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Su TanSTATEMENT OF ECONOMIC INTEREST Oicial Use Only CALIFORNIA FORM FAIR POLITICAL PRACTICES C NCR, 17 2u09 COVER PAGE CITY CLEKOS OFjp Please type or print in ink. A Public Document BY zzz NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER T �\-/ Sv Wow Uu 50- aN5 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS (May use business address) El3a F_. \r/-lai /.fyx- ov at�'Ip 1 . Office, Agency, or Court Name of Office, Agency, or Court: Cl'hll 0- R°zwa_o� Division, Board, istrict, if applicable: Your Position: 1Ln �. 4R, Ayyul s — ► 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 least one box) ❑ State ❑ County of �_� City of tr��1 l�y& WCk ❑ Multi- County 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 to% Ownership) Schedule A -2 ❑ Yes - schedule attached Investments (to% or g Ownership) Schedule B II�q Yes - schedule attached Real Property y Schedule C ❑ Yes - schedule attached Income, Loans, & Business Positions (Income Omer than Gins and Travel Payments) Schedule D ❑ Yes - schedule attached Income — Gifts Schedule E ❑ Yes - schedule attached Income - Gifts - Travel Payments ❑ Other 3. Type of Statement (Check a least one box) �ssuming Office/initial Date: LI v a 4 ❑ Annual: The period covered is January 1, 2008, through December 31, 2008. -or- 0 The period covered is through December 31, 2008. ❑ Leaving Office Date Left: __J __J (Check one) • The period covered is January 1, 2008, through the date of leaving office. -or- O The period covered is through the date of leaving office, ❑ Candidate Election Year: -or- F] 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 j /�� \0 10 Y (mon th, day, Year) Signature ❑�/ (File the originally signed statement with your filing official) FPPC Form 700 (2008/2009) FPPC Toll -Free Helpline: 8661ASK -FPPC www.fppe,ca.gov SCHEDULE B Interests in Real Property (Including Rental Income) ► STREET ADDRESS OR PRECISE LOCATION CITY rn^n �vl t�11 r� FAIR MARKET VALUE ❑ $2,000 - $10,000 10,001 - $100,000 $100,001 - $1,000,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED NA RE OF INTEREST Ownership /Deed of Trust ❑ Leasehold Yrs. remaining ❑ Easement IN 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. ► STREET ADDRESS 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 Name Tam IF APPLICABLE, LIST DATE'. ACQUIRED DISPOSED ❑ Easement 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. II 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' NAME OF LENDER' ADDRESS ADDRESS BUSINESS ACTIVITY OF LENDER BUSINESS ACTIVITY OF LENDER INTEREST RATE TERM (MonthsNears) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: 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 FPPC Form 700 (2008/2009) Sch. B FPPC Toll -Free Helpline: 866 1ASK -FPPC www.fppc.ca.gov