Milan MrakichC. GF % AC IJo - tzosls
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
CT ?� �l' 2aSl;M�iao
Division, Board, District, if applicable:
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 (Check at feast one box)
❑ State
❑ County of
City of �'
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
CA X1/77 O
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 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
-o r-
—xNo reportable interests on any schedule
Total number of pages /
completed including this cover page:
❑Assuming Office /Initial Date:
Annual: 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)
Q The period covered is January 1, 2004, through the
date of leaving office.
-or-
0 The period covered is 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 M q LL4* °2 a 00_5�
(month, day, year)
Signature �'^ �
(File the originally signetl statement with your filing ottraal.)
FPPC Form 700 (200412005)
FPPC Toll -Free Helpline: 866 1ASK -FPPC
Date Received
STATEM
OF ECONOMIC INTERESTS
oft'd.1 U.. Ony
_ _
o n
w t Z: I V E r '
FAIR POLITICAL PRACTICES COMMISSION
I
COVER PAGE
{ IIIT f OF ROSEMEAD
'�''� 2005
Public Document
-
Please type or print in ink
J A'
NAME (LAST)
(F MICE
(MIDDLE)
DAYTIME TELEPHONE NUMBER
MkgK1-0 1
CITY CLERK'S
VYI Al -- r#Cd
( bdc ) 5 -o2iyf
j
MAILING ADDRESS STREET CITY
STATE ZIP CODE
OPTIONAL: FAX I E -MAIL ADDRESS
(May use business address)
C. GF % AC IJo - tzosls
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
CT ?� �l' 2aSl;M�iao
Division, Board, District, if applicable:
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 (Check at feast one box)
❑ State
❑ County of
City of �'
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
CA X1/77 O
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 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
-o r-
—xNo reportable interests on any schedule
Total number of pages /
completed including this cover page:
❑Assuming Office /Initial Date:
Annual: 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)
Q The period covered is January 1, 2004, through the
date of leaving office.
-or-
0 The period covered is 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 M q LL4* °2 a 00_5�
(month, day, year)
Signature �'^ �
(File the originally signetl statement with your filing ottraal.)
FPPC Form 700 (200412005)
FPPC Toll -Free Helpline: 866 1ASK -FPPC