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Brandon matsdorf
Date Received STATEMENT OF ECONOMIC INTERESTS � CALIFORNIA FORm 700 FAIR POLITICAL PRACTICES COMMISSION COVER PAGE CITY Or P OSEMEAD 2005 Please type or print in ink A Public Document NAME (LAST) (FIRST) (MIDDLE) E F) Nkliatlktj 17 Maisd©r� bra yaa. Leq X17 MAILING ADDRESS ST_ REET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS (May use business address) 49�2>3 W wi`(Lrck, K-\f& V-c&emcCkC� CA anlc) 1 . Office, Agency, or Court Name of Office, Agency, or Court: Tf Com.r'►i Division, Board, District, if applicable: Your Position: COr�m- „�iurnr �+ 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 „� _Y `ewcl ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) 4. Schedule Summary (Check applicable schedules or "No reportable interests.”) — During the reporting period, did youhave any reportable interests to disclose on: Schedule A -1 ❑ Yes - schedule attached Investments (Lass 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 Gins and Travel Payments) Schedule D (Eliminated - report loans on Schedule C) Schedule E ,KYes - schedule attached Income - Gifts Schedule F ❑ Yes - schedule attached Income — Travel Payments -or- ❑ No reportable interests on any schedule Total number of pages completed including this cover page: ❑ Assuming Office /Initial Date: _I —J 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) 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 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. 0 Date Signed (m.nffinnffi day year) Signature��/ ( a the iorally signed statement with your f N g otfcial.) FPPC Form 700 (200412005) FPPC Toll -Free Helpline: 866 1ASK -FPPC