Mercy Mollinedo-Goold - Assuming Office 2017STATEMENT OF ECONOMIC INTERESTS
Please type or print in ink.
NAME OF FILER (LAST)
M6) 1; tv EDO- Gnat
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
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Division, Board, Department, District, if
COVER PAGE
(FIRST)
Yvl LAC
So,a�
Your Position
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)
❑ State
❑ Multi- County
of cr- t
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2016, through
December 31, 2016.
-or-
The period covered is I Jul , through
December 31, 2016.
❑ Assuming Office: Date assumed 1 1,
❑ Candidate: Election year
Position:
itial 1`4i mg Receiva
official tlsv.omy'.
ail
❑ Judge or Court Commissioner (Statewide Jurisdiction)
F-1 r:niinty of
❑ Other
❑ Leaving Office: Date Left —J I
(Check one)
O The period covered is January 1, 2016, through the date of
-or-
leaving office.
O The period covered is I I through
the date of leaving office.
and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ 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
- No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Busine s Jgency Address Recommended - Public Document)
I o S ales DR G� P.C)ly � 9s__'b2__b
DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS
(�d�� 7/6-06-3-2
1 have used all reasonable diligence in preparing this statement. I have reviewed this stateme an to the best of my kno dge the inform
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 correct.
Date Signed 2– Z. Z ---- 2– O w/ Signatur
(month, day, year) (Filt6joginally signed star ent with your filing official.)
FPPC Form 700 (2016/2017)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov