Donald WagnerSTATEMENT OF ECONOMIC INTERN C F ,Ee¢
o a t P I A
COVER PAGE 2006
Please type or print in ink A Puhlic Document ICITY CLERK'S OFFICE
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
WAGM� ��� s (6Z 6 )Rd-2 _10
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May use business address) �7
yf ri \f.. 1 �e.. ��.� - rniAmaJ r-A cI17`1n
1 . Office, Agency, or Court
Name of Office, Agenr Court: -
C� 0 � i c � 7 o - �aM4."p
Division, IlBoard, District, if applicable:
Your Position:
I s is C add ition
If fli add
ng for multiple posit ns, list ition ency(ies)/
If
(Attach a separate sheet if nec sary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
x ity of �^
❑ Multi- County y Multi- County
E] Other
3. Type of Statement (Check at least one box)
L] Assuming Office/Initial Date:
Annual: The period covered is January 1, 2005,
rough December 31, 2005.
-or-
p The period covered is —J through
December 31. 2005.
❑ Leaving Office Date Left: � �
(Check one)
p The period covered is January 1, 2005, through
the date of leaving office.
-or-
4. Schedule Summary
Total number of pages
including this cover page: Z
Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A -1
[_J Yes - schedule attached
Investments (Less than 10% ownership)
Schedule A -2
F Yes - schedule attached
Investments (10% or greater Ownership)
Schedule B
F Yes - schedule attached
Real Property
Schedule C
❑ Yes - schedule attached
Income, Loans,
&Business Positions (income Other than cats
and 72ve1 Payments)
Schedule D
❑ Yes - schedule attached
Income - Gifts
Schedule E )Yes - schedule attached
Income - Trav ay nts
-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 underthe laws of the State
of California that the foregoing is true and correct.
Date Signed
Q The period covered is —�� through
the date of leaving office.
❑ Candidate
/J Y
\I;Off�Form 700 (200512006)
Toli -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
WILOAn1 A59 —voATE S
CITY AND STATE
1�w C A
BUS11 E55 A ANY. �7 OF {1 SOURCE
DATE(S): AMT. $— a��C --
(Ilapplir ble) ,y/
TYPE OF PAYMENT. �(must check one) ��(`/k�Ciiftw `� Income
DESCRIPTION: Qw�rrr[�� T/ 4
NAME OF SOURC
K s,��
inlald, ,
ADDRESS
211 ZjdOt: 54Z& �
CITY AND STATE
SAN a NAM �
BUSINESS ACTIVITY F ANY, OF SOURCE
A
DATE(S):JJ_ -_ /_J_ AMT. $
(Ilapplicable) `J
TYPE OF PAYMENT (must check one) IYG ift � Income
DESCRIPTION: Q JJJ"'��� �
Comments:
> NAME OF SOURCE'
ADDRESS
w r
•/�
CI
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S):J_ /_ -JJ— AMT: $
Q( applicable)
TYPE OF PAYMENT: (must check one) ❑ Gift ❑ Income
DESCRIPTION:
> NAME OF SOURCE
ADDRESS
CITY AND STATE _
BUSINESS ACTIVITY, IF ANY, OF SOURCE
AMT $
(Ifapp'icable)
TYPE OF PAYMENT: (must check one) ❑ Gift ❑ Income
DESCRIPTION.
FPPC Form 700 (200512006) Sch. E
FPPC Toll -Free Helpline: 866 /ASK -FPPC