Nancy EngSTATEMENT OF ECONOMIC
COVER PAGE JUN 0 1 2009
Please type or print in ink.
A Public Document CITY CLERK'S OFFICE
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NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE
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MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May use business address) _
/ >,O. 60X //� /2oserv�Pa�, P,�9 91 7 7 0
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
l n o5 e m Pa d /Munn /olc �ainr/
Division, Board, District, if applicable: ..r
Your Position:
C e r'l'l AI I S/ V YtA r'
► 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
`City of
❑ Multi -County
❑ Other
3 ,_ / Type of Statement (Check at least one box)
✓tJ Assuming Office /Initial Date: 0 ����
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 (10% or greater ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes — schedule attached
Income, Loans, & Business Positions (income Omer than Gifts
and Travel Payments)
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Gifts - Travel Payments
-or-
A No reportable interests on any schedule
5. Verification
❑ Annual: The period covered is January 1, 2008,
through December 31, 2008.
-or-
0 The period covered is ___1__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 through
the date of leaving office.
❑ Candidate Election Year:
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.
1 certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed
(month, day, year)
Signature
(File the original) gned statement with you& g official.)
FPPC Form 700 (2008/2009)
FPPC Toll -Free Helpline: 866 /ASK -FPPC www.fppc.ca.gov