2003 (35)a @ R � eceived
OEM STATEMENT OF ECONOMIC INTERESTg E C '86DS&ONy
CITY OF ROSEMEA'L
COVER PAGE MAR 9 2004
A Public Document
1 . Office, Agency or Court
Name of Office, Agency or Court:
Division, Board, District, if applicable:
Your Position:
/ x,je"o D/R 6 2
..� 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
city of A4'�>
❑ Multi -County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial
Annual: The period covered is January 1, 2003,
through December 31, 2003.
-or-
0 The period covered is through
December 31. 2003.
❑ Leaving Office Dale Left: —J
(Check one)
• 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 (leas man rn% Ow noip)
Schedule A -2 ❑ Yes - schedule attached
Investments (ro% or eraster ownenmr)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income 8 Business Positions (income anal than loans, Gras, am Travel)
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
-or-
� &rNo 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 f r1 / 'ii 9
(nn.nth, day, year)
rr, roan rw taumwur/
FPPC Toll -Free Helpline:- 866 /ASK -FPPC
fl .
NAME (LAST)
(FIRST)
(MIDDLE)
- DAVTIMET&EPHONE NUMBER
06AWlk
lAKls
LYn)tj 4
(l a z6 S69 -2-1-Z-/
MAILING ADDRESS STREET
(May be business address)
CITY
STATE ZIP CODE
OPTIONAL: FAX I E -MAIL ADDRESS
S$39 C V^-L6 6tuD.
�20 se/+
A QI1 -7-7
67-6(3 o -42./8
1 . Office, Agency or Court
Name of Office, Agency or Court:
Division, Board, District, if applicable:
Your Position:
/ x,je"o D/R 6 2
..� 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
city of A4'�>
❑ Multi -County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial
Annual: The period covered is January 1, 2003,
through December 31, 2003.
-or-
0 The period covered is through
December 31. 2003.
❑ Leaving Office Dale Left: —J
(Check one)
• 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 (leas man rn% Ow noip)
Schedule A -2 ❑ Yes - schedule attached
Investments (ro% or eraster ownenmr)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income 8 Business Positions (income anal than loans, Gras, am Travel)
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
-or-
� &rNo 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 f r1 / 'ii 9
(nn.nth, day, year)
rr, roan rw taumwur/
FPPC Toll -Free Helpline:- 866 /ASK -FPPC