HomeMy WebLinkAboutMintier-Harnish - Assuming Office 2013Please type or print in ink.
NAME OF FILER 1r (,LAnST)
1. Office, Agency, or Court
Agency Name f%
Division
:mengt, District, if VY
1) O/\
► If filing for multiple positions;
Agency:
STATEMENT OF ECONOMIC INTERESTS
or on an attachment.
2. Jurisdiction of Office (Check at least one box)
COVER PAGE
(FIRST)
CG v
Your Position
Position:
Date Leived
t" Ciiiicraf Use Oaiy
SEP 20,3
CITY CLERKS OF F21
CA
(MIDDLE) mw�
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County ❑ County of
[City of ❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left —J I
December 31, 2012. (Check one)
-or- The period covered is January 1, 2012, through the date of
The period covered is �� ,through O P y 9
December 31, 2012. +� leaving office.
[Assuming Office: Date assumed $J.� `� O The period covered is I1 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-
SK"None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(
111;dCVaY04. C6 21WI
DAYTIM TELEPHONE NU BER E- MAILADD ESS (OPTIONAL)
( i)
OS 2121 e «w4 � t
I have used all reasonable diligence in preparing this statement. I have reviewe s statemen 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
ca.gov