HomeMy WebLinkAboutDan Carpenter - Form 700 - 07-15-2010CALIFORNIA
FIRST) MIDDLE)
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1. Office, Agency, or Court
Name of Office, Agency, or Court:
C 4y 9-(- got K Lu rs
Division, Board, District, if applicable:
Your Position:
Ca urs;do_le rmv "L( mecuh r
If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (check at least one box)
State
County ofdc-
Ukityof c4AK 's 010 •SAD
Multi - County
Other
Type of Statement (Check at least one box)
Assuming Office /Initial Date: ___J -1
Annual: The period covered is January 1, 2009,
through December 31, 2009.
or-
0 The period covered is through
December 31. 2009.
Leaving Office Date Left:
Check one)
O The period covered is January 1, 2009, through the
date of leaving office.
or-
0 The period covered is —J__J_ through
the date of leaving office.
Rr Candidate Election Year: 00/6)
4. Schedule Summary
Total number of pages
including this cover page:
Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A -1 Yes - schedule attached
Investments (Less than lo% ownership)
Schedule A -2 Yes - schedule attached
Investments po% or Greater Ownership)
Schedule B Yes - schedule attached
Real Property -
Schedule C Yes - schedule attached
Income, Loans, & Business Positions (income other than Gifts
and Travel Payments)
Schedule D Yes - schedule attached
Income - Gifts
Schedule E Yes - schedule attached
Income - Gifts - Travel Payments
or-
91-No reportable interests on any schedule
5. Verification
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 certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date
FPgC Fonn 700 (2009/2010)
FPPC Toll -Free Helpline: 866IASK -FPPC w .fppcxa.gov