E -MAIL ADDRESS
c -to) — b lavl . can e rck,eYe gi I vo . (a. tA s
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
)
FPPC Form 700(2014/2015)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov