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65C - WARD 4 VACANCY
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65C - WARD 4 VACANCY
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Last modified
4/13/2019 2:34:33 PM
Creation date
4/11/2019 11:07:01 AM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Item #
65C
Date
3/22/2019
Destruction Year
2024
Notes
Correction on page 3: "...conduct an election in Fiscal Year 2019-2020 and Fiscal Year 2020-2021." Item 25D adjourned to the Adjourned Regular March 22, 2019 City Council meeting.
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Please type or print In Ink <br />Vallelo <br />1. Office, Agency, or Court <br />Agency Name (Do not use acronyms) <br />City of Santa Ana <br />Statement of economic interests <br />Cover Page <br />A Public Document <br />Maricela <br />Division, board, Department, District, If applicable Your Position <br />N/A Councilwoman <br />► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) <br />agency: N/A <br />2. Jurisdiction of Office (check at least one box) <br />❑ State <br />❑ Multi <br />P City of Santa Ana - Ward 4 <br />Position: <br />Data Initial Filing Received <br />Official Use Only <br />7919 11ril? It lot. "' <br />Cl <br />❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ County of <br />❑ Other — <br />3. Type of Statement (check at least one box) <br />❑ Annual: The perlod covered Is January 1, 2018, b ❑ Leaving Office: Dale Left I <br />-or. December 31, 2018, <br />The periodcoveredis I I t# <br />December 31, 2018. <br />❑ Assuming Office: Date assumed / <br />(Checlf one circle.) <br />Q The period covered is January 1, 2018, through the date of <br />-or. leaving office, <br />U The period covered Is_ I through <br />the date of leaving office. <br />ll Candidate: Date of Election andoffoesought, IfdlfferentthanPan 1: <br />4. Schedule Summary (must complete) o. Total number of pages Including this cover page: <br />Schedules attached <br />Q Schedule A-1 • investments - schedule Stated <br />❑ Schedule A-2 - investments - schedule atalal <br />® Schedule B -Real Property- schedule d <br />-or- ❑ None • no reportable interests on any schedule <br />QSchedule C• Income, loans, &business Positions- schedule attached <br />Schedule D • Income -Gifts -schedule attached <br />�❑ Schedule E • Income - Gilis -Travel Payments -schedule attached <br />Mailing eoDreSS Street city Slate ZIP coca <br />ibuslnessarAgencyAddressRecommended. PublicLmam wV <br />any attached schedules <br />Is true and complete, I acknowledge this is a public document. <br />I certify under penalty of perjury under the laws of the State of C"(;a440regoing Is true and correct. <br />FPPC Toll -Free Helpline: $66/275-3772 www.fppcxo.gov <br />0o 4 <br />
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