2003 (31)STATEMENT OF ECONOMIC INTERES SITY OF RO
COVER PAGE MAR 9 2004
Please type or print in ink A Public Document "I9Y CLERK'S OFF[
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
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MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May be business address) -
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1 . Office, Agency or Court
Name of Office, Agency or Court: _
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Division, Board, District, if applicable:
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Your Position:
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If fling 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
)za7Cityof 2 051 = /✓✓11%x0
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: ---- J __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 ❑ Yes - schedule attached
Investments (Less man to% owraysnrp)
Schedule A -2 ❑ Yes - schedule attached
Investments (to% or greater ow iars p)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income 8 Business Positions (income Omer roan Loans, Gals, and Tmvep
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gilts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
-or-
"WIND reportable interests on any schedule
Total number of pages
completed including this cover page:
5. Verification
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 l_ (qnUil -4 o d ° V V
(month, day, year)
Signature
(File the originally signed statement with your fling official.)
FPPC Form 700 (200312004).
FPPC Toll -Free Helpline: 866/ASK -FPPC