2003 (13)Please type or print in ink
�C NS f Received
STATEMENT OF ECONOMIC INTE
OF ROSEI�"l�'At'
COVER PAGE (t ": %a_R 1 2004 i
A Public Document CITY CLERK'S OFFW7
NAME (LAST)
.(FIRST)
(MIDDLE)
DAYTIME TELEPHONE NUMBER
K 'ss
Rc)licnr
( 9Vf ) S -9109
MAILING ADDRESS STREET
CITY
STATE
ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May be business address)
'7y ?s a111 P-
G.� vc�
C
-
IPUP - //s'9
1 . Office, Agency or Court
Name of Office, Agenc or Court:
C i of �oS[- _* -tcna
Division, Bard, District, if applicable:
Your Position:
C � � Arre.�✓�'1
�* If filing for multiple positions, list additional agency(ies)/
position(s): - (Attach a separate sheet if necessary.)
Agency: �culesr t- o.•+•rwa - ✓210 %.nrr �o.+AJ-
w¢1.aCyr> rrfr ✓G Dev�oM1+es•T Lrow.A.
Position: 15-i l !.'O✓
2. Jurisdiction of Office (cheek at feast one box)
❑ State
❑ County of
(City of VoJiO. Al'p-TJ
❑ Multi -County
❑ Other
3- Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: ___j_
Annual: The period covered is January 1, 2003,
through December 31, 2003.
-or-
0 The period covered is through
December 31, 2003.
❑ Leaving Office Date Left:
(Check one)
0 The period covered is January 1, 2003, through
the date of leaving office.
-or-
0 The period covered is through
the date 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 R Yes — schedule attached -
investments (Less Man tow Ownership)
Schedule A -2 [A Yes —_ schedule attached
Investments (fox o. aramer ownership)
Schedule B Yes — schedule attached
Real Property -
Schedule C Yes — schedule attached
Income & Business Positions (Income other Man Loans, rns, and rra nl
Schedule D ❑ Yes — schedule attached
Income — Loans
Schedule E ® Yes — 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:.
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 02- ;
A 0,a ` (m oo r nth, day, year)
L_
Signature 6 4_' (m
4file the originally signed statement with your filing official.)
FPPC Form 700 (200312004)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
SCHEDULE A -1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10 %)
Do not attach brokerage or financial statements.
OF BUSINESS
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
p
IbN1Jw ✓6 feYW14e X
FAIR MARKET VALUE
❑ S2,000 - $10,000 g$10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ over $1,000,000
NATURE OF INVESTMENT
Stock
❑ Other
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
1 OF BUSINESS ENTITY
I Ar Tr;rw' 1: 4 r✓,
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
hj9ta$f C tv e/
Fr�rlrl CPK/P�.«twr
FAIR MARKET VALUE
R &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:
ACQUIRED ,DISPOSED
> NAME OF BUSINESS NTITY
/�FI�rnJ � TtZS
GEN 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
(pescnbe)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Comments.
CALIFORNIAFORM 700
FAIR POLITICAL PRACTICES COMMISSION
> NAME OF BUSINESS ENIIIT
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE _
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ $10,001 - $100,000
❑ Over $1,000,000
❑ Other
(Oescnbel
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
❑ $10,001 - $100,000
❑ Over $1,000,000
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
FPPC Form 700 (200312004) Sch. A -1
FPPC Toll -Free Helpline: 8661ASK -FPPC
SCHEDULE A -2
Investments, Income, and Assets
of Business Entities /Trusts
(Ownership Interest is 10% or Greater)
t /Ca /trr�
Name
' 2800 aSn4 ✓r er�„� fir
Address j' a /fp, /VLOrJ /G4 c.4 90 Ya
Check one
❑ Trust, go to 2 N.Business Entity, complete the box, than go to F
DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
El $10,001 - $100,000 03
® $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Sole Proprietorship ® Partnership ❑
�®g/n ahe,
YOUR BUSINESS POSITION y/9n7meK�
❑ $0 - $499 ❑ $10,001 - $100,000
❑$500 - $1,000 OVER $100,000
❑$1,001- $10,000
C I r) Of A &A �yp�L4tj �in. rx,
Cfr, •ir SA'j 4 A j & I - Va
CIII sP L & , w t. , d ( b it - pews /Vgm
Check one box:
❑ INVESTMENT ❑REAL PROPERTY
Name of Business Entity or
Street Address or Assessors Parcal Number of Real Property
❑ Leasehold ❑ Other
Yrs. remaining
❑ Check box 8 additional schedules reporting investments or real property
are attached
C
Check one
❑ Trust, go 10 2 ❑ Business Entity, compiefe the box, then go 10 2
GENERAL DESCRIPTION OF BUSINESS .ACTIVITY
i MARKET VALUE IF APPLICABLE, LIST DATE:
$2,000 - $10,000
$10,001 - $100,000 1 1 03 __J__j 03
$100,001 - $1,000,000 ACQUIRED DISPOSED
Over $1,000,000
URE OF INVESTMENT
Sole Proprietorship. ❑Partnership ❑
JR BUSINESS POSITION
Me
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500- $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
Check one box:
M INVESTMENT
❑ REAL PROPERTY
Name of Business Entity or
Street Address or Assessor's Pamel Number of Real Property
Description of Business Activity 2
Description of Business Activity ar
Property
City or Other Precise Location of Real
Properly
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 . $10,000
❑ $10,001.- $100,000
�J U3 J 03
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Stock ❑ Partnership
❑ Property Ownership/Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. remaining
❑ Check box 8 additional schedules reporting investments or real property
are attached
C
Check one
❑ Trust, go 10 2 ❑ Business Entity, compiefe the box, then go 10 2
GENERAL DESCRIPTION OF BUSINESS .ACTIVITY
i MARKET VALUE IF APPLICABLE, LIST DATE:
$2,000 - $10,000
$10,001 - $100,000 1 1 03 __J__j 03
$100,001 - $1,000,000 ACQUIRED DISPOSED
Over $1,000,000
URE OF INVESTMENT
Sole Proprietorship. ❑Partnership ❑
JR BUSINESS POSITION
Me
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500- $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
Check one box:
M INVESTMENT
❑ REAL PROPERTY
Name of Business Entity or
Street Address or Assessor's Pamel Number of Real Property
Description of Business Activity 2
City or Other Precise Location of Real
Property
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
El $10,001 - $100,000
03 1__j 03
❑ $100,001 - $1,000,000 -
ACQUIRED DISPOSED
ti
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold - ❑ Other
Yrs. remaining
❑ Check box if addilianal schedules reporting investments or real property
are attached
FPPC Form 700 (20 0 312 0 0 4) Sch. A -2
FPPC Toll -Free Helpline: 866/ASK-FPPC
SCHEDULE B
Interests in Real Property Name
�fl3�r /mss
> STREET ADDRESS OR PRECISE LOCATION
/y$S3 /Nu�a�nj �soz
CITY
t4*jrnew c k g 06o,fl
FAIR MARKET VALUE iF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
. ❑ $10,001 - s100,000 -J--J 03 J-� -03
5100,001- $1.000,000 ACQUIRED DISPOSED
❑ Over $1,000,006 -
NATURE OF INTEREST
--
09, Rental Property ❑ Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$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.
STREET ADDRESS OR PRECISE LOCATION.
CITY
FAIR MARKET VALUE - IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
El s 10,001 - $100,000 .�U 03 �� 03
ACQUIRED DISPOSED
❑ s100,001 - $1.000,000
❑ Over $1,000,000 _
NATURE OF INTEREST
❑ - Rental Property ❑ Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs remaining Diner
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ So - $499 E] $500 - $1,000 ❑- $1,001 -- $10,000
❑$10,001 = ..8100,000 ❑ 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
W.K�LrVHr (-
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM ( Months /Years)
-( .-r % ❑ None Jig 1y Ks
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000. ❑ $1,001 - $10,000
$10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Comments,
NAME OF LENDER - -
ADDRESS
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (Months/Yeam)
%_ ❑ 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 (2 0 0 3120 0 4) Sch. B
FPPC Toll -Free Helpline: 066 1ASK -FPPC
SCHEDULE C
Income & Business Positions Name
(Income Other than Loans, Gifts, and RodatT A fx
Travel Payments)
> NAME OF SOURCE
-' '/
�F1LLiJ K/W fl gLftf *t& F k4ol ✓/T
ADDRESS
;§iso a?Snd jr Swis 31r- 5e'r A 07" 1
BUSINESS IF ANY, OF SOURCE
� I zn
Y BUSINESS POSITION
/ �0
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ®,OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Properly. coq Goal. etc.)
❑ Commission or ❑ Rental Income, - list each source or 510,000 or mare
Other 1457 I NLAP ' -fKNf OF P&WEVffn /,vls�+e�
(Describe)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑.$10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
fPmpertY, car, boar, etc.J
❑ Commission or ❑ Rental Income, list each spume of $10,000 or more
❑ Omer
(Describe) _
> NAME OF SOURCE
ADDRESS
- BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ S500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
Properly, car, brat. elc.J
❑ Commission or ❑ Rental Income, list each source of $10,000 or mare
❑ Other
Comments,
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000 -
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(PropeOY. car, baal, evcJ
❑ Commission cr ❑ Rental Income, list each source of 510.000 or more
❑ Other
FPPC Form 700 (200312004) Sch. C
FPPC Toll -Free Helpline: 8661ASK -FPPC
SCHEDULE E
Income — Gifts
>
NAME OF SOURCE /
[� /LLDy� dn�' o� Co�B'✓ /�S
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
EN61AjW4J -AAA94✓- - A10^ 11 1 1
DATE (mrNdd / / VALUE DESCRIPTION OF GIFT(S)
0� / s 7f• 00 00 D IBG✓
� _g�j nJ B P D. 00 MICK34L -PIATf
pOOO Y_ r
P7 J a $ .S'D.00 poop it Qev
> NAME OF SOURCE
A111 L'q' W " CVA✓77.✓c!c -- t)
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mnVdd /yy) VALUE DESCRIPTION OF GIFT(S)
07�J 7 7S.00 Foon+[Te�
ntwr
o0o y fjN
> NAME OF SOURCE
( Tljpo1AC -.
ADDRESS
BUSIN ACTIVITY, IF A NY, OF SOURCE
KCFair 1-
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
_0r,J s ' ra oo Fcvo y- 9 Zia
__J __J_ s
__J __J— s
Comments;
Nam //// /-
/V/:J�T
. NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
$
--J _J $
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /ddlyy) VALUE
__J __1_ s
DESCRIPTION OF GIFT(S)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE -
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
� J— s
� J s
$
FPPC Form 700 (2003/2004) Sch. E
FPPC Toll -Free Helpline: B661ASK -FPPC