Edward QuintanillaSTATEMENT OF ECONOMIC INTERE �� ha 700 Tt"
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CALIF ORNIA • CITY CI- kUE %Ei,!EAD
FAIR POLITICAL PRACTICES COMMISSION
COVER PAGE ZpD5
Please type or print in ink A Public Document
CITY CLERK'S OFFIC
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
N A fi /F A 6Z ) s M KS
MAILING AIrRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May use business address)
ILII 6. 6v .S% 9 - )o
1 . Office, Agency, or Court
Name of Office, Agency, or Cou
If rLJ
Division, Board, District, if applicable:
WA-
YourTPosition: _
If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency: N
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
IB'Et C�M'
❑ Multi -County
❑ Other
3. Type of Statement (Check at least one box)
4. Schedule Summary
(Check applicable schedules or "No reportable Interests.')
r During the reporting period, did youhave 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
F1 Yes – schedule attached -
Real Property
Schedule C
❑ Yes – schedule attached
Income, Loans,
& Business Positions (Income Other than Gifts 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
.or-
mIO interests on any schedule
Total number of pages
completed including this cover page:
❑ Assuming Office /Initial Date:��
nnual: The period covered is January 1, 2004,
through December 31, 2004.
-or-
0 The period covered is through
December 31. 2004.
❑ Leaving Office Date Left:
(Check one)
0 The period covered is January 1, 2004, through the
date of leaving office.
-or-
0 The period covered is —JJ through
the date of leaving office.
❑ Candidate
5. Verification
1 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 IM 24 / _
(month, day, year)
Signature /
(File thethe o� si d statement with Your filing official.).
FPPC Form 700 (200412005)
FPPC Toll -Free Helpline: 866 /ASK -FPPC