Brandi JonesSTATEMENT OF ECONOMIC INTE � E I V MOD V
CALIFORNIA FORM700 clrY OF ROSE MEAD
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
hIAR u 9 2005
Please type or print in ink A Public Document
r
NAME (LAST) (FIRST) (MIDDLE) INE NUMBER
-, �e GZ � :1/IO 1' U� la7t )357 /o f
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May use business address) C
,2g1 1, GheAnI 914-e #B 1?7fnn7u1ct,, elq 9101b
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
Divi�Board, District, if applicable:
Your Position: I _
7�Z /la c° AIWA AO
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
City of WLI �
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
[Q Assuming Office /Initial Date:�p
4. Schedule Summary
(Check applicable schedules or "No reportable interests.')
�+ During the reporting period, did yourhave any reportable
interests to disclose on:
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, 8 Business Positions (Income other than Gilt: and
Travel Payments)
Schedule D (Eliminated — report loans on Schedule C)
Schedule E ❑ Yes — schedule attached
Income — Gifts
Schedule F ❑ Yes — schedule attached
Income — Travel Payments
-o r-
r ONo reportable interests on any schedule
Total number of pages
completed including this cover page:
❑ Annual: The period covered is January 1, 2004,
through December 31, 2004.
-or-
0 The period covered is __J___J through
December 31, 2004.
❑ Leaving Office Date Left: J �
(Check one)
Q The period covered is January 1, 2004, through the
date of leaving office.
-or-
0 The period covered is 1 I through
the date of leaving office.
❑ Candidate
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 ® J
(month, day, year)
i
Signature
FPPC Form 700 (2004/2005)
FPPC Toll -Free Helpline: 666 /ASK -FPPC
STATEMENT OF ECONOMIC
Please type or print In Ink
COVER PAGE
A Public Document
CI OF
JAN 1 3 2005
NAME (LAST) (FIRST)) (MIDDLE) R
MAILING ADDRESS STREET CITY TE ZIP CODE' OPTIONAL: FAX I E -MAIL ADDRESS
(May be business address)
2 4/ /
1 . Office, Agency or Court
Name of Office, Agency or Court:
� &lam Board, District, if applicable:
Your Position:
If fling for multiple positions, list additional ager ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ County of yt��
t[]City of
❑ Multi -County
❑ Other
3. Type of Statement (check at least one box)
2"A'ssuming Office /Initial Date:
❑ Annual: The period covered is January 1, 2003,
through December 31, 2003.
-or-
0 The period covered is �_J through
December 31, 2003.
❑ Leaving Office Date Left:
(Check one)
0 The period covered is January 1, 2D03, through
the dale of leaving office.
-or-
0 The period covered is __J__—/—, through
the date of leaving office.
❑ Candidate
4. Schedule Summary
(Check applicable schedules or "No reportable. interests. 'g
During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 ❑ Yes — schedule attached
Investments rl.ess man to %G,mership)
Schedule A -2 ❑ Yes - schedule attached
Investments (to %w greater ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income & Business Positions (Income other than trans, Gins, ana Tmw)
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
-or-
M1<0 reportable interests on any schedule
Total number of pages I/
completed including this cover page: L
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 / /2 '"
(month, day, year)
Signature
FPPC Toll -Free Helpline: 8661ASK - FPPC