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Jolie Houston - Annual 2003 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Please type or print in ink A Public Document COVER PAGE 93031-1< ~S ~ MAR 2004 em ClERKS OFACE GIlROY, CA Received I Use Only 6' 0'" -i c:) <.:l NAME (LAST) ~<;TON (FIRST) CX..AE MAILING ADDRESS STREET (MaT~s;s aM ~ CITY 13 (u& . 1. Office, Agency or Court Name of Office, Agency or Court: c..v' 14-f:-h 'W\ OJ d1 DiViSion~d, Di~t~c;,~; ;p~J1e7 ~ ( ;.--- - If filing for multiple positions, list additional agency(ie position(s): (Attach a separate sheet if necessary.) Agency C 61J r'/r4j" l [ ~ IP6S1, CL ' Position: 2. Jurisdiction of Office (Check at least one box) o State 'Cf ~ ~unty ~ mctc<- \....O.U\. ~tYOf ~Lv~ o Multi-County o Other 3. Type of Statement (Check at least one box) o Assuming Office/Initial Date: ---1----1_ ~ Annual: The period covered is January 1, 2003, Tthrough December 31, 2003. -or- a The penod covered is ----1---1_, through December 31, 2003. o Leaving Office Date Left: ----1---1_ (Check one) o The period covered is January 1, 2003. through the date of leaving office. -or- o The period covered is ----1---1_. through the date of leaving office. o Candidate (MIDDLE) --$lCoo STATE ClA:- q S7J fj 4. Schedule Summary (Check applicable schedules or "No reportable interests. ") - During the reporting period. did you have any reportable interests to disclose on: Schedule A-1 0 Yes - schedule attached Investments (Less then 10% OwnershIp) Schedule A-2 0 Yes - schedule attached Investments (10% or greeler Owne,slllp) Schedule B Real Property '~es - schedule attached Schedule C ~es - schedule attached Income & Business Positions (Income Other than Loans. Gills. and Trevel) Schedule D 0 Yes - schedule attached Income - Loans Schedule E 0 Yes - schedule attached Income - Gifts Schedule F 0 Yes - schedule attached Income - Travel Payments -or- - 0 No reportable interests on any schedule Total number of pages completed including this cover page: 3 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. DateSigned_~VU/) '3~ 71Jeft" (month. day. year) Signature ~1lJ\AJ (Fil he ong.nally sIgned slatemenl WlIh your filing official.) FPPC Form 700 (2003/2004) FPPC TolI.Free Helpline: 866/ASK-FPPC CALIFORNIA FORM 700 r AIR POLITICAL PRACTiCES COMMISSION SCHEDULE B Interests in Real Property > STREET ADDRESpS OR P~ECISE LOCAtiON -t Dr 0 tG-tYLCiC( CITY ~~t JD >e w~ at C(~L2~ FAIR MARKET VALUE o $2.000 - $10,000 P $10.001 - $100.000 ~ $100.001. $1.000.000 DOver $1,000.000 IF APPLICABLE. LIST DATE: ----1----1 03 ----1--1 03 ACQUIRED DISPOSED NATURE OF INTEREST o Rental Property tJ.. Ownership/Deed of Trust 0 Easement o Leasehold 0 Vrs. remaining Other IF RENTAL PROPERlY. GROSS INCOME RECEIVED 0$0 - $499 0 $500 - $1.000 0 $1.001 - $10.000 0$10.001 . $100.000 0 OVER $100.000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest. list the name of each tenant that is a single source of income of $10,000 or more. NAr~ ~F LENDER j,Va;}t\l,'Q1fu ADDRESS ~1u.a-P BUSINESS ACTIVITY OF LENDER INTEREST RATE o , TERM (Months/Years) '30 ~< o None % HIGHEST BALANCE DURING REPORTING PERIOD 0$500. $1.000 0 $1.001 - $10.000 o $10,001 - $100.000 0 OVER $100.000 o Guarantor. if applicable Comments: NBb~ fftk~ > STREET ADDRESS OR PRECISE LOCATION CITY FAIR MARKET VALUE o $2,000 - $10.000 o $10.001 - $100.000 0$100.001 - $1.000.000 DOver $1,000.000 IF APPLICABLE. LIST DATE: ----1----1 03 ----1--1 03 ACQUIRED DISPOSED NATURE OF INTEREST o Rental Property 0 Ownership/Deed of Trust o Leasehold 0 Yrs. remaining o Easement Other IF RENTAL PROPERTY. GROSS INCOME RECEIVED 0$0. $499 0 $500 - $1,000 0 $1.001 - $10,000 0$10.001 - $100.000 0 OVER $100.000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10.000 or more. NAME OF LENDER ADDRESS BUSINESS ACTIVITY OF LENDER INTEREST RATE TERM (Months/Years) % o None HIGHEST BALANCE DURING REPORTING PERIOD 0$500 - $1.000 0 $1.001 . $10.000 0$10.001 . $100.000 0 OVER $100.000 o Guarantor. " applicable FPPC Form 700 (200312004) Sch. B FPPC Toll-Free Helpline: 866/ASK.FPPC SCHEDULE C Income & Business Positions (Income Other than Loans. Gifts, and Travel Payments) . > ~~URC~ ~~/\ U/l-bY ~ ADDRESS ~ . UJt. FA .'\1\\ J ~ BluJ <V-r~ BUSINESS ACTIVITY, IF ANY, OF SOURCE ) ~~ YOUR BUSINESl PC:~IO~ J tJ-VlY\t/V GROSS INCOME RECEIVED 0$500. $1,000 0 $1,001 . $10.000 o $10.001 . $100,000 ~ OVER $100.000 ~NSIDERATION FOR WHICH INCOME WAS RECEIVED ~Salary 0 Spouse's income 0 Loan repayment o Sale of o Commission or (Property. car. boal. etc.) o Rental Income. list each source of $10.000 or more o Other (Oescnba) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY. IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED 0$500. $1.000 0 $1.001 - $10.000 o $10,001 - $100,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED o Salary 0 Spouse's income 0 Loan repayment o Sale of (Property. car. boat. etc.) o Rental Income. IIsl each source of $10.000 or more o Commission or o Other (Descnbe, Comments: CALIFORNIA FORM 700 F AIR POLITICAL PRACTICES COMMISSION Name ~ll~~YtvVl > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY. OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED 0$500. $1.000 0 $1,001 . $10,000 o $10.001 - $100.000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED o Salary 0 Spouse's income 0 Loan repayment o Sale of (Property, car. boat. etc.) o Commission or o Rental Income. list each source of $10.000 or more o Other (Descnba) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY. IF ANY. OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED 0$500 - $1.000 0 $1.001 - $10,000 o $10.001 - $100,000 0 OVER $100.000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED o Salary 0 Spouse's income 0 Loan repayment o Sale of (Property, car. boat. etc.) o Rental Income, IIsl each source of $10.000 or more o Commission or o Other (OescnbaJ FPPC Form 700 (200312004) Sch. C FPPC Toll-Free Helpline: 866IASK.FPPC