HomeMy WebLinkAboutRebecca Tolentino - Leaving Office 2017STATEMENT OF ECONOMIC INTER
COVER PAGE
Please type or print in ink.
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Dates Initial ��Filin�g 1,
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Toie0no r -cly Arevas
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
(Itu of 61 lrou T i f o n Plane inl Manal er
Division, Board, Department, District, if applicable Your Position
Commtillifq DeVeAop loft Dgaf me4
► 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
% City of 67 l ro V
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 I through
December 31, 2016.
❑ Assuming Office: Date assumed I I
❑ Candidate: Election year
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
14 Leaving Office: Date Left _ I I UN
(Check one)
The period covered is January 1, 2016, through the date of
-or-
leaving office.
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
❑ 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-
X None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
'7351 Kotanna 0 -eet 6irou CA %C iv
UHT I IMt I tLtf t1UNt NUMCtK r E-MAIL AUUKESS
(4vg) 94(a -V4s1
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 correct.
Date Signed C, 1✓' b er 9-7, Lt)17 Signature
(month, day, year) (File the odginally signed statement 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