Edward ClineSTATEMENT OF ECONOMIC INTERESTS
Please type or print in ink
COVER PAGE
A Public Document
R t .. II
CITY OF ROSEng,
MAR 2 2 2005
ITY CLERK'S nuirF
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHO
C 54 2
MAILING ADDRESS MEET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May use business address)
/ 3/ 9 / 6ross road6 � /�J�N 5 40� t�duskq, 64 7e
1 . Office, Agency, or Court
Name of O Ice, Agency, or Court:
011q of g o w wffeAd
Division, Boar District, if applicable:
Your / P ltio :
If filing or 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 �D����
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:__J__J
[✓rAnnual: 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: J ---J
(Check one)
O The period covered is January 1, 2004, 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 10% Ownership)
I
Schedule A -2 ❑ Yes - schedule attached
Investments (10% or greater Ownership)
Schedule B ❑ Yes — schedule attached
Real Property
Schedule C [eYes — schedule attached
Income, Loans, & Business Positions pncoma 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-
r ❑ 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 114 r'^ / ;? la
(month, y, year)
Signature 0,
( e fh riginally signe statement / your fling oKdal.)
FPPC Form 700 (2004/2005)
FPPC Toll -Free Helpllne: 866 /ASK -FPPC
SCHEDULE C CALIFORNIA FORm 700
Income, Loans* & Business FAIR POLITICAL PRACTICES COMMISSION
Positions Name
(Other than Gifts and Travel Payments) 6.�btla rcy -cl
ADDRESS
IF ANY, OF
YOUR
r
M
GROSS INCOME RECEIVED /HIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
❑ $500 - $1,000 ❑ $1,001 - $10,000 -
110,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Property, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
(Describe)
❑ LOAN RECEIVED (complete box 2)
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED /HIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Property, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
(Dascnbe)
❑ LOAN RECEIVED (complete box 2)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED /HIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Property, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source .1$10,000 or more
❑ Other
( Descnbe).
❑ LOAN RECEIVED (complete box 2)
INTEREST RATE
❑ None
TERM (Months /Years)
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street address
❑ Guarantor
❑ Other
* You are not required to report loans from
commercial lending institutions, or any indebtedness
created as part of a retail installment or credit card
transaction, made in the lender's regular course of
business on terms available to members of the
public without regard to your official status.
Comments:
FPPC Form 700 (2004/2005) Sch. C
FPPC Toll -Free Helpline: 866 1ASK -FPPC