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