Donald AndersonCALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink
COVER PA_ GE
A Public Document
NAME (LAST)
(FIRST)
(MIDDLE) — ``VAYT"E-+EL9&FiDiJ
�i 1
Ad b eR S o N
b o,lJ,4 i 4
f�.
( 6 ) .- 7 -AA a
MAILING ADDRESS STREET
(May use business address)
CITY
STATE ZIP CODE
OPTIONAL: FAX / Z MA
8838 maiuy 9LV6,
kosemFAA
e- A 91770
(4,1() K0- 9a/8
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
C I Ty o f RoseA46, -0
Division, Board, District, if applicable:
PV18 S AFETY dlMAA_T_MeNT
Your Position:
CoAmuouxy REVITr l. A bm w ,
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 feast one box)
❑ State
❑ County of
city of RoSEMEA -A
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
Assuming OfficelInitial Date: /a 10 6 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: I I
(Check one)
0 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.
❑ Can
STATEMENT OF ECONOMIC I
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 than Girls
and Travel Payments)
Schedule O. ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Travel Payments
-or-
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 /YI�IQ (J� o 7
�ny�. (month, day, , ear) y//o .
Signature / V j"' `�
(File the originally signed statement with your filing oricial.)
FPPC Form 700 (200612007)
FPPC Toll -Free Helpllne: 866 1ASK -FPPG