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Lawrence BevingtonSTATEMENT OF ECONOMIC I COVER PAGE Please type or print in ink A Public Document NAME (LAST) (FIRST) (MIDDLE) MAILING AD DRE 5 ST ET CITY STATE ZIP CODE (May use business address) 237 - 2- gaS Jf PO4S -t F rr77v 1 . Office, Agency, or Court Name of Office, Agency, or Court: Division, Board, District, if applicable: Your Position: Cvm�f SSraA��2 If fling for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: �,. Ty 2 L �'—" .� E A4 ,t�.4 ( Position: 62 C% /2 Ai 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ County of City of mo t? G <1� _e ✓l E &P ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) Assuming Office /Initial Date: _J __J_ ❑ Annual: The period covered is January 1, 2006, through December 31, 2006. -or- y- O The period covered is � � Ll 1 _ 0 9 1 rough December 31, 2000.8 ❑ Leaving Office Date Left: (Check one) • The period covered is January 1, 2006, through the date of leaving office. -or- O The period covered is �_�, through the date of leaving office. ❑ Candidate CITY (6 OPTIONAL: FAX / E -MAIL A OFFICE 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 10% 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 Other Ilia, Gifts and Travel Payments) Schedule D ❑ Yes — schedule attached Income — Gifts Schedule E ❑ Yes — schedule attached Income — Travel Payments -or- 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 � y, foregoing is true and correct. Date Signed X_01c / 2(,> (month, pay, year) Sign T� �'�'y`ce v (File the originally signed stalerr( t with your ftlmg ival.) No reportable interests on any schedule FPPC Form 700 (2006/2007) FPPC Toll -Free Helpline: 8661ASK -FPPC DEC 12 2007 Annual Review- Wal -Mart Attachment Schedule A -1 Lawrence C. and Jane E. Bevington own minor shares in several stocks combination and in several banks, none of which are headquartered or have branches in the city of Rosemead or currently are known to do business in the city of Rosemead. Schedule A -2 None Schedule B We own as Tenants in Common, a condo at 8372 Rush Street, Rosemead Current value of $325.000. Schedule C None Schedule D None Schedule E None SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10 %) Do not attach brokerage or financial statements. >�NAME OF BUSIN ENTI GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $1o0,00l - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other IF APPLICABLE, LIST DATE ❑ $10,001 - $100,000 ❑ Over $1,000,000 --J--J-94— --J--J ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100.0o1 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 ❑ $10,001 - $100,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) IF APPLICABLE, LIST DATE: --j --J ACQUIRED DISPOSED Comments: CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 -- $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,00o ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED FPPC Form 700 (200412005) Sch. A -1 FPPC Toll -Free Helpline: 866IASK -FPPC SCHEDULE A -2 Investments, Income, and Assets of Business Entities /Trusts (Ownership Interest is 10% or Greater) Check one ❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 4 one ❑ Trust, go to 2 ❑ Business Entty, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $10,001 - $100,000 1 1 04 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 - ❑ Over $1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Sole Proprietorship ❑ Partnership ❑ ❑ Sole Proprietorship ❑ Partnership ❑ ome oms YOUR BUSINESS POSITION YOUR BUSINESS POSITION ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 Check one box' ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity 2 Street Address or Assessors Parcel Number of Real Property Description of Business Activity Q City or Other Precise Location or Real Property FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: 04 ACQUIRED DISPOSED NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box If additional schedules reporting investments or real property am. attached ❑ $0 - $499 ❑ $10,001 - $100,0oo ❑ $500 - $1,000 [ $100,000 ❑ $1,001 - $10,000 Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Address or Assessor's Parcel Number of Real Property or Other Precise Location Property FAIR MARKET VALUE ❑ $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust IF APPLICABLE, LIST DATE: / -J 9 --i-J ACQUIRED DISPOSED ❑ Stock ❑ Partnership Leasehold ❑ Other Yrs. remaining Check box 0 additional schedules reporting investments or real property are attached FPPC Form 700 (200412005) Sch. A -2 FPPC Toll -Free Helpline: 6661ASK -FPPC SCHEDULE B Interests in Real Property (Including Rental Income) > STREET ADDRESS OR PRECISE LOCATION CITY C>S �/ -c �Y7 �2 FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 -- j 1 04 xLj 100,001 - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 NATURE OF INTEREST ❑ Ownership /Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $409 ❑ $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. NAME OF LENDER' ADDRESS BUSINESS ACTIVITY OF LENDER 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 Comments: > STREET ADDRESS OR PRECISE LOCATION CITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 04 - J -- ] 04 1 $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OFINTEREST ❑ Ownership/Deed of Trust ❑ Easement ❑ Leasehold 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. NAME OF LENDER" ADDRESS BUSINESS ACTIVITY OF LENDER 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, it applicable *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 are not reportable. FPPC Form 700 (20 0 412 0 0 5) Sch. B FPPC Toll -Free Helpline: 866 1ASK -FPPC SCHEDULE C Income, Loans* & Business Positions (Other than Gifts and Travel Payments) ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED /HIGHEST BALANCE DURING REPORTING PERIOD, IF LOAN ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's income ❑ Loan repayment ❑ Sale of (Property car boa. elc.) ❑ Commission or ❑ Rental Income, Iis1 each source of $10,000 or more ❑ Other (Describe) ❑ LOAN RECEIVED (complete box 2) ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED /HIGHEST BALANCE DURING REPORTING PERIOD, IF LOAN ❑ $soo - $ 1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's income ❑ Loan repayment ❑ Sale of (Property car, boe. ak,) ❑ Commission or ❑ Rental Income, list each source of $10,000 a, more ❑ Other Wescnbe) ❑ LOAN RECEIVED (complete box 2) ADDRESS BUSINESS ACTIVITY, IFANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED /HIGHEST BALANCE DURING REPORTING PERIOD, IF LOAN ❑ $000 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's income ❑ Loan repayment ❑ Sale of (Property, car, boat eta) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) ❑ LOAN RECEIVED (complete box 2) INTEREST RATE TERM (Months /Years) ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Slree( atltlress ❑ Guarantor ❑ Other * 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. Comments: FPPC Fount 700 (200412005) Sch. C FPPC Tall -Free Helpline: 8661ASK -FPPC SCHEDULE D (ELIMINATED) Report loans on Schedule A -2, B, or C • 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. • You are not required to report any indebtedness created as part of a retail installment or credit card transaction if made in the lender's regular course of business on terms available to members of the public without regard to your official status. FPPC Form 700 (200412005) Sch. D FPPC Toll -Free Helpline: 866/ASK-FPPC SCHEDULE E Income — Gifts > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) $ $ > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE $ DESCRIPTION OF GIFT(S) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE $ DESCRIPTION OF GIFT(S) Comments: > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) $ • NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd /yy) VALUE DESCRIPTION OF GIFT(S) $ • NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) $ $ FPPC Form 700 (200412005) Sch. E FPPC Toll -Free Helpline: 866/ASK-FPPC STATEMENT 01 CALIFORNIA FORM7001 C• Please type or print in ink A Pl. NAME (LAST) (FIRST) MAILING ADDRESS STREET CITY (business atl re ;s)� 1 . Office, Agency, or Court Name of Office, Agency, or Court: G /TV 0-,e 1'2,0s�I464)9 Division, Board, District, if applicable: Your Position: '+ If filing for multiple positions, list additional agency(ies)/ position(s ch a separate sheet if necessary.) Agency: Position: 2. Jurisdiction of Office (Check at feast one box) ❑ State ❑ County of City City of /.- a �' 04: p fff��� ❑444 Multi- County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: F] 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) �rhe 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. ❑ Candidate RECI €V ) V AIR ?&Lll ICAL ::. <'�GYVC.cS Ct)31f�I551Jrv: 2008 OCT 14 PM 2 :35 > NAME OF BUSINESS ENTITY SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10 %) Do not attach brokerage or financial statements. A 1 /'y j// > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 (Describe) IF APPLICABLE, LIST DATE: _ J� 07 7 ACQUIRED DISPOSED GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 (Describe) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Stock ❑ Stock ❑ Other ❑ Other (Describe) (Describe) IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ $10,001 - $100,000 ❑ Over $1,000,000 ❑ Other IF APPLICABLE, LIST DATE (Describe) ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other IF APPLICABLE, LIST DATE ❑ $10,001 - $100,000 ❑ Over $1,000,000 (Describe) ACQUIRED DISPOSED Comments: FPPC Form 700 (200712008) Sch. A -1 FPPC Toll -Free Helpline: 866/ASK-FPPC 4 SCHEDULE A -2 Investments, Income, and Assets of Business Entities /Trusts (Ownership Interest is 10% or Greater) �CDiu G C�V� Name Address Check one ❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 OF BUSINESS ACTIVITY C /tall- ��Y% /.U�f�32 /•��i _ FAIR MARKET VALUE IF APPLIC BLE, LIST DAT�E; /'',Ar $2,000 - $10,000 /✓ /S J�rs io,00i - $100,000 07 JJ 07 0 $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INVESTMENT Sole Proprietorship ❑ Partnership ❑ �. Omer YOUR BUSINESS POSITION ❑ $0 - $499 ❑ $10,001 - $1o0,000 ❑ Sao - $1,000 ❑ OVER $100,000 gna i,aoi - $10,000 Clr�O Check one box: [:]INVESTMENT ]RtEAL PROPERTY Name of Business Entity 1 Street Address or Assessor's Parcel Number of Real Property 72 C/1 P 177" Description of Business Activity gr City or Other Precise Location of Real Property FAIR MARKET VALUE - $10,000 IF APPLICABLE, LIST DATE: / „� $2,000 $10,001 - $100,000 �� 0 .�� - ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 AT RE OFINTEREST Property Ownership /Deed of Trust ❑ Slack ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting Investments or real property are attached fame tddress :heck one ❑ Trust, go to 2 ❑ Business Entity, complete fire box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE IF APPLICABLE.. LIST DATE: ❑ $2,000 - $10,000 El $10,001 - $100,000 07 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Sole Proprietorship ❑ Partnership ❑ Omar YOUR BUSINESS POSITION _ $0-$499 ❑ $10,001 - $100,000 $Soo - $1,000 ❑ OVER $100,000 $1,001 - $10,000 Check one box: n INVESTMENT ❑ REAL PROPERTY Name of Business Lnuty at Street Address or Assessor's Parcel Number of Real Property City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED n Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached FPPC Form 700 (200712008) Sch. A -2 FPPC Toll -Free Helpline: 866/ASK -FPPC SCHEDULE B Interests in Real Property (Including Rental Income) > STREET ADDRESS OR PRECISE LOCATION > STREET ADDRESS OR PRECISE LOCATION CITY CITY 2VLCij ,F A rP C- FAIR MARKET VALUE IF APPLI ALE, LIST DATE: fd a " FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 /4/1 3 1 $10,001 - $100,000 1 1 07 J -�' ❑ $2.000 - $10,000 ❑ $10,001 - $100,000 JJ 07 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED. ❑ Over $1,000,000 ❑ Over $1,000,000 NAT RE OF INTEREST OF INTEREST Ownership /Deed of Trust E] Easement LLC ❑1 ❑ Ownership /Deed of Trust ❑ Easement Leasehold ❑ ❑ Leasehold ❑ Yrs. remaining Other Yrs. remeWng Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0$0.$499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of income of $10,000 or more. income of $10,000 or more._ * 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 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 (Months/Years) INTEREST RATE TERM (Months/Years) % ❑ None % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 - ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable ❑ Guarantor, if applicable Comments: FPPC Form 700 (200712008) Sch. B FPPC Toll -Free Helpline: 866 /ASK -FPPC SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME r /I ADDRESS �S// EIE BUSINESS ACTIVITY, IF ANY, OF SOURCE - YOUR BUSINESS POSITION GROSS INCOME RECEIVED' - ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 - CONSIDERATION FOR WHICH INCOME WAS RECEIVED [j salary E] Spouse's or registered domestic partner's Income - ❑ Loan repayment ❑ Sale of (Property, ." boa(, at,) E] commission or F] Rental Income fig each source of $10,000 or more NAME OF SOURCE OF INCOME ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $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 (Pnopady, can boat, etc) ❑ Commission or ❑ Rental Income, list each source of $ 10.000 or more ❑ Other (Descdbe) ❑ Other 2. LOAN RECEIVED * 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 lender's regular course of business must be disclosed as follows: NAME OF LENDER' ADDRESS BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 . $10,000 ❑ $10,001 . $100,000 OVER $100,000 INTEREST RATE TERM (Months/Years) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property �f rebf bb ❑ Guarantor ❑ Other (Oesrnbe) Comments: FPPC Form 700 (200712008) Sch. C FPPC Toll -Free Helpllne: 8661ASK -FPPC SCHEDULE D income — Gifts NAME OF SOURCE ADDRESS S / S {( BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /ddtyy) VALUE DESCRIPTION OF GIFT(S) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF DATE (mm /dd/yy) VALUE _ _J $ __/ $ DESCRIPTION OF GIFT(S) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) —J — $ Comments: > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd /yy) VALUE $ $ ��— $ DESCRIPTION OF GIFT(S) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) $ ��— $ > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd/yy) VALUE S ��— $ $ DESCRIPTION OF GIFT(S) FPPC Form 700 (2007/2008) Sch. D FPPC Toll -Free Helpline: 866 /ASK -FPPC SCHEDULE E Income — Gifts Travel Payments, Advances, and Reimbursements • Reminder — you must mark the gift or income box. • You are not required to report "income" from government agencies. > NAME OF SOURCE / ADDRESS CITY AND STATE - BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S): �_ /_ /�_ AMT. $ piapplicablel TYPE OF PAYMENT. (must check one) ❑ Gift Income DESCRIPTION: > NAME OF SOURCE ADDRESS CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S): _ /�— - _ / AMT: $ (if applicable) TYPE OF PAYMENT: (must Check one) ❑ Gift Income DESCRIPTION: Comments: > NAME OF SOURCE ADDRESS CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S): J —/— - �_ /_ AMT: $ (if applicable) TYPE OF PAYMENT: (must Check one) ❑ Gift ❑ Income DESCRIPTION: > NAME OF SOURCE ADDRESS CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S): _ /�_ - _J�_ AMT: $ (it applicable) TYPE OF PAYMENT: (must Check one) ❑ Gift ❑ Income DESCRIPTION: FPPC Form 700 (200712008) Sch. E FPPC Toll -Free Helpline: 866 1ASK -FPPC IF n y 61[ r — m a zv N c V �nN �4 k d I STATEMENT OF ECONOMIC INTEREST FAIR PDLITICAL PRACTICES rDMMISSION COVER PAGE A Public Document Please type or print in ink . NAM � (LAST) (FIRST) (MIDDLE) IMAILIN6 ADLF ST EE CITY STATE ZIP CODE I(May use business address) 1 . Office, Agency, or Court Name of Office, Agency, or Court: ( t` L 41V 61 ! A% a � /�Y`2 I f Division, Board, District, if applicable: Your Position: C'c;m 61Y 1:—:� 2 -� If fling for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: ,, jT4, 1 � 6 ' zd 0 Position: L[ % lid/ / CSiC1/L% lY DEC 12 2007 S OFFICE ,CQ /6 S72 OFTIONAL FAX I E -MAIL A 4. Schedule Summary Total number of pages including this cover page: _ Schedule A -1 ❑ Yes - schedule attached Investments (Less than 10 % 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 Other than Gins and Travel Payments) Schedule D ❑ Yes - schedule attached Income — Gifts Schedule E ❑ Yes - schedule attached Income - Travel Payments 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ County of X City of 9 0 S IF Al tE &` ❑ Multi- County ❑ Other 3. "Type of Statement (Check at least one box) � I Rj Assuming Office /Initial Date: ❑ Annual The period . covered lI January 1 2006; through December 31, 2D0y ..._ ".. -or p . 0 The period covered is rw �a CC_ t rough December 31, 20008 ❑ Leaving Office Date Left:�� (Check one) • The period covered is January 1, 2006, through the date of leaving office. -or- 0 The period covered is through the date of leaving office. ❑ Candidate -or- F] No reportable interests on any schedule Check applicable schedules or "No reportable interests." I have disclosed interests on one or more of the attached schedules: 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 I & l e) l (month, day, year) FPPC Form 700 (2 0 0 6120 0 7) FPPC Toll -Free Helpline: 8661ASK -FPPC Annual Review- Wal -Mart Attachment Schedule A -1 Lawrence C. and,4p&E—.- Bevington own minor shares in several stocks combination and in several banks, none of which are headquartered or have branches in the city of Rosemead or currently are known to do business in the city of Rosemead. Schedule A -2 None Schedule B We own as Tenants in Common, a condo at 8372 Rush Street, Rosemead. Current value of $325.000. Schedule C None Schedule D None Schedule E None ' o 1 t (� SCHEDULE A -1 CALIFORNIAFORm 700 Investments FAIR POLITICAL PRACTICES COMMISSION ' Stocks Bonds and Other Interests Name / (Ownership Interest is Less Than 10 %) U/ W Do not attach brokerage or financial statements. GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: 04 ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,0oo,000 ❑ $10,001- $100,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) IF APPLICABLE, LIST DATE: 04 ACQUIRED DISPOSED Comments: > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED > NAME OF BUSINESS EM 11 Y GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 (Describe) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: __j_� ACQUIRED DISPOSED FPPC Form 700 (200412005) Sch. A -1 FPPC Toll -Free Helpline: 866 /ASK -FPPC SCHEDULE A -2 Investments, Income, and Assets of Business Entities /Trusts (Ownership Interest is 10% or Greater) Check one ❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 _ J_ J 04 _J_J ❑ $100,001 - $1,000,000`, ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Sole Proprietorship ❑ Partnership ❑ Olha � YOUR BUSINESS POSITION • L. IDENTIFY THE DRUBS 1NUUMt RtUtIVtD (IN' SHARE OFTHE GROSS INCOME TOTHE ENTIT) $r $1 0 , 001 rr rrr 11 0I'• . rrr ■ . rr rtr ■ $ - $10 Check one box: []INVESTMENT ❑ REAL PROPERTY Name Address Check one ❑ Trost, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 1 / 04 —j— ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Sole Proprietorship ❑ Partnership ❑ Other YOUR BUSINESS POSITION ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity or Street Address or Assessors Paresl Number of Real Property Description or Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Dead or Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs.remeining ❑ Check box if additional schedules reporting investments or real property are attached Name ar business Entity or Street Address or Assessor's Parcel Number of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 L ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed 4 Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Ym. remaining ❑ Check box If additional schedules reporting investments or real property are attached FPPC'Form 700 (200412005) Sch. A -2 FPPC Toll -Free Helpline: 8661ASK -FPPC I ,J SCHEDULE B Interests in Real Property (Including Rental Income) > STREET ADDRESS OR PRECISE LOCATION 0 372 12�Sr CITY g US A/-r Z--4P FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 -j - 104 100,001 - $1,000,000 ACQUIRED DISPOSED j Over $1,000,000 i NATURE OF INTEREST ❑ Ownershlp /Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Olher IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $490 ❑ $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. NAME OF LENDER' ADDRESS BUSINESS ACTIVITY OF LENDER INTEREST RATE TERM (Months/Vears) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 '.. % ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: > STREET ADDRESS OR PRECISE LOCATION CITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 _J_J ___J__J 04 F1 $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Ownership /Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $400 ❑ $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. NAME OF LENDER' ADDRESS BUSINESS ACTIVITY OF LENDER INTEREST RATE TERM (Months/Years) W. ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable 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 are not reportable. FPPC Form 700 (2004/2005) Sch. B FPPC Toll -Free Helpline: 666 /ASK -FPPC SCHEDULE C Income, Loans* & Business Positions (Other than Gifts and Travel Payments) ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED /HIGHEST BALANCE DURING REPORTING PERIOD, IF LOAN ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's income ❑ Loan repayment ❑ Sale of (Pmpertg car boat, etc) ❑ Commission or ❑ Rental Income, fist each source of $10,000 or more ❑ Other (Describe) ❑ LOAN RECEIVED (complete box 2) ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED /HIGHEST BALANCE DURING REPORTING PERIOD, IF LOAN ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's income ❑ Loan repayment ❑ Sale of (Properly, car, boat arc.) ❑ Commission or ❑ Rental Income, fist each source of $10,000 or more ❑ Other. (Describe) ❑ LOAN RECEIVED (complete box 2) ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED /HIGHEST BALANCE DURING REPORTING PERIOD, IF LOAN ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's income ❑ Loan repayment ❑ Sale of (Property, ca, boat, etc.) ❑ Commission or ❑ Rental Income, list each spume of $10,000 or more ❑ Other (Describe) ❑ LOAN RECEIVED (complete box 2) INTEREST RATE TERM (Months/Years) ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other ( Describe) * 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. Comments: FPPC Form 700 (2004 /2005) Sch. C FPPC Toll-Free Helialine: B66 1ASK -FPPC SCHEDULE D (ELIMINATED) Report loans on Schedule A -2, B, or C • 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. • You are not required to report any indebtedness created as part of a retail installment or credit card transaction if made in the lender's regular course of business on terms available to members of the public without regard to your official status.'\ FPPC Form 700 (200412005) Sch. D FPPC Toll -Free Helpline: 866/ASK-FPPC SCHEDULE E Income — Gifts > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/ddtyy) VALUE $ $ DESCRIPTION OF GIFT(S) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE --j —j— 8 $ $ OF GIFT(S) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd /yy) VALUE $ — / —J $ $ Comments: DESCRIPTION OF GIFT(S) � NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd /yy) VALUE $ DESCRIPTION OF GIFT(S) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) FPPC Form 700 (2 0 0412 0 0 5) Sch. E FPPC Toll -Free Helpline: 666 /ASK -FPPC dct}e_ to /fa/03 2009 t_0 I CALIF ORNIA • 1 1 F A " %"aT OF ECONOMIC II�TE!ktW ' ` a�Tlc� a�r;r�l�s &OVER PAGE + C � NOV U 4 200$ FAIR POLITICAL PRACTICES COMMISSION 2608 0CT 2l PN I Ablic Documenrt C i ., OTFICF Please type or print in ink. - - I NAME (LAST) (FIRST) (MIDDLE'( -^— AYSTME: NUMBE 44 L uR I /V " C (624 4* -2_q, MAILING ADDRESS STREET STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS (May use business address) 4�" — y l /tJd� G�r`'L 1 �� 2C l� T✓,! q1007 1 . Office, Agency, or Court Name of Office, Agency, or Court: ll Division, Board, District, if applicable: 1 4 Ca,�r! —trs5a Your Position: ( )LAI N P • If filing for multiple positions, list additional agency(ies)/ position(s): (Attacch separate sheet if necessary.) Agency: ' Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ County of City of ,S/.O`7,F_�/-10 ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: ❑ 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: _$�j b Q 46 (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: > 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 le% Ownership) Schedule A -2 )<Yes - schedule attached investments fio% or greater Ownership) Schedule B XYes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income, Loans, 8 Business Positions (Income other Man Gifts and Travel Payments) Schedule D ❑ Yes - schedule attached Income - Gifts Schedule E ❑ Yes - schedule attached Income - Travel Payments -or- E] 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 l o/ f 12-006 f � (month, day, year) Signatu (File the originally signed statement with yo (ling official.) ❑ Candidate FPPC Form 700 (200712008) FPPC Toll -Free Helpline: 866/ASK-FPPC 'J b a CN ffi i w 48 m sl• t�11 �1