Rick Smelser - Initial Statement 1995
(Type or Print in Ink)
FORM~730
Statement of Economic Interests
For Designated Employees
A PUBUC DOCUMENT
1994/95
~
~za
IF YOU ARE FILING AN
EXPANDED STA TEMENT:
OfficelPosition
Name of Agency
TYPE OF STATEMENT:
o ASSUMING OFFICE STATEMENT
Date Assumed Office or, if you are an Appointed Official sub-
ject to confirmation, enter the Date Appointed or Nominated:
mo.
My
yr.
o ANNUAL STATEMENT
The period covered is JanuarY 1,"1994 through December 31, 1994.
o LEAVING OFFICE STATEMENT
The period covered is Janual)' " 199_ through the date you left your designated position.
Date left designated position:
mo.
cIIIy
yr.
DC 'NlnAL STATEMENT (Complete this section ONLY if your position has been recently designated or if you are
filing under a ~ conflict of interest code for your agency.)
Effective date of code: 0 / '1~
mo. fy yr.
o CANDIDATE STATEMENT (Complete only if required by the conflict of interest code for the jurisdiction in which
you are seeking elective office.)
'VER1FICA TlON
I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the
best of my knowledge the information contained herein and in the attached schedules is true and
complete. .
I certify under penalty of perjury under the laws of the State of Califom" that the foregoing is tru and correct.
SIGNATURE
"^--
Executed on
(10/94:
#
FORM 730
...
NAME
92' ~~~tY
The following summary must be completed by all filers. Before completing this summary
page, review your disclosure category, contained in your agency's conflict of interest code, to
determine what types of interests must be reported. Instructions are also provided for each
schedule. If a schedule does not apply to your disclosure category, check the box "No
Reportable Interests."
Schedule A -INVeSTMENTS
(Not Held By A Business Entity Or Trust)
SCHEDULE COMPLETED NO REPORT ABLE
AND AnACHED INTERESTS
Schedule B - INTERESTS IN REAL PROPERTY
(Not Held By A Business Entity Or Trust)
D
D
~
~
Schedule C-1 -INTERESTS IN REAL PROPERTY HELD BY A BUSINESS D ~
eNTITY OR TRUST
Schedule C-2 -INVESTMENTS HELD BY A BUSINESS ENTITY OR TRUST D ~
Schedule 0 - INCOME D EJ
(Other Than Loans and Gifts)
Schedule 0-1 -INCOME - TRAVEL PAYMENTS, ADVANCES, D ~
REIMBURSEMENTS
Schedule E -INCOME - LOANS D ~
(Received Or Outstanding During The Reporting Period)
. D R1
Schedule F - INCOME - GIFTS
Schedule G - BUSINESS POSITIONS D RJ
Schedule H-1 - COMMISSION INCOME RECEIVED BY BROKERS, AGENTS D ~
AND SALESPERSONS
- ~
Schedule H-2 - INCOME AND LOANS TO A BUSINESS ENTITY OR TRUST D
Schedule H-3 -INCOME FROM RENTAL PROPERTY D ~
AFTER THE SUMMARY PAGE HAS BEEN COMPLETED, PLEASE RECYCLE THOSE SCHEDULES ON WHICH YOU
HA VE NO REPORTABLE INTERESTS.
(10/94)