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CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS e R ×S “n LOS # FEB 2 3 2015 FAIR POLITICAL PRACTICES COMMISSION COVER PAGE A PUBLIC DOCUMENT P LE a SE type o r p in t in ink. NAME OF FILER
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How to fill out a statement of economic interests:

01
Begin by gathering all relevant financial information: This includes details about your income, investments, assets, and liabilities. Make sure to have accurate and up-to-date records for each category.
02
Clearly identify all sources of income: List any employment or self-employment income you receive, along with any additional sources such as rental properties, dividends, or royalties. Be sure to provide specific details about each income source.
03
Disclose any investments: Provide information about any stocks, bonds, mutual funds, or other investment vehicles that you own. Specify the type of investment, the value, and any income or dividends generated.
04
List any real estate holdings: Include all properties you own, whether residential or commercial. Provide details such as the address, type of property, and estimated value.
05
Declare any business interests: If you own or have a financial stake in any businesses, whether as a sole proprietor, partner, or shareholder, make sure to disclose this information. Include the name of the business, your role or ownership percentage, and any income or dividends received.
06
Outline all liabilities: List any outstanding debts, loans, or mortgages that you have. Specify the creditor, the amount owed, and the terms of repayment.
07
Consider reporting gifts and travel expenses: Depending on the jurisdiction, you may be required to disclose any gifts or travel expenses received that exceed a certain threshold. Check the guidelines provided with the statement of economic interests form to determine if this applies to you.

Who needs a statement of economic interests?

01
Government officials and employees: Many public officials and government employees are required to fill out a statement of economic interests as part of their role. This helps ensure transparency and avoid conflicts of interest.
02
Candidates for elected office: Individuals running for elected positions are often required to disclose their economic interests as part of their campaign or candidacy. This helps voters make informed decisions and holds candidates accountable.
03
Certain professionals or license holders: In some industries or professions, individuals may be required to complete a statement of economic interests as part of licensure or certification requirements. This is typically done to ensure ethical behavior and prevent conflicts of interest within the profession.
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The statement of economic interests is a disclosure form that public officials and certain government employees are required to file in order to provide transparency about their financial interests and potential conflicts of interest.
Public officials and certain government employees are required to file statement of economic interests.
To fill out a statement of economic interests, individuals must provide information about their financial holdings, income sources, and potential conflicts of interest.
The purpose of the statement of economic interests is to provide transparency and accountability by disclosing the financial interests of public officials and government employees.
Information that must be reported on a statement of economic interests includes financial holdings, income sources, and potential conflicts of interest.
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