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Margaret Clark
MAR-26-2010 12:13P FROM: STATEMENT OF ECONOMIC COVER PAGE Reese type or print in M. use business address) r A Public Document 1 , Office, Agency, or Court Name of Office, Agency, or Court: Divisidn, Board, District, If applicable: i1o(Itj (" 4/11)2e ,r� /0 e - Your Position: If filing for multiple positions, list additional agency(les)t position(s): (Attach a separate sheet If nscessary.) Agency: Position: 2. Jurisdiction of Office (check at resat one box) ❑ State ❑ County of ® City of 4 )SZ✓r> ❑ Muhl- County ❑ Other 3. ❑ Assuming Office /Initial (Check at least one box) Date: __J _- J_._._ ® Annual: The period covered Is January 1, 2007, through December 31, 2007. -or- 0 The period covered Is J _J—_, through December 31, 2007. ❑ Leaving Office Date Left: _ (Check one) O The period covered is January 1, 2007, through the date of leaving office. -or- 0 The period covered Is ---J--J_ through the date of leaving office. ❑ Candidate T0:16262BB7313 P.2 q/ MAR ? 4. Schedule Summary nOTOtel number of pages � Including this cover page: yL� a* Check applicable schedules or "No reportable Interests." I have disclosed interests on one or more of the attached schedules: Sc A -1 ❑ Yes - schedule attached Investments iLm Men 10% 0enerWW Schedule A -2 ❑ Yea - schedule attached Investments (to%W sneer ownarahlp) Schedule B ❑ Yes - schedule attached Real Properly Schedule C 10 Yes - schedule attached Income, Wens, d Business Posltlons Ibmw oMer can oaa end Trews pe7mmgl Schedule D $I Yes - schedule atached income - ems Schedule E ❑ Yes - schedule attached income - Travel Payments -or- El No reportable interests on any schedule 5. Verification I have used all reasonable diligence In preparing this statement. I have reviewed this statement and to the beat of my knowledge the information contained heroin and in any attached schedules is true and complete. I certify under penalty of perjury under the lava of the S" of California that the foregoing Is true and correft Date Signed 3 2 I0 (main, Oar, Y"n Signature �4- (Tee hha Weal a 4N nt weh VW mhos mnaew) FPPC Form 700 Amendment (200712008) FPPC Toll -Five Helpllne: $MABK.FPPG MAR -26 -2010 12:13P FROM: SCHEDULE C Income, Loans, & Business Positions (Other than Gift and Travel Payments) NAME OF SOURCE OF INCOME 8J)1e M C, ADDRESS I �1wCf VO or4: /i3n Knl CA- `l'�nG: �r BUSINESS ACTIVITV IF ANY, OF SGURC YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ SM - 51,01)(1 ja a1,001 - $10,000 ❑ $10.001- stoo.00o ❑ OVER also,= CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary JS Spouses or rephte red domealic partner's hxcme ❑ Loan repayment ❑ Sells of wN>ans W, bod, ex.) ❑ CoIlmliaaton or ❑ Ren %1 Income, am eac'a tauAS M $10000 a cam ❑ omx ) AMENDMENT NAME OF SOURCE OF INCOME f/S'cn' I�M C`�l �llf-�Yvl[lA hi�f w i c, ADDRESS �IL k� Sfit�t Sk /04) snrra lye'liy c 75 8 ¢ BUSINESS ACTIVITY. IF ANY. OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED I31 $500 - 57,000 ❑ $1,001 - 410,000 ❑ $10,Oa1 - $19$.000 ❑ OVER S1aao00 CONSIDERATION FOR V*KH INCOME ME RECEIVED ❑ Salsry ❑ Spouses or mortared domestic pariner9 Income Q Lan rspaynlre p sift a (nopsnF 1)e: box, at) ❑ Comnuealco or [] R7mml m[wnN, nu sedr m[uw or 570$00 axae E[ / L You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail installment or credit card transaction, made in the lender's regular course of business on terms available to members of the public widlout regard to your off clal status. Personal bans and loans received not In a lender's regular course of business must be dieDlosed as follows: NAME OF LENDER ADDRESS BUSINESS ACTIVITY. IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - smotio ❑ $10,001 - s100, ❑ OVER $100.000 Print Name INTEREST RATE - TERM (Morow"ra) % ❑ None SECURITY FOR LOAN ❑ NON ❑ Personal reaalenes ❑ Reel PrOpe1w ❑ Guarantor ❑ Dmer futwo l Olna, Agency or Court Statement Tyre ® 2107/2008 Annual ❑ Annual ❑ Assuming ❑ Leaving ❑ Candidate I have used all reasonable diligence In preparing this sttdsmenL I have reviewed this statement and to the beet of my knowledge the Infolmildon contained herein and In any attached schedules is true and complete. I artty under penally of podury under the IM of the State of Cellfomle dat the foregatog Is rnw and COmct. Date Signed = ` 5k G - T0:16262B87313 P.4 Form 700 Amendment (200712008) sch. C FPPC Toll-Free NslpNne: 806/ASK -FPPC MAR -26 -2010 12:14P FROM: 70:16263367313 P.6 SCHEDULE D Income — Gifts ► NAME OF SOURCE ADDRESS BUSINESS ACTMTY, IF ANY, OF SOURCE DATE JMMM/yr) VALUE DESCRIPTION OF GIFT(S) JJ— f _J--J_ t JJ_ f ► NAME OF ADDRESS BUSINESS ACTIVITY IF ANY, OF SOURCE DATE (mMdd") VALUE JJ— a _ /_!— t DESCRIPTION OF GIFT(S) ► NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY. OF SOURCE DATE (mnvddlyy) VALUE DESCRIPTION OF GIFT(6) —J--J— e JJ_ f Comments: I ► NAME OF SOURCE ADDRESS BUSINESS ACTMTY. IF ANY. OF SOURCE DATE (MffMW) VALUE DESCRIPTION OF GIFT(S) JJ— J J P NAME OF SOURCE ADDRESS BUSINESS ACTMTY IF ANY, OF SOURCE DATE JMMM ") VALUE DESCRIPTION OF OIFM) JJ_ s _J -1— ■ JJT Print Name Office, Agency or Cou; �' 4 1 Statement Type ZOOTMDS Annual Assuming ❑ Leaving 9 -sr Annual 0 Candidate I have used all reasonable dlllgence In preparing this statement. I have reviewed this Statement and to the beat of my knowledge the Information contained herein and in any attached schedules is true and complete. I certify undo penalty of perjury under the laws of the State of California that the foregoing Is trwle and comet. Date Signed Signature FPPC Form 700 Amendment (8007122) Sah. D FPPC Toll•Fres Nelpllna: SSS/ASK•FPPC STATEMENT OF ECONOMIC COVER PAGE Please type or print in ink. CSC (Business Address Ai .310 , 7 /1/. f /4-. CITY A Public Document 1 . Office, Agency, or Court Name of Office, Agency, or Court:: Ag DivisiotI, Board, District, if applicable: Your Position: g CdZ.4ML GLX�//Cr - r?JtJ ► If ding for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ County of [9�City of ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: Annual: The period covered is January 1, 2009, .through December 31, 2009. -or- 0 The period covered is through December 31. 2009. ❑ Leaving Office Date Left: - (Check one) O The period covered is January 1, 2009, through the date of leaving office. or- 0 The period covered is --J ---J_ through the date of leaving office. ❑ Candidate Election Year: STATE I ZIP CODE F F Fr (076 ) S33 -6 &W OPTIONAL: E -MAIL ADDRESS 4. Schedule Summary ► Total number of pages including this cover page: ► Check applicable schedules or "No reportable interests." I have disclosed interests on one or more of the attached schedules: Schedule A -1 ❑ Yes - schedule attached Investments (Less than 70% ownership) Schedule A -2 ❑ Yes - schedule attached Investments (70% or Greater Ownership) Schedule B ❑ Yes - schedule attached Real Property Schedule C .® Yes - schedule attached Income, Loans, & Business Positions (income other than Gips and Travel Payments) Schedule D Q Yes - schedule attached Income - Gifts Schedule E ❑ Yes - schedule attached Income - Gifts - Travel Payments -or- No reportable interests on any schedule 'h 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 & — /r4 - /b (month, day, year) Signature (File the onginipy signed statement with your filing official.) FPPC Form 700 (2 0 0 912 01 0) FPPC Toll -Free Helpline: 8661ASK -FPPC www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME ADDRESS(ausimn AddreasA preble) 3 !' 1 Ua �rP. l6 eA� e.,61 �itA 51r51NE� IF AI Y OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED , Q $SDO - $1.000 ❑ S1,0D1 $10.000 ❑ s10,001 - s100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ salary K spouse§ a fedstered dornestla permar's Innablle Loan repayment ❑ sale W IRMOU cu, beet am) �]COmmisslw of ❑Renidl ln0ame, ml ease sales$ olsl0.W09r maro ❑ Other IOesl NAME OF SOURCE OF INCOME ADDRESS reassess Address Aceep bW BUSINESS ACTMTY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED © $900 - S1,0D0 ❑ $1,001 •510.000 ❑ s1o,0a1 • simmo ❑ OVER $100.000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ selery ❑ spmsS s or registered ddmestic partner's Income ❑ wan Iepayn" ❑ Sale of Iwepa* ear; east 8104 ❑Canmlaww ❑Ramal lnm:vne, der ease saute aslihm" noes ❑ Other (oesal6eJ * You are not required to report loans from commercial lending institutions; or any indebtedness seated as part of a retail installment or credit Card transaction, 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 (&Wness Adc4ess Acceptable) BuslNEss ACTrVITY, IF ANY. OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD 5500 - s1,OW ❑ 51,001 - $10,000 ❑ $10,001 • SIUD,ODO ❑ OVER $100,000 Comments: INTEREST RATE TERM (MonthaNears) � % ❑ Nrnre — .. -- sECURITY FOR LOAN [] Nona ❑ Personal realdenbe ❑ Rear Properly 5eeet sdonm ❑ Guarantor ❑ other ln"d eel EPPC Form 100 (200912(1110) Bch. C FPPC Tall-Free H9lpllna: NOIASK•FPPC www,rppo- oa.BOd SCHEDULE D Income — Gifts ► NAME OF SOURCE / - cp fh ADDRESS (Busirress Address A l7l V,6 q . 4i1'4a /f`C J / e 64T/ BUSINESS ACTMT', IF ANY, OF SOURCE DATE (mmlddiW) VALUE OESCRIPTION OF CaIFT(S) PI-r e ► NAME OF SOURCE - []r� •Lkerci� ADDRE66 f2usinwa Address A 8la /D/ 44 5f �+e �rcge l4 ?'x /a l BUBINE9S ACTNnY, IF ANY. OF SOWROE DATE (mm/d W) VALUE DESCRIPTION OF GIFT(S) �j/l`j aq 'sue zj° ► NAME OF SOURCE ADDRESS (sualnus Address Ac Ptah BUSINESS ACTIVITY, F ANY, OF SOL DATE (mnNddfM VALUE Comments: DESCRIPTION OF GIFT(S) . NAME OF SOURCE k ADDR S (Sualneas Address Ap pte6le) SUSINNESS ACTIVITY, IF ANY, OF SOURCE 41 Dj W N�.r , C= Q 7i.� C 2ytr/ / i�' t-8 5[/..KbnL3 GATE (mmMNy� VALUE DESCRIPTION OF GIFT(S) NAME OF SOURCE (Saahgm Addr&W ACW Me) BUSINESS ACTIVITY. IF ANY, OF SOURCE DATE (mm)ddlav) VALUE DESCRIPTION OF GIFT(S) _ _J s --J --J— s -- ---J S FPPC Form 700 (200912010) Seh, 0 FPPC Toll -Free Helplinw 8981ASK -FPPC www.fppc.ca.QDV 1 111f x,60 4unc.1J P. NAME OF SOURCE ADDRESS (BUalnaaa Addreae Awirplahla) BUSINESS ACTNRY. IF ANY, OF SOURCE DATE (mmlddlyt) VALUE DESCRIPTION OF GIFT(S) —J---J— s _j --- s NAME OF SOURCE (Saahgm Addr&W ACW Me) BUSINESS ACTIVITY. IF ANY, OF SOURCE DATE (mm)ddlav) VALUE DESCRIPTION OF GIFT(S) _ _J s --J --J— s -- ---J S FPPC Form 700 (200912010) Seh, 0 FPPC Toll -Free Helplinw 8981ASK -FPPC www.fppc.ca.QDV