Duc LoiSTATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink A. Public Document
�a "R'eceived o
CITY ��o`a7Af oW�r,D i
IcET, LC`(
NAME - (LAST) (FIRST) v ) (MIDDLE) DAYTIME TELEPHONE NUMBER
� /) u C_ ( 6& ) 673- I1 PC?
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May use business address)
-77kf c z� orJ g ee— Yi77(
1 . Office, Agency, or Court
Name of Office, Agency, or Court: /
Division; Board, District, if applicable:
L ✓r r✓ C4 �t rtvj S f (are
Your Position: -
�* If filing for multiple positions, list additional agency(ies) /.
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (cheek at least one box)
❑ State
❑ County of
EKIty of
❑ Multi- County
❑ Other
3. Type of
❑ Assuming Office /Initial
(Check of least one box)
Date:
I Annual: The period covered is January 1, 2005,
through December 31, 2005.
-o r-
Q The period covered is _... J —, through
December 31, 2005.
❑ Leaving Office Date Left:
(Check one)
• The period covered is January 1, 2005, through
the date of leaving office.
-or-
O The period covered Is .. J—__J through
the date of leaving office.
❑ Candidate
4. Schedule Summary
Total number of pages l
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 Ihan to% Ownersh(p)
Schedule A -2 ❑ Yes — schedule attached
Investments (10% or greater Ownership)
Schedule B ❑ Yes — schedule attached
Real Property
Schedule C ❑ Yes — schedule attached
Income, Loalis, & Business Positions (Income Other than Glfls
and . 7ravel Payments)
Schedule D ❑ Yes — schedule attached
Income — Gifts
Schedule E ❑ Yes — schedule attached
Income — Travel Payments
-or-
[o�(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.
certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed
Signature
I
FPPC Form 700 (200512006)
FPPC Toll -Free Helpline: 8Fe /A5K - 1r1`U