Sheri BermejoPlease type or print in ink
NAME (LAST)
(May be business address)',
a8_3 C !Val
STATEMENT OF ECONOMIC INT
COVER PAGE
A Public Document
(FIRST) (MIDDLE)
CITY
cE-- - I x
OF POS
S1EP 1 2005
CITY CLERIC'S
DAYTIME'
j _Iari ! 56 -a)yj
STATE ZIP CODE OPTIONAL. FAX I E -MAIL ADDRESS
d CA
1 . Office, Agency or Court
Name of Office, Agency or Court :
Division, Board, District, if applicable:
Your Position:
ss Is4nigf �jaylriel —
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 least one box)
❑ State
❑ County of
�Cityof keseMPOr1
❑ Multi- County
❑ Other
3. / Type of Statement (Check at least one box)
�ZI Assuming Office /Initial Date:����
///"`❑ Annual: The period covered is January 1, 2003,
- through December 31, 2003.
-or-
0 The period covered is through
December 31, 2003.
❑ Leaving Office Date Left:J
(Check one)
0 The period covered is January 1, 2003, through
the date of .leaving office.
.or-
0 The period covered is / through
the date of leaving office. -
❑ Candidate
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 ao% Ownership)
Schedule A -2 ❑ Yes – schedule attached
Investments (lo %a greater Owrrershlp)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income & Business Positions (Inmme Other than Loans, Gifts, and TraoaQ
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F L] Yes - schedule attached
Income – Travel Payments
.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 underthe laws of the State
of California that the foregoing is true and correct.
Date Signed �.. / —.
- , (month, day, yeah
Signature z4z2a�z . /o
(File the originally s,,?d slalemenl wi r fling official.)
FPPC Form 700 (200312004)
FPPC Toll -Free Helpline: 866 1ASK -FPPC