JM Hanford CC Form 700 - 2017

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CALIFORNIA FORM 700

Fair Political Practices Commission


Statement of Economic Interests
Date Initial Filing Received
Official Use Only

A Public Document Cover Page Filed Date: 02/24/2017 11:27 AM


SAN: FPPC
Please type or print in ink.
Name of FileR (Last) (First) (Middle)

Mendes Justin G
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Hanford
Division, board, Department, District, if applicable Your Position

City Council Member


► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)

Agency: Position:

2. Jurisdiction of Office (Check at least one box)


State Judge or Court Commissioner (Statewide Jurisdiction)

Multi-County County of

✘ City of Hanford Other

3. Type of Statement (Check at least one box)


✘ Annual: The period covered is January 1, 2016, through Leaving Office: Date Left / /
December 31, 2016. (Check one)
-or-
The period covered is / / , through The period covered is January 1, 2016, through the date of
December 31, 2016. leaving office.
-or-
Assuming Office: Date assumed / / The period covered is / / , through
the date of leaving office.

Candidate: Election year and office sought, if different than Part 1:

4. Schedule Summary (must complete) ► Total number of pages including this cover page: 1

Schedules attached
Schedule A-1 - Investments – schedule attached Schedule C - Income, Loans, & Business Positions – schedule attached
Schedule A-2 - Investments – schedule attached Schedule D - Income – Gifts – schedule attached
Schedule B - Real Property – schedule attached Schedule E - Income – Gifts – Travel Payments – schedule attached
-or-
✘ None - No reportable interests on any schedule
5. Verification
Mailing Address street city State Zip Code
(Business or Agency Address Recommended - Public Document)

Daytime telephone number E-mail address

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 acknowledge this is 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
02/24/2017 11:27 AM Signature
(month, day, year) (File the originally signed statement with your filing official.)

FPPC Form 700 (2016/2017)


FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

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