Monday ReganSTATEMENT OF ECONOMIC
COVER PAGE
Please type or print in ink.
NAME OF FILER
1. Office, Agency, or Court
Date Received
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Offlcml Use Oily
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AgeF Name
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Division, Board, epartmen Dis if applicable Your Position
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► If filing for multiple positions, list below or on an attachment.
Agency: Position:
2. Jurisdiction of Office (check at least one box)
❑ State ❑ Judge (Statewide Jurisdiction)
❑ Multi - County A El County of
bl city of 1 � 5 � — � ❑Other
3. Type of Statement (check at least one box)
1K Annual: The period covered is January 1, 2010, through December 31,
2010. -or-
The period covered is
2010.
through December 31,
❑ Leaving Office: Date Left ��—
(Check one)
O The period covered is January 1, 2010, through the date of
leaving office.
❑ Assuming Office: Date O The period covered is ��, through the date
of leaving office.
❑ Candidate: Election Year Office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages Including this cover page:
❑ 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.
El None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business a Agency Address Reommended - Public Document)
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DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS
( (, ) S`Ca9 — Z ZS� Vhf` Oliv1 �C'/v✓7 t? gG�.O Y
I have used all reasonable diligence in preparing this statement. I have reviewed this state t 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 t a few oing i ru an correct.
Date Signed 3` I it Signature l
(month, day year) `tpe the o pally signed statement Wh your filing oMciatj
FPPC Form 700 (2010/2011)
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► STREET ADDRESS OR PRECISE LOCATION
923 L / (o;_�ss S
CITY
Es t E�� C--k- 9 0
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
® $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
- Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ 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.
► STREETADDRESS OR PRECISE LOCATION
CITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership /Deed of Trust
❑ Leasehold
IF APPLICABLE, LIST DATE:
_j_ J 10 _j_ J 10
ACQUIRED DISPOSED
❑ Easement
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $409 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ 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.
* You are not required to report loans from commercial lending institutions made in the lender's regular course
of business on terms available to members of the public without regard to your official status. Personal loans
and loans received not in a lender's regular course of business must be disclosed as follows:
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Comments:
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (MonthslYears)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,o0o
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
FPPC Form 700 (2 01 012 011) Sch. B
FPPC Toll -Free Helpline: 8661276 -3772 www.fppc.ca.gov