2003 (19)Ft E C Eti 4iyed
CALIF , . STATEMENT OF ECONOMIC INTEREST IrY OF R?T' 'tnt'AO
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE MAR 9 2004
Please type or p 10ITY riot in ink A Public Document CLERK'S OFFICr
.
NAME (LAST)
(FIRST)
(MIDDLE)
DAYTIME TELEPHONE NUMBER
Seo7r
i
P 'A-„
126 2240
MAILING ADDRESS STREET
(May be business address)
CITY
STATE ZIP CODE
OPTIONAL: FAX / E -MAIL ADDRESS
435 54e,
ClArematt eA-
0 1 17/ 1
(bZ) 561 -zz-g3
1 . Office, Agency or Court
Name of Office, Agency or Court:
Division, Board, District, if applicable:
Your Position:
P ,IKk 5WoMjntehde4�
If filing for mulliple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Cheek at least one box)
❑ Stale
❑ County of
- ZCily of
❑ Multi- County
❑ Other
Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:
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)
O The period covered is January 1, 2003, through
the date of leaving office.
-or-
0 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 ❑ Yes - schedule attached
Investments (Less man ro%ownershp)
Schedule A -2 ❑ Yes - schedule attached
Investments (10 % o• greater Dwnsrs p)
Schedule B as - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income 8 Business Positions (income Other man leans, Gigs, and Tmv )
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 6/3 Q
� (mont � hda � y, y
Signature
(File the originally signed statement wish your fling officlel.)
FPPC Form 700 (200312004)
FPPC Toll -Free Helpline: 866/ASK-FPPC
SCHEDULE B
Interests in Real Property
> STREET ADDRESS OR PRECISE LOCATION
x'35 a4e. s;r
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
$100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Rental Property Ownership /Deed 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
P,
or n U41� Nuys c,,k I I4
D
BUSINESS ACTIVITY OF LENDER
W)o ATI4GltS
INTEREST RATE TERM (Mon
s CIO % ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500.- $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ^OVER $100,000
❑ Guarantor, If applicable
Comments:
> STREET ADDRESS OR PRECISE LOCATION
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $to,00l - $100,000 -/_/ 03
❑ $100,001 - $1,000,000 _ ACQUIRED
DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Rental Property ❑ Ownership /Deed of Trust
❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $5oo - $1,000 ❑ $1,001 . $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% of 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 (200312004) Sch. B
FPPC Toll -Free Helpline: 866IASK -FPPC