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2003 (39)° -. E C E f V EtLR ' ceive STATEMENT OF ECONOMIC INT ITESTSIF ROSEME%ly SP only COVER PAGE OCT 0 2003 FAIR POLITICAL PRACTICES COMMISSID1 I A Public Document PITY CLE'RK'S OFFICE Please type or print in ink - ° °-- -- - " -- i NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER GEN,TPri 1K1 MIC1 REL SOv? 4 -W )U -G7Z7 MAILING ADDRESS - STREET CITY - ZIP CODE OPTIONAL: FAX/ E-MAIL ADDR SS (May be business address) 0 - 6 — 3 Bq — q l T7yP, CA rntA"eltn4la rt4�) 1 . Office, Agency or Court Name: Tf2Af;PiC C Mlu lSC,1aM Division, Board, District, if applicable: M E ligE2 of= TR-APi c C(%A04ISSl Position: �+ 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 /east one box) ❑ State ❑ County of M.Cityof �2 ©sle-lMERO ❑ Multi- County ❑ Other =Assuming atement (Check at least one box) lk ficellnitial Date: � � 03 E] Annual: The period covered is January 1, 2002, through December 31, 2002. -or- Q The period covered is December 31, 2002. through ❑ Leaving Office Date Left: (Check one) Q The period covered is January 1, 2002, through the date of leaving office. -or- Q The period covered is �� —, through the date of leaving office. E] 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 E] Yes - schedule attached Investments (Lass than w % ownarshlp) - Schedule A -2 ❑ Yes — schedule attached Investments nom or grea,er ownarship) Schedule B E] Yes - schedule attached Real Property Schedule C Yes - schedule attached Income & Business Positions imcome Omer than Loans, Gins, and'rravail Schedule D ❑ Yes - schedule attached - income - Loans Schedule E ❑ Yes - schedule attached Income - Gifts Schedule F E] Yes - schedule attached Income - Travel Payments -or- ❑ No reportable interests on any schedule Total number of gages completed including this cover page:) 5. Verification. I have used all reasonable diligence in preparing this statement. 1 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 1 e`'g ( (month, day, year) t Signature (F a the riginally sign lem n with ur filing ollicial.) FPPC Form 700 (200212003) FPPC Toll -Free Heloline: 866 /ASK -FPPC SCHEDULE A -1 I • • Investments FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests e (Ownership Interest is Less Than 10 %) Do not attach brokerage or financial statements. > .NAME OF BUSINESS ENTITY - - > NAME OF BUSINESS ENTITY -. G NERAL DESCRIPTION OF BUSINESS ACTIVITY BE ERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR ARKET VALUE FAIR ARKET VALUE ❑ $2, 0o - $10,000 ❑ $10,001 - $100,00 ❑ $2, 00 - $10,000 ❑ $10,001 - $too, 0 ❑ $10 001 - $1,00QD00 ❑ Over $1,000,000 ❑ $10 ,001 - $1,000,000 ❑ Over $1,ODO,0 NATURE FINVESTMENT NATURE FINVESTMENT El lack ❑ Stoc ❑ Other ❑ Other (Describe) (Describe IF APPLICABLE, LIST DATE: - IF APPLICA E, LIST DATE: �� 0 -� —J 02 —J 02 02 ACQUIRED DISPOS D ACQUIRE DISP SED > NAME OF BUSINES ENTITY > BUSI ESE ENTITY GENERAL DESCRIPTIO OF SINESS ACTIVITY L DESCR TION OF USINESS ACTIVITY FAIR MARKET VALUE KET VALUE E] $2,000 - $10,000 ❑ $10,001 - $100,000 0 - $10,000 ❑ $10,001 - $100,000 - ❑ $100,00/ - $1,000,0 E) over $1,000,000 ,00/ - $1,000, 0 ❑ Ovei $1,000,000 NATURE OFINVESTM T OF INVEST T I ❑ Stock ck ❑ Other - er (Describe) (De cribs) IF APPLICABLE, LI T DATE: CABLE, ST DATE- 0 — J 2 0 � 02 ACQUIRED DISPOSED UIRED SPOSED > NAME OF BUS ESS ENTITY > NAME OF BUS NESS ENTITY GENERAL D SCRIPTION OF BUSINESS ACTT ITY SCRIPTION OF BUSIN SS ACTIVITY FAIR MAR VALUE T VALUE E] $2,OD - $10,000 ❑ $10,001 - $100, 00 $10,000 E) $10,0 1 - $100,000 $100, D1 - $1,000,000 ❑Over $1000,OOD t Over - $1,000,000 ❑Over $ ,000,000 NATUR OF INVESTMENT INVESTMENT St ck Other (Describe) - (Describe) IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE. ACQUIRED DISPOSED ACQUIRED DISPOSED Comments: )s FPPC Form 700 (200212003) Sch. A -1 SCHEDULE A -2 Investments, Income, and Assets of Business Entities/Trusts (Ownership, Interest is 10% or Greater) Name Address Check one ❑ Trust, go GENERAL DESC FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $1o,00l - $1oo,oc ❑ $100,001 $1,,Ooc ❑ Over $1,000,000 NATURE OF INVESTN ❑ Sole Proprietorship YOUR BUSINESS PO ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 -Check one box: ❑ INVESTMENT Street Address or ❑ Business Entity, complete the b-1, then go to 2 OF BUSINESS ACTIVITY IF APPLICABLE, T E: —J 02 j DAT 02 ACQUIRED DISPOSED Partnership ❑ ore, O r D , 001 $100,000 ❑ ER 00,000 REAL Q x's Parcel Number of Re I Property Trust, go to 2 ❑ Business Entity, complete the bofr, then go to 2 kL DESCRIPTION OF BUSINESS ACTIVITY FAIR MA KET VALUE IF APPLICABLE LIST DATE: ] $10,000 ] $10,00 - $1oo,000 /02 ] $100,00 - $1,000,000 ACQUI D DISPOSED ] Over $1, 00,000 NATURE OF ESTMENT Sole Propriel rship ❑ Partnership Other to nIle Ile,nlCCC �/1CITIlI�I ❑ $0 - $499 ❑ $500 - $1,00o ❑ $1,001 - $10,000 Check one bar 0,001 - $100,000 /ER $100,000 ❑ INVESTME ❑ REAL PAPPERTY Name of Beyy iness Entity or Slreel Address or Assessors Parcel Numb of Real Property Description of Busi ass Activity or .. Description of Business Activity or City or Other Ol Location of Real Property City or � Precise Location of Real Property \ FAIR MARKET VA UE IF APPLICABLE, 1ST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: El $2,000 - $10 00 ❑ $2,000 - $10,000 7$ 10,001 $1 0,0or - — / — J 02 02 ED $10.001 - $100,000 — �� 02 �� 02 ❑ $100,001 - $ ,000,000 ACQUIRED DISPOSED ❑ $100,001 - s1,0oo,0o0 ACQUIRED DISPOSED ❑ Over $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other ❑ Leasehold ❑ Other Ym. mmaining Yrs. remaining ❑ Check box if additional schedules reporting investments or real property ❑ Check box it additional schedules reporting Investments or real property are attached a are attached Comments: /116 1 FPPC Form 700 (200212003) Sch. A -2- SCHEDULE B Interests in Real Property > STREET ADDRESS OR PRECISE LOCATION CITY FAIR MARKET V UE IF APPLICABLE, 7LISTD E: $2,000 - $100 0 $10,001 - $100, oo J 02 ACQUIRED OSED $100,001 $1,0 ,000 Over $1,000,000 NATURE OF INTERE T Rental Property Ownership /Deed of Trus sement ❑ Leasehold ❑ Other AOU ining IF RENTAL PROSS INCOME REC IVED ❑ $0 - $499 - '$1,000 $1,001 - $10,000 F $10,001 - $1❑ OVER 00,000 SOURCES OF R E- If you wn a -10 % or greater interest, list thea h t enant that is a single source o1 income of $10,e. NAME OF LENDER ADDRESS BUSINESS ACTIVITY OF INTEREST RATE TERM (Mo hs/Years) % ❑ Non HIGHEST BALANCE OUR G REPORTING PERIO ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $lo,00l - $100,000 ❑ OVER $100,000 ❑ Guarantor, it applicable Comments: ojq )z > STREET ADDRESS OR PRECISE LOCATION CITY FAIR M RKEI VALUl, ❑ $2,00 - $10,000 ❑ $10,0 - $100,000 ❑ $100,0 - $1,000,000 ❑ Over $1, 00,000 NATURE OF11 TEREST ❑ Rental Prop ny ❑ Owner ❑ Leaseholtl rs. remaining IF RENTAL PROPER \ GROSS J E) $0 - $499 ❑ [] $10,00l - $100000 SOURCES OF RENTAL interest, list the name of ea&, income of $10,000 or more/ NAME OF LENDER ADDRESS IF APPLICAB E, LIST DATE: 7g2 _/ 1 02 ACQUIRED DISPOSED of trust ❑ Easement C E RECEIVED 1 El $1,001 - $10,000 OVER $100,OOD - If you own a 10% or greater enant that is a single source of BUSINESS ACTIVITA OF LENDER INTEREST TERM (Months /Years) %/ ❑ None HIGHEST BALANCE DURING REPORTING .PERIOD ❑ $500 - $1,000 ❑ $1,001 - $io,0o0 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, it applicable FPPC Form 700 (2002/2003) Sch. B FPPC Toll -Free Helpline: 866 /ASK -FPPC SCHEDULE C Income & Business Positions (Income Other than Loans, Gifts, and rLe Travel Payments) (31J-�Wttty > NAME OF SOURCE Co tzQ-A s C, ADDRESS l"QJL1 - Ws, cfA 10(0 19Z - 1 ujcry BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION :5t2 SfFLEs E NbINGEIL GROSS INCOME RECEIVED ❑ $soo - $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 (Property, car, boat, etc.) ❑ Commission or ❑ Rental Income, fisr each source of 510,000 or more ❑ Other > NAME O _ \RCE ADDRESS BUSINESS ACTIVITY YOUR BUSINESS PC (Describe) OF SOURCE GROSS INCOME RECEIVED\ ❑ $soo - $1,000 ❑ \ � a T , ❑ $10,001 - $100,000 ❑ CONSIDERATION FOR WHICH I ❑ Salary ❑ Spou, ❑ Sale of /(Propa rr , ` � \ car, beef , em.) inc Dme, If�r each source o! 510.000 or more ❑ Commission or ❑ ❑ Other Comments: ,001 - V10,000 7ME WAS RECEIVED income ❑ Loan repayment > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, K ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED - ❑ $soo - $1,000 [] $1,001 - ,000 ❑ $10,001 - $100,000 E] OVER $ 00, 0 CONSIDERATION FOR WHICH INC ME WAS R WED E] salary E] Spouse' income ❑ an repayment ❑ Sale of (Properly, car, boa, em.) ❑ Commission or ❑ Rental Income, liar each source or Sto,000 or more ❑ Other > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, OF SOURCE YOUR BUSINESS PO GROSS INCOME RECEIVED ❑ $soo - $1,000 ❑ $t,00 ❑ $10.001 - $100,0100 ❑ OVER CONSIDERATION FOR WHICH INCI ❑ Salary ❑ Spouse's ❑ Sale of ❑ Commission or ❑ Rental RECEIVED ❑ Loan repayment .1. boat, etc.)\ list each source of 510,000 or more ❑ Other FPPC Form 700 (20D2/2003) Sch. C FPPC Toll -Free Helpline: B66 /ASK -FPPC SCHEDU Income — (Received or OI > NAME OF LENDER BUS SS ACTIVITY OF LENDER INTERES RATE TERM(Mon % ❑ None HIGHEST R LANCE DURING REPORTING PE ❑ $500 - $1, 00 ❑ $1,001 - $10,000 ❑ $10,001 - 00,000 ❑ OVER $100,000 SECURITY FO LOAN' ❑ None ❑ Personal residence ❑ Real Property Sbeel add ss ❑ Guarantor ❑ Other > NAME OF LENDER ADDRESS BUSINESS ACTIVITY OF LEN[ INTEREST RATE TERM (Months /Years) % ❑ None HIGHEST BALANCE DURI G REPO TING PERIOD ❑ $500 - $1,00o ❑ $1,001 - $1(),000 $10,nol - $10 ❑ 0,o0o ❑ OVER $1 ,000 SECURITY FOR LOAN ❑ None ❑ P [son at residence ❑ Real Property sr.aPi address ❑ Guarantor ❑ Other _ Comments: - LE D Loans Itstanding) > NAME OF LENDER ADDRESS 7DURI ACTIVITY OF LENDER . RATE TE M (Months /Years) % ❑ None ALANCE DURING REP RTING PERIOD $ ,000 ❑ $1, 1 - $10,000 1 - 1 00,000 ❑ O ER $100,000 FO LOAN ❑ Pars nal residence roperly s„PPi AHH Pqs ❑ Guarantor ❑ Other (Describe) > NAME OF LEN ER ADDRESS BUSINES ACTIVITY OF LENDER INTE ST RATE TER (MonlhsN, % ❑ None HI HEST BALANCE DURING REPORTING P RIOD $500 - $1,000 ❑ $1,001 - $10,000 S10,001 — $100,000 ❑ OVER $100,000 SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Properly veal add,", ❑ Guarantor ❑ Other — FPPC Form 700 (2002/2003) Sch. D FPPC Toll -Free Helpline: 866 1ASK -FPPC SCHEDULE E Comments: G FPPC Form 700 (200212003) Sch. E FPPC Toll -Free Helpline: 866 /ASK -FPPC Incom — Gifts Name M 1CFF�tL�, �5�rm�1 > NAME OF SOURCE - > NAME OF SOURCE AD 55 - ADDRESS IF BUSINESS AC ITY, IF ANY, BUSIN ACTIVITY, IF ANY, OF SOU OF SOURCE DESCRIPTION OF DATE DESCRIPTION OF S VALUE VALUE DATE $ AME OF SOURCE > N OF SOURCE ADDRESS ADDRESS BUSINESS ACTIVITY, ANY, OF S CE BUSINESS ACTIVITY, IF ANV, F SOURCE DESCRIPTION IFT(S) - DATE - DESCRIPTION OF GIFT(S) UE VALUE DATE $ —�— $ > NAME OF SOURCE > NAME OF SOURCE ADDRESS ADDRES _ BUSINESS ACTIVITY, IF AN BUSINESS ACTIVITY, IF AN F S RCE OF SOURCE DESCRIPTION OF FT(S) DATE DESCRIPTION OF GIFT( VAL VALUE DATE Comments: G FPPC Form 700 (200212003) Sch. E FPPC Toll -Free Helpline: 866 /ASK -FPPC SCHEDULE F Income — Gifts Travel Payments, Advances, and Reimbursements • Reminder — you must mark the gift or income box. • You are not required to report "income" from government agencies. > NA OF SOURCE ADDRESS CITY AND STATE BUSINESS ACTIVITY, IF ANY, O O CE > NAME OF SOURCE ADDRESS CITY AND STATE BUSINESS ACTIVITY, IF ANY, SOURCE TYPE OF PAYMENT. (che one) ❑ Gift ❑ Income AMT. $ DATE(S)'. �/_ (0 applicable) > NAME OF SOURCE ADDRESS CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOU CE TYPE OF PAYMENT: (check e) ❑ Gift ❑ Incorr"I, AMT $ DATE(S): (II applicable) Comments: TYPE OF PAYMENT: (check AMT_ $ _Z DESCRIPTION: 1 NA OF SOURCE ADDRESS CITY AND STATE BUSINESS ACTIVITY, IF ANY ❑ G) ❑ Income �_�� _J __j_ one) ❑ Gih'� El income DATE(S): _L �./_ TYPE OF PAYMENT. AMT: $ DESCRIPTJYJN: — FPPC Form 700 (200212003) Sch. F FPPC Toll -Free Helpline: 866 /ASK -FPPC