HomeMy WebLinkAboutAnnual 2004
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
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STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
(MIDDLE)
Please type or print in ink
A Public Document
NAME
(LAST)
(FIRST)
MAILING ADDRESS STREET
(May use business address)
Cli-&!
1. Office, Agency, or Court
Name of Office, Agency, or Court
G/t1/JY C-ITY a.xUbL-
Division, Board, District, if applicable:
Ot/tVClt IYJGIYJf)Cie-
Your Position:
COUNCIL 1O&1I?~&e-
- If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
~:4W De.v..e:J.g'pm~pL.t\gency
Agency: ...:J~ W [1 / ..:VJAH h CV/Y~ a?OM"'r'
JoIN1lbwe:A?S" A(/mae/~
Position' dc)A; L
e e
2. Jurisdiction of Office (Check at least one box)
o State
~ounty of S-"N1""A CLA".t:1
~ of &1 L-IWI
I 0 Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Office/Initial Date: ----1----1_
~ual: The period covered is January 1, 2004,
through December 31,2004.
-or-
a The period covered is ----1----1_, through
December 31, 2004.
o Leaving Office Date Left: ----1----1_
(Check one)
a The period covered is January 1, 2004, through the
date of leaving office.
-or-
a The period covered is ----1----1_, through
the date of leaving office.
I 0 Candidate
STATE
ZIP CODE
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 than 10% Ownership)
Schedule A-2 ~ Yes - schedule attached
Investments (10% or greater Ownership)
Schedule B
Real Property
DYes - schedule attached
Schedule C 0 Yes - schedule attached
Income, Loans, & Business Positions (Income Other than Gifts and
Travel Payments)
Schedule D (Eliminated - report loans on Schedule C)
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:
;L
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 /131/ CAS
I , (month, day, year)
Signature
FPPC Form 700 (2004/2005)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
.. .
tJtrlZr r. f} / LL..cMJ
Name
M@J ~~A d~;i:dfJ
Check one
o Trust, go to 2 ~ness Entity, complete the box, then go to 2
1/IC6
IF APPLICABLE, LIST DATE:
-1-104
ACQUIRED
-1-104
DISPOSED
N_AT~E OF INVESTMENT
~ole Proprietorship D Partnership D
YOUR BUSINESS POSITION cW*'...J:.
Other
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
bf3t;y-'/'. IJ/~
,
> 1. BUSINESS ENTITY OR TRUST
Name
Address
Check one
o Trust, go to 2
o Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
A
FAIR MARKET VALUE
D $2,000 - $10,000
D $10,001 - $100,000
D $100,001 - $1,000,000
DOver $1,000,000
NATURE OF INVESTMENT
o Sole Proprietorship D Partnership D
YOUR BUSINESS POSITION
IF APPLICABLE, LIST DATE:
---1-1 04
ACQUIRED
-1---1 04
DISPOSED
Other
> 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (,lttadl.J SlCpar.1te s!1Nllf Ill;'c('so;aryl
> 4 INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
Check one box:
o INVESTMENT
o REAL PROPERTY
Name of Business Entity Qf
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity Qf
City or Other Precise Location of Real Property
FAIR MARKET VALUE
o $2,000 - $10,000
0$10,001 - $100,000
D $100,001 - $1,000,000
DOver $1,000,000
NATURE OF INTEREST
o Property OwnershiplDeed of Trust
IF APPLICABLE, LIST DATE:
-1-104 -1-104
ACQUIRED DISPOSED
D Stock
D Partnership
o Leasehold
o Other
Yrs. remaining
o Check box if additional schedules reporting investments or real property
are attached
Comments:
> 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10.000 OR MORE (.JttdCI1.1 ,>epar,]!€! sheet If tH!CessoJrY)
Check one box:
D INVESTMENT
> 4 INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
D REAL PROPERTY
Name of Business Entity Qf
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity Qf
City or Other Precise Location of Real Property
FAIR MARKET VALUE
D $2,000 - $10,000
D $10,001 - $100,000
D $100,001 - $1,000,000
DOver $1,000,000
NATURE OF INTEREST
D Property Ownership/Deed of Trust
D Leasehold
Yrs. remaining
IF APPLICABLE, LIST DATE:
---1---1 04 -1---1 04
ACQUIRED DISPOSED
D Stock
D Partnership
o Check box if addrtional schedules reporting investments or real property
are attached
D Other
FPPC Form 700 (200412005) Sch. A-2
FPPC Toll-Free Helpline: 866/ASK-FPPC