Donald AndersonSTATEMENT OF ECONOMIC INTERE TS I Olhciel use cny
MAti 0 4 20
COVER PAGE
A Public Document CI'I 4' CLERK'S OFF]
Please type or print in ink. BY
iNAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
Ambe SoA1 6 0A /f. (64 -07 a�a
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX/ E -MAIL ADDRES
(May use business address) A y,, E
93o I e. 9A Vey AV e, ko9644MA C4 91770 e, i
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
(I Ty o 6= RoSrxAef}A
Division, Board, District, if applicable:
Pog Li SkFeT y Q rA" raeA)T
Your Position:
�i12BeTo9 of Pug Lte WeTr 3eie vie es
• If fling for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at /east one box)
❑ State
❑ County of
XICityof A os Elu EA
❑ Multi- County
❑ Other
13. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: � J—
Annual: The period covered is January 1, 2007,
through December 31, 2007.
-or-
0 The period covered is 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.
4. Schedule Summary
•Total number of pages
including this cover page:
r 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 1o% 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 alter than Gifts
and Travel Payments)
Schedule D ❑ Yes - schedule attached
Income — Gifts
Schedule E ❑ Yes - schedule attached
Income - Travel Payments
-or-
X 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 underthe laws of the State
of California that the foregoing is true and correct.
Date Signed -- ,/,
of 00
/ /��.J ` �, . - Q� onth, day, ear)
,
Signature ' t/ o��
(File the originally signed statement vdth your filing official.)
❑ Candidate
FPPC Form 700 (2007/2008)
FPPC Toll -Free Helpline: 8661ASK -FPPC