Fillable Form 700 2018 2019 Form Only (California State University Channel Islands)

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Form 700 2018 2019 Form Only (California State University Channel Islands)

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The Form 700 2018 2019 Form Only (California State University Channel Islands) form is 1 page long and contains:

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File type: PDF

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FPPC Form 700 (2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
Page - 5
Leaving Ofce: Date Left / /
(Check one circle.)
The period covered is January 1, 2018, through the date of

The period covered is / / , through

Annual: The period covered is January 1, 2018, through
December 31,
2018
The period covered is / / , through
December 31,
2018
Statement of economic intereStS
cover Page
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
(month, day, year)
3. Type of Statement (Check at least one box)
State

Multi-County
County of
City of
Other
2. Jurisdiction of Ofce (Check at least one box)
Candidate: Date of Election 
Assuming Ofce: Date assumed / /
DateInitial FilingReceived
Ofcial Use Only
Please type or print in ink.
700
FAIR POLITICAL PRACTICES COMMISSION
CALIFORNIA FORM
Agency Name (Do not use acronyms)
Division, B 
1. Ofce, Agency, or Court
name of filer (laSt) (firSt) (middle)
    
()

EMAIL ADDRESS
(Business or Agency Address Recommended - Public Document)
Signature
(File the originally signed paper statement with your ling ofcial.)
5. Verication
     (Do not use acronyms)


-or-
-or-
None - No reportable interests on any schedule
4. Schedule Summary (must complete)
Schedules attached
Schedule A-1 - Investments – schedule attached
Schedule A-2 - Investments – schedule attached
Schedule B - Real Property – schedule attached
►
Total number of pages including this cover page:
-or-
Schedule C - Income, Loans, & Business Positions – schedule attached
Schedule D - Income – Gifts – schedule attached
Schedule E - Income – Gifts – Travel Payments – schedule attached
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Form 700 2018 2019 Form Only (California State University Channel Islands)

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Completed 20 July 2020

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