Margaret ClarkCALIFORNIA
FORM 700
FAIR
POLITICAL PRACTICES
COMMISSION
Please type or print in ink
1 // ,f ME (LAST)
c la( - V 1 "Li oL of
AILING ADDRESS - 'TF ET
lay use business address
to
STATEMENT OF ECONOMIC
COVER PAGE
A Public Document
(FIRST) (MIDDLE)
ZIP CODE
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
b (-,, o , cc 5-2- ,,t
Division, Board, District, if applicable:
Your Position:
If filing for multiple positions, list additional agency(ies)l
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ County of
City Of PC
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office/Initial Date:_J�—
Annual: The period covered is January 1, 2006,
through December 31, 2006.
-or-
0 The period covered is through
December 31; 2006.
❑ Leaving Office Date Left:
(Check one)
• The period covered is January 1, 2006, through
the date of leaving office.
-o r-
• The period covered is through
the date of leaving office.
❑ C a n didate
CA C ?17 7n
MAIR 15 1 220 1 7
CITY CLERK'S Of"FICE
(626 )2&&-7
OPTIONAL: FAX I E-MAIL
4. Schedule Summary
Total number of pages
including this cover page: 2-
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 (to% or greater Owremhip)
Schedule B Yes - schedule attached
Real Property
Schedule C Yes - schedule attached
Income, Loans, & Business Positions ()nwme Other than Gins
and Travel Payments)
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
income — Travel Payments
-or-
r - ] 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.
1 certify under penalty of perjury underthe laws of the State
of California that the foregoing is true and correct.
.1
Date Signed 3 -1'5 -07
(monN, day. year)
Signature ° Z � 4 g
(File ale on ly slgnetl �
statement with your gang official)
FPPC Form 700 (200612007)
FPPC Toll -Free Helpline: 866iASK -FPPC
SCHEDULE C
Income, Loans & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Al,le F !l 1s -.� - T: ir
ADDRESS `
5Iv t /er cfugn U Los Ari1& �¢a
BUSINESS ACTIVITY,4F ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,OOD R$1,001 - $10,000
❑ $10,001 '- $100 ❑ OVER $100,OOD
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary S� Spouse's or registered domestic partners income
❑ Loan repayment
❑ Sale of
(Properly, car. boaf, efc.)
❑ Commission or ❑ Rental Income, Ilsr each source orEiD,000 ormore
❑ Other
NAME OF SOURCE OF INCOME
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,D00 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's Income
❑ Loan repayment
❑ Sale of
(Property, car. boat, efc.)
[]Commissioner ❑Rental Income, NSf each source al810,000 ormore
❑ Other
i> 2. LOAN RECEIVED
k You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a
retail installment or credit card transaction, 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 lenders
regular course of business must be disclosed as follows:
NAME OF LENDER'
INTEREST RATE TERM (Monihs,'Years)
% ❑ None
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,D01 - $100,000
❑ OVER $100,000
Comments:
SECURITY FOR LOAN
❑ None I ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other
FPPC Form 700 (200612007) Sch: C
FPPC Toll -Free Helpline: 866 1ASK -FPPC