Darrel Keltyrs r l
pale Received
STATEMENT OF ECONOMIC INTERESTS` CITY orhaalvseoM r�
COVER PAGE i
Please type or print in ink A Public Document C11`Y G I- EIi I1`u (3FFICE
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
EG C =y 0,L\2.1_ I VA14lFL-- ( C-C ) �7
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May use business address) - q 43 t4
443 C- L-r- Avg 2 strl��n Cc�, yt�7ca
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
C ( C) P lZ CL e
Division, Board, District, if applicable:
P(Jg Cc k- ,I("
Your Position:
CC) i�,M SS 1tJ h -
-+ If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
fnSdy of (LC�S f�E,wa
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: —��—
Annual: The period covered is January 1, 2005,
through December 31, 2005.
-or-
0 The period covered is through
December 31, 2005.
❑ Leaving Office Date Left:
(Check one)
• The period covered is January 1, 2005, through
the date of leaving office.
-o r-
• The period covered is through
the date of leaving office.
❑ Candidate
4. Schedule Summary
Total number of pages
including this cover page: _
w Check applicable schedules or "No reportable
interests"
I have disclosed interests on one or more of the
attached schedules:
Schedule A -1 es - schedule attached
Investments (Less than ,n% ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (to% or greater Ownership)
Schedule B r Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, & Business Positions (Income other than Gifts
and Travel Payments) _
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Travel Payments
-or-
F 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.
n, 2t, 100 C_
Date Signed (month, d.y, year))
Signature v / C �Q L z
(File the onginally sgned nalement wm your tlhng oftiaal.)
FPPC Form 700 (200512006)
FPPC Toll -Free Helpline: 8661ASK -FPPC
SCHEDULE A -1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10 %)
Do not attach brokerage or financial statements.
5 ' TIE C-C_
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
NATU E OF INVESTMENT
V Stock
❑ Other
IF APPLICABLE, LIST DATE:
❑ $10,001 - $100,000
❑ Over $1,000,000
VOLLIe i5 CE5S
I/f#A r 4" (:r
O5
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
ACQUIRED DISPOSED
> NAME OF HUSINE65 EN IIIY
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:
❑ $10001 - $100,000
❑ Over $1,000,000
J__j 05
ACQUIRED DISPOSED
Comments
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10
❑ $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
IF APPLICABLE, LIST DATE
❑ $10,001 - $100000
❑ Over $1,000,000
ACQUIRED DISPOSED
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10000
❑ $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
IF APPLICABLE, LIST DATE:
❑ $10,001 - $100,000
❑ Over $1,0013,000
ACQUIRED DISPOSED
> NAME OF tlUJINLJ0 EN I I I r
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
1 $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
IF APPLICABLE, LIST DATE'
❑ $10,001 - $100.000
❑ Over $1,000,000
ACQUIRED DISPOSED
FPPC Form 700 (200512006) Sch. A -1
FPPC Toll -Free Helpline: 866 1ASK -FPPC
�_.AAEDULE B
interests in Real Property
(Including Rental Income)
> STREET ADDRESS OR PRECISE LOCATION
4443 E14F_LE /I a9
CITY
F I't /-b . C4.
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
$100,001 - $1000.000
❑ Over $1,000,000
NATURE OF INTEREST
Ownership /Deed of Trust
IF APPLICABLE, LIST DATE:
—J 05
ACQUIRED DISPOSED
❑ Easement
❑ Leasehold ❑
Yrs. n naming
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $to, 001 - $10o00o ❑ 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'
13ianic 0r- Ar
ADDRESS
BUSINESS ACTIVITY OF LENDER
1 `L>IrJS Th F 1 c72 �'.
INTEREST RATE TERM (Months /Years)
3�
.S 3 % ❑None 3()
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
❑ $2,000 - $10,000
❑ $10,001 - $100.000
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership /Deed of Trust
IF APPLICABLE. LIST DATE:
05
ACQUIRED DISPOSED
❑ Easement
❑ Leasehold - ❑
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $o - $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 - $ioo,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 (2 0 0 512 006) Sch. B
FPPC Toll -Free Helpline: 8661ASK -FPPC