2003 (8)STATEMENT OF ECONOMIC INTERES E w @Received
fF o r , USe Only
a - a. ITYOFROSEV1Ei;
FATR POLITICAL PRACTICES COMMISSION
COVER PAGE MAR " 2004
.4 pvhur nnrt7n7 Hnt
Please type or print in ink .________— ___- ____._ ,p l C (; i. t H WS 0 F F iL
NAME (LAST) (FIRST). (MIDDLE) DAYTIME TELEPHONE NUMBER
I - A PCbI✓ L1-1A T o 409 i'549229,
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAx / E -MAIL ADDRE S
(May be business address) -
3238 NEGi-r -S Pve R&SEMC CP q 17 b
1 . Office, Agency or Court
Name of Office, Agency or Court:
!-'r of R6Set�M A�
Division, Board, District, if applicable:
Your Position:
COUwC I L_ mCm�€
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 least one box)
❑state
❑- County of
(lcty of ��15 EYYI EAR
❑ Multi- County
❑ Other
3_ Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: ___J_
V Annual: The period covered is January,l, 2003,
through December 31, 2003..
-or-
0 The period covered is __J__J through
December 31, 2003.
❑ Leaving Office Date Left: __J --- J—
(Check one)
• The period covered is January 1, 2003, through
the date of leaving office.
-o r-
• The period covered is �_J —, through
the date of leaving office.
❑ Candidate
4. Schedule Summary
(Check applicable schedules or No reportable interesfs.'7
r During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 ❑ Yes - schedule attached
investments (Lass than io %Ownership) - -
Schedule A -2 ❑ Yes - schedule attached
Investments po% or grealer Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached _
Income & Business Positions pncene other man loans, Gins, aw Toneq
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gilts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
-or-
. YNo reportable interests on any schedule
Total number of pages I
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.
1 certify under penalty of perjury underthe laws of the State
of California that the foregoing is true and correct.
Dale Signed R r a I - 2b
(month, ay, year)
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/ � p 1
Signature ,.��?�r{�1,[7-y_ ) a n a m
( Ile the originally slgnea slelemeM whin your fling official.)
FPPC Form 700 (2003/2004)
FPPC Toll -Free Helpline: 8661ASK -FPPC