Terrie Berry - Annual 20176- l-101
CALIFORNIA FOR
STATEMENT OF ECONOMIC INTERESTS 1,�a�PivE IRE
m 700 FAIR POLITICAL PRACTICES COMMISSION It
A PUBLIC DOCUMENT COVER PAGE 0) MAR 19 2018
Please type or print in ink. p Cl�`i CLERK'S OFFICi:
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N OF FILER (LAST) (F)RST) IDDLE)
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1. Office, Agency, qr Court
A ppry amp inn nnf tica nrrrmvms
slon, Bo rd, Departmetht, Di rlc If applicable Your Position
► If filing for multiple 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)
❑ ulti- County {/ ❑ County of
City of L �; / (� ❑ Other.
3. Type of Statement (Chec at least one box)
nual: The period covered is January 1, 2016, through
December 31, 2016.
.or-
The period covered is — _
o December 31, 20
Assuming Office: Date assumed —
❑ Candidate: Election year
❑ Leaving Office: Date Left I
(Check one)
/through O The period covered is January 1, 2016, through the date of
leaving office.
.or-
0 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
.or-
❑ 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
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Bu iness or Agency Addres Recommended - Public Docum 9 eJ %T
E -MAIL URF83 ,
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 c 4 / Signature
(month, day, year) (
@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov