2003 (6)t
STATEMENT OF ECONOMIC INTER � C �o orr 2004 iTly CITY OF CALIFORNIAFORm 700
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE MAR �: lJ
Please type or print in ink A Public Document , OFFICE.
NAME (LAST) (FIRST) (MIDDLE) DRY1lNIEFELEPHONE NUMBER
ALL:Y
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May be business address)
1 . Office, Agency or Court
Name of Office, Agency or Court:
Cf tr•y e 'Ros v m el A.b
Division, Board, District, if applicable:
Your Position: �y
.Ri,LNa1fi� f"e tdlM l SS(0f1�(�
�+
If filing for multiple positions, list additional agency(les)l
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
City of J- 1j6`NC -M CAD
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
4. Schedule Summary
(Check applicable schedules or "No reportable Intemsts.'7
During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 F1 Yes schedule attached
investments(Lsss than lnx Gwrx ,P)
Schedule A -2 -
❑ Yes - schedule attached
Investments (vox or.greatcv GwnersNb)
Schedule B
❑ Yes - schedule attached
Real Property -
- -
Schedule C
❑Yes - schedule attached
Income & Business Positions (tnmme over than Loans, Gins, arm 7ravei)
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gilts -
Schedule F ❑_Yes - schedule attached
Income - Travel Payments
-or-
.. R reportable interests on any schedule
Total number of pages
completed including this cover page:. {
❑ Assuming OfficelInitial Date: —J —J —
❑ Annual: The period covered is January 1, 2003,
through December 31, 2003.
-or-
0 The period covered is —l— through
December 31, 2003.
❑ Leaving Office Dale Left: --/ —J —
(Check one)
• The period covered is January 1, 2003, through
the dale of leaving office.
-or-
• The period covered is _J� —, through
the date of leaving office.
❑ Candidate
5. Verification
Ihave 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.
I certify under penalty of perjury under the laws of the Stale
of California that the foregoing is true and correct. c
Date Signed ,-7�3° 4 -7 ' � ®® Ll
(month day, year)
Signature
(Fip§ the originally signed statement wnn your cling micel.)
FPPC Form 700 (200312004)
FPPC Toll -Free Helpline: BGGIASK -FPPC