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2003 (42)STATEMENT OF ECONOMIC INTEFENTS, 5n "; Reved D Eor CITY OF ODSF,MEAD Please We or orint in ink COVER PAGE A Public Document APR ' 2003 NAME (LAST) yp.7) ' (MIDDLE) DAYTIME TELEPHE NUMBER 1 ON j7/. -76j z MAILING ADDRESS SfAEET CITY ZIP CODE OPTIONAL FAX / E -MAIL ADDRESS (May be business atltlress) o � ) �� In 1 � n � �'� `7 /' V f I; I (, / �? ' I f q 1770 1 . Office, Agency or Court Name: ITY CoUldif-IL . Division Board, District, if applicable: - C 1 / U OF RP_Si2M&D Position: I ��u rJ LI L �+ If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) 7 Agency50LTjvpo 64)t PS 0(_ OF 0y1rf 0 aIJO Y Sig IJi' RTIO% D i5i IZ(L i 5 Sj}>) C/TISkIGL V /iLLF C0�_ clt_ vKCOt/T, Position: / - 7lIlL G 2. Jurisdiction of Office (Check at least one box) ❑ State County of I_0 5 A 106-L- L t- 1 5 1 )City of (t_ ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: —J ❑ Annual: The period covered is January 1, 2002, through December 31, 2002. - -or- 0 The period covered is _J� —, through December 31, 2002. Leaving Office Date Left: _I _- L (Check one) 0 The period covered is January 1, 2002, 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 to %orvnerahtP) Schedule A -2 ❑ Yes - schedule attached Investments (tor, or greaser ownership) Schedule B ❑ Yes - schedule attached r; 5 Real Property Schedule C ❑ Yes - schedule attached Income & Business Positions (Income Omer than Loana. Grh:, and Travel) Schedule D ❑ Yes - schedule attached income - Loans Schedule E ❑ Yes - schedule attached Income - Gitts 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 Signe GI �� Signature FPPC Form 700 (200212003) MDDr' T.JLC.ee ueb.l:..... occ N,cv_roor SCHEDULE B Interests in Real Property > STREET ADDRESS OR PRECISE LOCATION 7 0 w f l-M 9 F AL Q 21770 FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 n ❑ $10,001 - $100,000 �$toa,00l - $1,000,000 .ACQUIRED DISPOSED Over $1,000,000 NATURE OF INTEREST ❑ Rental Property q T of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Dlher - IF RENTAL PRO_ PERK, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1, - $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 i I� ��S riff 2 o MO PITS I� 1�7> O L_ ADDRESS BUSINESS ACTIVITY OF LENDER 0 FI TG_ FLF& L.L:)tkjDE1 INTEREST RATE �J 1 6% ❑ None TERM (Months /Years) HIGHEST BALANCE DURING REPORTING PERIOD ❑ $soo - $1,000 n 51,001 - $10,000 ❑ $10,001 - $ioo,000 OVER $100,000 ❑ Guarantor, it applicable Comments: > STREET ADDRESS OR PRECISE LOCATION CIT �o5�✓J'l�9 , C AL l� �1 L FAIR MARKET VALUE / IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 02 /0 � 02 ❑ $10,001 - $100,000 -/ i y 5 / - ACQUIRED DISPOSED K $100,001 - $1,000,0DO over $1,000,000 NATURE OF INTEREST ❑ Rental Properly Ownership /Deetl of Trust ❑ Easement ❑ Leasehold ❑ Y's- 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 /(J�� - �O� / ✓� PO ,a x K,4 BUSINESS ACTIVITY OF LENDER INTEREST RATE TERM (Months /Years) i �V / ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,0oo ❑ $1,001 - $10,000 ❑ $1o,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable FPPC Form 700 (2002/2003) Sch. 0 FPPC Toll -Free Helpline: 866 1ASK -FPPC SCHEDULE C Income & Business Positions (Income Other than Loans, Gitts, and Travel Payments) > NAME OF SOURCE TTV �i= R0 /l Eb D AD TO Vi;O)fVC-OT BUSINESS ( ACTIVITY IF ANY, OF SOURCE C lT\/ �LUNC -IL/1` YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $Soo - $1,0oo ❑ $1,001 - $10,000 I�I $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED WHICH INCOME WAS RECEIVED 7[�Salary ❑ Spouse's income ❑ Loan repayment. ❑ Sale of (Precool car, Deal, etc.) ❑ Commission or ❑ Rental Income, list each soorce of S30.000 or more ❑ Other (Describe} > NAME OF S.rODURCE ADDRESS 3�0) WF/AA�T �VF-7 � p i� E11 Lr> �L BUSINESS ACTIVITY, IF ANY, OF SOURCE wor'r, o k C r= 1 1 YOUR BUSINESS POSITION A- G��/ C- ('0 Su >,T,� NT GROSS INCOME RECEIVED ❑ $500 - $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, Doal, e¢.J ❑ Commission or ❑ Rental Income, liar each source of $10.000 or more ❑ Other (Describe) Comments (Describe) ry, > NAME OF SOURCE rHm,ILV (0 Jjt )EF1_/ C Sc V >Lr— ADDRESS , rz lAP42 ) 9OJ}b c L/il l it- ji I nA)E A -7uSA- BUSINESS A TI ITY, IF ANY, OF SOURCE, I ri �vorJ �Xf(T &rNCT YOUR BUSINESS POSITION rC, _S U) LT Ai GROSS INCOME RECEIVED ❑ $500 - $1,000 $7,001 - $10,000 ❑ $10,001 - $100,000 OVER $10D,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's income ❑ Loan repayment ❑ Sale 01 - (Property car, boat, elcf ❑ Commission or ❑ Rental Income, list each source of $70,000 or more ❑ Other (DescODel > NAME OF SyO-URCE S0100 I ��UGV L �7 Dot BUSINESS ACTIVITY, IF ANY, OF SOURCE So6!s T iTUT� _ T�M YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,000 $1,D01 - $10,000 ❑ $10,001 $100,000 OVER $1D0,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's income ❑ Loan repayment ❑ Sale of (Propertp, car, Doal, etc.) ❑ Commission or ❑ Rental Income, liar each source of $10,000 or more ❑ Other FPPC Form 700 (2002/2003) Sch. C FPPC Toll -Free HelPline: 866 /ASK -FPPC SCHEDULE C Income & Business Positions (Income Other than Loans, Gilts, and Travel Payments) T NAME OF SOURCE ( IV. or Los /xiiI ADDRESS S (7?4o wILSNIR� SLUM BUSINESS ACTIVITY, IF tN ,ers SO)w&ll ?w 74 YOUR BUSINESS PO ION Co -7 X )7 ` GROSS INCOME RECEIVED W' - ❑ $500 - 31,000 S1 0Dt - S10,000 ❑ s10,001 5100,000 ❑ OVER 5100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED 7 21salary ❑ Spouse's income ❑ Loan repayment ❑ ❑''"" Sale of (Propan y, car, boat, elEf ❑ Commission or ❑ Rental Income, list each source of s70,000 or more ❑ Other (Descwe) } NAME OF SOURC s or* IF SSoc /97�8� 0� Got/tR ADDRESS ACTIVITY, IF ANY, OF SOURCE(,OS YOU C ITION GROSS INCOME } RECEIVED ❑ $500 51,000 11,001 - 510.000 ❑ $10,001 - 5100,000 ❑ OVER 5100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's income ❑ Loan repayment ❑ Sale of (Propenl'.:aq boat. ercj Cl Commission or ❑ Rental Income, lis each source of $to.00G or more ❑ Orhel Corr:ments: (Describe) } NAME OF SOURCE ADDRESS BUSIIJESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $5D0 51 1200 ❑ S1,D01 - S10,00D ❑ $10,001 - $100,000 ❑ OVER S1D0,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's income ❑ Loan repayment ❑ Sale 01 (Pmpeny, car, boar, e¢.f ❑ Commission of ❑ Rental Income, list each source of s7o,000 or more ❑ Other (Describe) NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ si s10,000 ❑ $1D,001 - $100,000 ❑ OVER $1DD,DDD CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's income ❑ Loan repayment ❑ Sale at (Pmpeny car_ boar, erc.) ❑ Commission or ❑ Rental Income, Its each aource W $70.000 or more ❑ Other (Describe; FPPC Form 70D (200212003) Sch. C