Bradford JohnsonCALIFORNIA
FORM
700
FAIR POLITICAL PRACTICES
CDMMISSIDN
Please type or print in ink
COVER PAGE
A Public Document
Date Received
RECEIVED
CITY OF ROSEMEAD
MAR 0 3 2005
NAME \\ (LAST) - (FIRST) "�J'�(MIDDLE)��. I LI I Y IgL K LUV(M IL /�RE
iU MaEK
MAILING —ADDRESS SON STREET ? � 4 CITY L J STATE / ` ZIP CODE ( OPTIONAL: FAX I E-MA A
(May use business address)
99 3 b Et 4,11e l3/11el i 0Q5emetCl cy 91770
1 . Office, Agency, or Court
/
Name of Office, Agency, or Court:
L F`� J t`oSCt
Division, Board, Dist 11 rict, if applicable:
���woar y Per l r
Your Position:
L
Ncturtrhy �rre fov
-� 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 feast one box)
❑ State
❑ County of /
XCityof P-sc`I"t"ch'(
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:��
Annual: The period covered is January 1, 2004,
ddd"��C through December 31, 2004.
-or-
0 The period covered is through
December 31, 2004.
❑ Leaving Office Date Left: ---J ---J—
(Check one)
• The period covered is January 1, 2004, through the
date of leaving office.
-o r-
0 The period covered is through
the date of leaving office.
❑ Candidate
STATEMENT OF ECONOMIC I
4, Schedule Summary
(Check applicable schedules or "No reportable interests.')
During the reporting period, did you have 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, & Business Positions (Income Omer than Gifts and
Travel Payments)
Schedule D (Eliminated — report loans on Schedule C)
Schedule E �XI Yes — schedule attached
Income — Gifts ]�
Schedule F : Yes — schedule attached
Income — Travel PSyments
-or-
. . ' No reportable interests on any schedule
Total number of pages
completed including this cover page:
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 _ 31 b
me m, y, year)
Signature -
(File the od fly signed sfalemenl r fling official.)
FPPC Form 700 (200412005)
FPPC Toll -Free Helpline: 8661ASK -FPPC
SCHEDULE E
Income — Gifts
> NAME OF S
Wal& K ve5S /2e,5rv�a�ty K ✓ a l r T�
ADDRESS
7 gpya.. Ao /,? llev 9175
BUSINESS ACTIVIT IF ANY, OF SOURCE pd�A /
fPC C Cow"c.��l n�IeyS i�/ 04�y�y,
DAT, (mryldd /yy) VALUE DESCRIPTION OF GIFT(S)
I ON� I-2/3 ` 7` rr Pre-CoK ✓ rc:�
> NAME OF SOURCE
A/,' rd40 PS
ADDRESS // / Ile #1/05' /31 T C✓'o55rnkd5 Pk /Vol14 .2. dvv y, CA 917
BUSINESS ACTIVITY, IF ANY, OF SOURCE
P re- �: e��� �; (�Ll — 1 0/1/1.
trwr �d0 /1 /u
DATE (mm/ )d /yy) VALUE DESCRIPTION OF GIFT(
'L � l �
v Ii 31 o prc- CoLoc,( 04TJ,
��— $
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
—J � $
$
Comments: 1 A7 A IV /� e
� Lueem two
Nam
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy) VALUE
—J $
DESCRIPTION OF GIFT(S)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy)
VALUE
J _J
$
DESCRIPTION OF GIFT(S)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy) VALUE
$
$
—J %
C G&I
DESCRIPTION OF GIFT(S)
/1W
FPPC Form 700 (200412005) Sch. E
FPPC Toll -Free Helpline: 866 /ASK -FPPC