2003 (41)f E l �, �f ived
STATEMENT OF ECONOMIC INTEREST � OF ROf��
Please type or print in ink
COVER PAGE
A Public Document
APR I ;' 2003
^ITY CLERK'S GFFiCF
NAME (LAST) '
(FIRST)
(MIDDLE)
.DAYTIME TELEPHONE NUMBER
*692-6
Cv tj
c)
(9(
MAILING ADDRESS STREET
_ CITY
ZIP CODE
OPTIONAL FAX / E -MAIL ADDRESS
(May be business address)
3238 6,C LL_ s
oSEfnEiqD
1 . Office, Agency or Court
Name: p
(' I % nZfA -D
Division, Board, bistrict, If applicable:
Position:
Coccmc
-� If filing for multiple positions, list additional agency(ies)/
posibon(s): (Attach a separate sheet it necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
dCityof Q.� S F •I/f F��
❑ Multi- County
❑ Other
3. Type of Statement
9 Assuming Office /Initial
(Check at least one box)
Date: _ALJ —Oi-V-
❑ Annual: The period covered is January 1, 2002,
through December 31, 2D02.
-or-
0 The period covered is _J� —, through
December 31, 2002.
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 2002, through
the date of leaving office.
-or-
'' O The period covered is i through
the date of leaving office.
❑ Ca -
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 than to %Ownership)
Schedule A -2 ❑ Yes - schedule attached
investments (10% or greater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income & Business Positions (Income Other than Loans, Gills. and Travel)
Schedule D - ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gilts -
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
-o r-
.+ [/No reportable interests on any schedufe
Total number of pages completed including this
cover page: (
5. Verification
I have used all reasonable diligence in preparing this
statemeri 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 � t ?J' 03
(month, day, year)
^,�
Signature UY�• �X/A/ls" -mti�
(File the originally signed slate enl with your filing your
FPPC Form 700 (200212003)