2003 (5)CALIFORNIAFORM 700
FAIR POLITICAL PRACTICES COMMISSION.
-- B ate - Received
STATEMENT OF ECONOMIC INTERESTS R rm C P_+% ,,,
CITY OF ROSEMEAL
COVER PAGE 1,1AR 9 2004
A Public Document
NAME (LAST) (FIRST) (MIDDLE) DAYTIME IELEPHONE NUMBER
OCEL IDA�,miLeL DAr<<trc_ (; ZG ) ¢q3 - 2473
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May be business address)
444-? r� rt. � l A v t� r c, s ,iZ ryL t"o.q, .C�_ 9 r 710
1 . Office, Agency or Court
Name of Office, Agency or Court: -
C I T-f 0 r 1Z 05 is r-t ra ms
Div ision, Board, District, if applicable:
r - -
L14N K6'11 5 CO r� fKt S$ 10/4
Your Position:
CO tK K t. AY S ION $L
If fling for multiple positions, list additional agency(ies)l
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at feast one box)
❑State -
❑ County of _
[City of rz OS Et- atEPO-
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Officellnitial Date:.) —/ —
❑ Annual: The period covered is January 1, 2003,
through December 31, 2003.
-o r-
The period covered is li�r f 63 , through
December 31, 2003. -
❑ Leaving Office Dale Left: --J ----J—
(Check one)
• The period covered is January 1, 2003, through
the date of leaving office.
-or-
O The period covered is through
the dale 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 211es - schedule attached
Investments (Less than tow ownership)
Schedule A -2 ❑ Yes - .schedule attached _
investments (imerge,ateroerarstep)
Schedule B Z ieS schedule attached
Real Properly
Schedule C ❑ Yes - schedule attached
Income & Business Positions (lneome aher0an Loans. Gms, and Travel)
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached -
Income - Gilts
Schedule F - ❑ Yes - schedule attached
Income - Travel Pay/nents
-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. 1 have reviewed this statement and to the best of
my knowledge the information contained herein and in any
attached schedules is true and complete.
1 certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed
(month, day, year)
Signature
(He the originally signed statement with your fling oOi. -I )
FPPC Form 700 (2003/2004)
FPPC Toll -Free Helpline: 8661ASK -FPPC
SCHEDULE A -1
Investments
Name
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10 %)
Do not attach brokerage or financial statements.
> NAME OF BUSINESS ENTITY
A K S z w r--`
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE -
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NAT OF INVESTMENT
Sto S -e O
ck �o g Sk n.n -.•'fir
❑ Other
(Describe)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
❑ $10,001 - $100,000
❑ Over $1,000,000
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
IF APPLICABLE, LIST DATE:
❑ $10,001 - $100,000
❑ Over $1,000,000
j_J 03 _ _j___j 03
ACQUIRED DISPOSED
Comments:
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 — $10,000
❑$10,001 - $100,000
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
IF APPLICABLE, LIST DATE: -
J -/ 03 l 03
ACQUIRED DISPOSED
> NAME OF .BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
❑ $10,001 - $100,000
❑ Over $1,000,000
IF APPLICABLE, LIST DATE:
_/__J 03 __j
ACQUIRED DISPOSED
-
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
(D.onb.)
IF APPLICABLE, LIST DATE:
IJ 03
J� 03
ACQUIRED
DISPOSED
FPPC Form 700 (200312004) Sch. A -1
FPPC Toll -Free Helle ine: 866/ASK-FPPC
SCHEDULE B
Interests in Real Property
> STREET ADDRESS OR PRECISE LOCATION
40+4 1- 42�e4 >A��
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
IE $tAOO1- $1OO,000 J� 03
� / ACQUIRED DISPOSED
$100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTERES
❑ Rental Properly Ownership /Deed of Trust ❑ Ease menl
❑ Leasehold ❑
- Yrs. remaining Other '-
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $o - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source . of
income of $10,000 or more.
NAME OF LENDER
G^KIC a
ADDRESS
A n+ ts-2 1 C /9.
BUSINESS ACTIVITY OF LENDER -
W M . 1`40fLT t 4 C E.
INTEREST RATE TERM (Months /Years)
5 3 /g % ❑None 3 YIE Il
HIGHEST BALANCE DURING REPORTING PERIOD
n $Sy0 - $1,000 F1 $1,001 - $10,000
$10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Comments:
Name
OAZP -e- 14eL'
> STREET ADDRESS OR PRECISE LOCA11ON
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
- El $10,001 - $100,000 JU 03 �J 03
ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ 0Y $1,000,000 -
NATURE OF INTEREST _
❑ Rental Property ❑ Ownership /Dead of Trust ❑ Easement
❑ Leasehold - ❑-
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
_ interest, list the name of each tenant that is a single source of
income of $10,000 or more.
NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (Months /Years)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
FPPC Form 700 (2003/2004) Sch. B
FPPC Toll -Free Helpline: 866 /ASK -FPPC