Donald Anderson:............
STATEMENT OF ECONOMIC INTERESTS Date Received
Offi Use Only
Please type or print in ink.
COVER PAGE
A Public Document
APR
NAME (LAST)
(FIRST)
(MIDDLE)
DAYTIME TELEPHONE NUMBER
ANbV,9so,J
poNA>,D
N.
cGaf )s69 -a� 9 x
MAILING ADDRESS STREET
(May use business address)
CITY
STATE ZIP CODE
OPTIONAL: PAX/ E -MAIL ADDRESS
83oI E. (,'A)QVIS
14Y9Wut= /eose*FA6
eA 41770
I;r4 Sro I W I
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
C tTy of AoSEtit0
Division, Board, District, if applicable:
p0 3LtC, SAFETY
Your Position:
P un ie. soe Ste vlees t1REC
► If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at feast one box)
❑ State
❑ County of .A
® city of 0,09 EAAIEAb
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office/Initial Date: —J
X Annual: The period covered is January 1, 2008,
through December 31, 2008.
-or-
0 The period covered is __J___J—, through
December 31, 2008.
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 2008, through the
date of leaving office.
-or-
0 The period covered is J —J —, through
the date of leaving office.
❑ Candidate Election Year:
4. Schedule Summary
► Total number of pages
including this cover page:
P. 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 10% Ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (10% or greater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, & Business Positions (Income Other than Gins
and Travel Payments)
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Gifts - Travel Payments
-or-
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 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 /`f'�R I �- 6, c o o l
(month, d , year) ///,J,�
Signature (� Ala!" —
(File the originally sig ?r6d statement with your filing official.)
FPPC Form 700 (200812009)
FPPC Toll -Free Helpline: 866 /ASK -FPPC wws,.fppc.ca.gov