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CALIFORNIA FORM 700 STATEMENT OF ECONOMIC Interests / f c FAIR POLITICAL PRACTICES COMMISSION COVER PAGE A PUBLIC DOCUMENT Date Received r: E T A TE 0 F CA L1 “; i F Please type or print in ink.

How to fill out statement of economic interestsr

1. To fill out a statement of economic interests, start by gathering all relevant financial information, including income sources, investments, and ownership interests.
2. Provide accurate and detailed information about your income sources, such as salary, bonuses, investments, rental properties, and any other forms of income. Be sure to include any spouse or domestic partner's income as well, if applicable.
3. Disclose any ownership interests you have in businesses, partnerships, or corporations. Include information about the nature of the business and the percentage of ownership you hold.
4. Declare any financial accounts you hold, such as bank accounts, retirement accounts, and investment accounts. Provide the name of the financial institution, the type of account, and the approximate value of each account.
5. Indicate any gifts or reimbursements you have received that exceed a certain threshold set by the relevant authority. Include details about the date, source, and nature of the gift or reimbursement.
6. Provide information about any contracts or agreements you have entered into that involve a financial or economic interest. Include details about the nature of the contract, the parties involved, and any potential conflict of interest.
7. If you hold any positions of leadership or decision-making authority in organizations or businesses, disclose those positions and the responsibilities that come with them.
8. Finally, review your statement of economic interests for accuracy and completeness before signing and submitting it to the appropriate authority.

Who needs a statement of economic interests?

1. Public officials and government employees are often required to fill out a statement of economic interests. This includes elected officials, appointed officials, and individuals working in government agencies or departments.
2. Candidates running for political office may be required to submit a statement of economic interests as part of their campaign or candidacy requirements.
3. Some private sector employees, particularly those working in highly regulated industries or those with contracts or agreements involving the government, may also need to file a statement of economic interests.

It's important to note that the specific rules and requirements for who needs a statement of economic interests can vary depending on the jurisdiction and the nature of the position or role. It's always advisable to consult the relevant authority or legal counsel for accurate and up-to-date information.

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