CSG Consultants - Assuming Office (Fischer)• ' • ' STATEMENT OF ECONOMIC INTERESTS Date I ding Received'
crat Use Only
POLITICAL FAIR • • �ry
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink. O O, 2016
NAME OF FILER (LAST) (FIRST) IDDLE),
Ael-
si
1. Office, Agency, or Court E z 4 Wd
Agency Name (Do not use acronyms)
Division, Board, Department, District, if applicable Your Position
fP-A ',m 'j � rim P'z vt
► 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)
❑ State
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County ❑ County of
`City of 6 , I T d 't'1 ❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2015, through ❑ Leaving Office: Date Left I
December 31, 2015. (Check one)
-or-
The period covered is _L I through O The period covered is January 1, 2015, through the date of
December 31, 2015. -or- leaving office.
Assuming Office: Date assumed q 12,01 O The period covered is I I through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
.or-
Schedule A-1 - 1nveslrhe * — schedule attached
Schedule A -2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
None - No reportable interests on any schedule
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gft — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business orAgenncyAddress Recommended - Public Document) �` 1 / / e q
5 5x0/ r, 124 r' f, Lye T-a S l er [. r� (. A I ('% It 0L�_
E -MAIL
(6'5G) 5Z2-Z5'do
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 is true and corre
Date Signed I a /131 16 Signa
(month, day, year) (File 0110odginly ' e statement wtth your filing oIfidal.)
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov