2003 (7)STATEMENT OF ECONOMIC INTER O IdE0t et ived
OF ROS[46'
. 7 00 :
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE MAR 2 2004
Please type or print in ink A Public Document ,CITY CLERK OFFIC�.
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May be business 9 a ddress) • # V 1 Ai. w e C A A7 70 -
1 . Office, Agency or Court
Name of Office, Agency or ",n:
Division, Board, District, if applicable: -
Your Position: -
�+ If filing for multiple positions, list additional agency(ies)/
positipn(s): (Attach a separate sheet if necessary.) -
Agency:
..Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑County of �i
Rbty of R ost a
❑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 you have any reportable
interests to disclose on:
Schedule A -1 ❑ Yes - schedule attached
Investments(Lessman to %owns O)
Schedule A - 2. ❑ Yes - schedule attached
investments pim or Bream, Ow smhlp)
Schedule B _
❑ Yes - schedule attached
Real Property -
Schedule C
❑ Yes - schedule attached
Income 8 Business Positions (income Olherlhan Loans, Dlas, and rmveli
Schedule D
❑ Yes - schedule attached
Income - Loans
-
Schedule E -
❑ Yes - schedule attached
Income - Gifts
Schedule F- ❑ Yes - schedule attached
Income - Travel Payments
-or-
.r Jo reportable interests on any schedule
Total number of pages
completed including this cover page:
❑ Assuming Office /Initial Date:_J---J—
YeAnnual: The period covered is January 1, 2003,
through December 31, 2003.
-or-
0 The period covered is —J —I —, through
December 31, 2003.
❑ Leaving Office Dale Left: I
(Check one)
0 The period covered is January 1, 2003, through
the date of leaving office.
-or-
0 The period covered is _J —/ through
the dale 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 under the laws of the State
of California that the foregoing is true and correct.
Date Signed 0 �!� 1 to ' 0
(month, day, year)
Signature
FPPC Form 700 (2 00 312 0 0 4)
FPPC Toll -Free Helpline: 866 /ASK -FPPC