Irma Navarro - Annual 2001
~
DatE RECEIVEC
STATEMENT OF ECONOMIC INTERESTS
Ot7::;:c' Lise 0'1/\
A Public Documem
Please type or pnnt In ink
NAME
(LAST)
(FIRST)
N (}... \I 0.... c- ro
MAILING ADDRESS
(May be business address)
-=CY'ma...-
STREET
CITY
u<sA..rv\~
1. Full Name of Office Sought or Held,
Agency or Court:
OIVISlor.. boara. District, It applicable
Position:
KeVe.hlAe- OFHLot'"'L
- If filing for multiple positions. list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position Title:
2. Jurisdiction of Office (Check one box)
o State
o County of
l\lCity of Go, (rO l{
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Office/Initial Date: ---.l---.l_
~nual: The period covered is January 1. 2001.
through December 31, 2001.
-or-
a The period covered is ---.l---.l_. through
December 31, 2001.
o Leaving Office Date Left: ---.l---.l_
(Check one)
a The period covered is January 1, 2001, through
the date of leaving office.
-or-
a The period covered is ---.l---.l_, through
the date of leaving office.
o Candidate
COVER PAGE
(MIDDLE)
DAYTIME TELEPHONE NUMBER.
J).
( )
o TIONAL: FAX / E-MAIL ADDRESS
ZIP CODE
Schedule A-'
Schedule A-2
Schedule B
Real Property
Schedule C ~- schedule attached
Income & Business Positions (Income Other than Loans, Gilts, and Travel)
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
~__n____ -or-
- 0 No reportable interests on any schedule
Total number of pages completed including this
cover page: ~
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 Signed
k.hruar!jj / 3 ~
(month, d y. fear)
Signatur
I.)
FPPC Form 700 (200112002)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE C
Income & Business Positions
(Income Other than Loans, Gifts. and
1 ravel Payments)
> NA~F SOURCE
(" Q r\"1 4e.--
ADDRESS
CA:> i1.&-t'rlA c...-i' 0'1
BUSINESS ACTIVITY, IF ANY, OF SOURCE
S o~~-2
YOUR BUSINESS POSITION
~D\.4.~- carfCiotoicl" /'f=olC""'e. i"J
GROSS INCOME RECEIVED
~. S50, . S1.00r
~0.001 - S100.00C
010,' . Sleoo,
Ci OVEF. S 1 OO,OOl
OME WAS RECEIVED
DLoan repayment
D Sale of
(Property, car, boat. etc.)
D Rental Income, list each source of $10,000 or more
D Commission or
D Other
(Descfloe)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
D $500 - $1,000 D $1,001 - $10,000
D $10.001 - $100,000 DOVER $100.000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
DSalary D Spouse's income D Loan repayment
D Sale of
(Property, car. boat. etc.)
D Rental Income, lisr each source of SlO,OOO or more
D Commission or
D Other
(Describe)
Comments:
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY. IF ANY. OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
,-! S50C . ~'.ooe
LJ s 1 O.OU- . S 1 oo.oor
.--! ~~,OC.~. ~10.00C
-! OVEF. S100.0oe
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
D Salary D Spouse's income D Loan repayment
D Sale of
(Property. car, boat. etc.)
D Rental Income, lisr each source of S10,000 or more
D Commission or
D Other
(Descnbe)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
D $500 - $1,000 D $1,001 . $10,000
D $10.001 . $100,000 DOVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
D Salary D Spouse's income D Loan repayment
D Sale of
(Property. car, boar. etc.)
D Rental Income, list each source of SlO.OOO or more
D Commission or
D Other
(Describe)
FPPC Form 700 (2001/2002) Sch. C
FPPC Toll-Free Helpline: 866/ASK-FPPC