Margaret Clark• •
FINIMPR .. STATEMENT OF ECONOMIC INTERESTS
Please type or print in ink
COVER PAGE
A Public Document
Date Received
Ofircial Use ONy
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
a c.(rk' r F- (G a6) 730L
MAILING ADDRESS . j STREET CITY ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May be business address)
3 IPros ecT Aw. ose eaS Ck 9 17 - 70 626 3U7 a)�
1 . Office, Agency or Court
Name:
Division, Board, District, if applicable:
Br O r
Position:
S tej G�zbrf �l Bc s l rl L()cL�e; ua.
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
❑ Multi- County -
KOther `
3. Type of Statement (check at least one box)
❑ Assuming Office /Initial Date: —J �—
[r&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: —JJ
(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 (Less rhan fox 0w ersnip) -
Schedule A -2 ❑ Yes - schedule attached
investments oit% or greatsr ownershy)
Schedule B - J Yes - schedule attached
Real Property
Schedule C j,Yes - schedule attached
income & Business Positions (income Omer man Loans, Otils, and never)
Schedule D ❑ Yes - schedule attached
income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gills '
Schedule F X 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 Signed ?q)a't -1 ti- �" � or
(month, ay, year)
Signature a -rp-1
(File the origVIIy signed statement weh your filing official.)
FPPC Form 700 (2002/2003)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Please lype or prim in Ink
Date Received
olh., use omr
NAME (LAST) (FIRST) - (Middle) DAYTIME TELEPHONE NUMBER
Margaret Clark (674 -kk - 730.x'
MAILING ADDRESS - STREET CITY ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May be business undress) -
3109 North Prospect Avenue, Rosemead, CA, 91770 (y[p) 3 b
1. Office, Agency or Court•
Name:
County Sanitation Districts No(s). 15
of Los Angeles County
Division, Board, District, if applicable:
Board of Directors
Position:
Director - Rosemead
SO If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position Title:
2. Jurisdiction of Office (Check at Least one box)
❑ State
❑ County of
❑ City of
❑ Multi- County
® Other Agency
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial
® Annual: The period covered is January 1, 2002, through
December 31, 2002.
-or-
0 The period covered is _
December 31, 2002.
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 2002, through
the date of leaving office.
-or-
0 The period covered is / / throe
the date of leaving office.
❑ Candidate
4. Schedule Summary
(Check applicable schedules or "No reportable interests.')
y During the reporting period, did you have any reportable interests to
disclose on:
Schedule A - 1
❑ Yes - schedule attached
Investments (Less man lo% ownarsntp)
Schedule A - 2
❑ Yes - schedule attached
Investments ( +o%
or Greater ownership)
Schedule B
Yes - schedule attached
Real Property
Schedule C
® Yes - schedule attached
Income B Business Positions (Income Ofher man Loans, Gills, and Travel)
Schedule D
❑ Yes - schedule attached
Income - Loans
Schedule E
❑ Yes - schedule attached
Income - Gifts
'
Schedule F 19 Yes - schedule attached
Income - Travel Payments
-or-
00 ❑ 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 Signed c �7003
(mnnm, da y ear
Signature /7 aC — At1_4"_ -
(File Ihe' nginally signed slalemenl with your Gling oHiaal.)
FPPC Form 700 (2002120031
FPPC Toll -Free Helpline: 866 /ASK -FPP
: SCHEDU'LE F
Income Gifts
Travel Payments, Advances,
and Reimbursements
F AMENDMENT TICAL PRACTICES COMFJ�I$slbN "`
• Reminder - you must mark the gift or income box.
• You are not required to report "income" from government agencies.
> NAME OF SOURCE /_/- aa-- > NAME OF SOURCE
Y rL! " `f�{dM'Y` if CAtA S
ADDRE - ADDRESS
boo k atroPj�
CITY AND STATE - CITY AND STATE
_Sa�tlmfto,n:4
BUSINESS ACTIVITY, IF ANY, OF SOURCE
// � p p
�C s7 ) D c 1 r -T- PS & +
DATE(S): _Li ai -iijffLj rl2. Lh
Ofappllwwe) _
TYPE OF PAYMENT: (must check one) ❑ Gift ® Income
DESCRIPTION: ofn >'Yneadc rah d40 (F6 gip
1n z0c)3
> NAME OF SOURCE
ADDRESS
CITY AND STATE -
BUSINESS ACTIVITY, IF ANY, OF SOURCE
AMT: $
(Uapplic.ble)
TYPE OF PAYMENT: (must check one) ❑ Gift ❑ Income
DESCRIPTION:
Comments:
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S): J_ /_ - -J—/— AMT $ :..
flfspplicawe)
TYPE OF PAYMENT: (must Check one) ❑ Gift ❑ Income
DESCRIPTION:
Print Name
Office, A em;
9 Y
or Court
Statement Type ❑ 2003/2004 Annual ❑ Assuming ❑ Leaving
'®2 ❑Candidate
(YO
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 — /- '--
(month, day, Yea?
Signature
. ..FPPC Form 700 Amendment (200312004) Sch. F
FPPC Toll -Free Helpline: 866 1ASK -FPPC
CALIFORNIAFORM
700
FAIR POLITICAL TRACMCES
COMMISSION
`
Please type or print in ink
COVERPAGE
A Public Document
Date Received
oPocul use Only
NAME (LAST) (FIRST) (MIDDLE) DAYTIME / TELE PHONE NUMBER
Car � y ' ar F 4� 74!) �? — !3v9
MAILING ADDRESS C I STREET CITY ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May be business address) -
? m q i 5-C117V-c f` CFA- cl ( v (6;z4 3 o 7- 9 -� 1P
1 . Office, Agency or Court
Name: -
Division, Board, District, if applicable:
St i UaWeq Cn"' tr d ct Ea L)FV
Position:
��kc:'� MP,,bei—
�+ If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet it necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
❑ City of
❑ Multi- County
e r..�__�...... "_-1 L.-.a'n",-In r. -%... —Mil Ir7.9 G1
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:
❑ Annual: The period covered is January 1, 2002,
through December 31, 2002-
-or-
0 The period covered is _J —J , through
December 31, 2002.
❑ Leaving Office Date Left _J —J
(Check one)
Q 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
STATEMENT OF ECONOMIC INTERESTS
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 ro% 0» eralao)
Schedule A -2 ❑ Yes - schedule attached
Investments rlo% orgmalerondanwo)
Schedule B Yes - schedule attached
Real Property
Schedule C Yes - schedule attached.
Income & Business Positions ()nW a 0M., Man Loans, Gme, and 7m.aq
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gilts
Schedule F 91 Yes - schedule attached
Income - Travel Payments
-or-
No reportable interests on any schedule
Total number of pages completed including this
cover page:
S. 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' Jno3
)month, day, year)
Signature
(File the on`i! Ily signed statement won your Ling official.)
FPPC Form 700 (2002/2003)
STATEMENT OF ECONOMIC INTE&§' Feceini,
F ROSEM Only
Please type or print in ink 1 1 V I../
NAME (LAST)
0( rF
STREET
address)
tv, PresL) ? c�
COVER PAGE
ublic Document
MAR 17 2003
(FIRST) (MIDDLE)
1 . Office, Agency or Court
Name: - -
Division, Board, District, if applicable:
Position:
C i - �L CO tk.f C 1
�+ If fiing 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
&Cityof Rn5e e
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ _ Assuming Office /Initial Date:
fg Annual: The period covered is January 1, 2002,
through December 31, 2002.
-or-
0 The period covered is through
December. 31, 2002.
❑ Leaving Office Date Left: _I --J
(Check one)
O 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
DAYTIME TELEPHONE NUMBER
k Lo.." (0 I r --O J / JV d
OPTIONAL: FAX / E -MAIL ADDRESS
&2-&)3 07 - 9x18
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 lLass man ro% o.narsMp)
Schedule A -2 ❑ Yes - schedule attached
Investments (10 % or graamr Ownership)
Schedule B ,Yes - schedule attached
Real Property
Schedule C ® Yes - schedule attached
Income & Business Positions pncoma Omar man Loan, rims, and Traver)
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached,
Income - Gifts
Schedule F LKYes - 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. 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 ' y L-/ _0 � -
(month, day, year)
Signature
FPPC Form 700 (2002/2003)
SCHEDULE B
Interests in Real Property
STREET ADDRESS OR PRECISE LOCATION
2_-5 G
CITY
Ras- rz�.ectt( r�A�i��o
FAIR MARKET VALUE IF APPLICABLE LIST,DATE:
❑ $2,000 " $10,000
91$10,001 $100,000 - ` / 02 - j -- j - N2 -
❑ $100,001 - $1,000,000 ACQUIRED. DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Rental Property ❑ Ownership /Deed, f Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $D - $499 ❑ $500 - $1,000 �, $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,00D
SOURCES OF RENTAL INCOME: 11 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
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (Months /Years)
% ❑.None
HIGHEST BALANCE DURING REPORTING PERIOD -
❑ $500 - $1.,000 ❑ $1,001 - $10,000
❑ $10,0D1 $100,OOD ❑ OVER $100,000 -
❑ Guarantor, It applicable
> STREET ADDRESS OR PRECISE LOCATION
CITY - - -
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000 -
❑ $10,001 - $100,000
- -
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED _
❑ Over $1,000,000
NATURE OFINTEREST
❑ Rental Property ❑ Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $400 -❑ $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
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (Months /Years)
❑ None
HIGHEST BALANCE DURING REPORTING PERIOD`
❑ $500 - $1,000 ❑ $1,001 - $1D,0o0
❑ $10,001 - $10D,000 ❑ OVER $100,000
❑ Guarantor, it applicable
Comments:
FPPC Form 700 (2DO212003) Sch. B
SCHEDULE C
Income & Business Positions
(Income Other than Loans, Gifts, and
Travel Payments)
NA OF SOURCE
1> ✓C31'e O'W S
ADDRESS
BUSINESS ACTIVITY�ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
® $soo - $1,000 ❑ $1,001 - $10,00
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary Spouse's income ❑ Loan repayment
❑ Sale of
(Propetly, ca[ boat, elc.J
❑ Commission or ❑ Rental Income, liar each source of $10,000 or mare
❑ Other
(Describe)
T NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE -
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED -
❑ $500 - $1,000 ❑ 51,01D1 - $10,000
❑ $1o,0o1 : $too,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Progeny, car, boat, e1c.J
❑ Commission or ❑ Rental Income, ra, each 'source of 510.001) or more
71 Other
(Describe)
Comments;
? NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,00o ❑ $r,0or . 510,000
❑ $10 . $1oo,000 ❑ OVER 5100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Progeny, ceq boat, em,J
❑ Commission or ❑ Rental Income, liar each source of 510,000 or more
❑ Other
(Describe)
T NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1.0oo ❑ 51,01 $10,000
❑ $ro,00i - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Properrp, car, boat, em.J
❑.Commission or ❑ Rental Income, liar each source of 510.000 or more
❑ Other
FPPC Form 700 (20=2003) Sch. C
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.
> NAME OF SOURCE
zea4 exe of
ADDRESS.
.'
l'/b O k e f
CITY AND STATE ...
ga rra" Cn t- 4
BUSINESS ACTIVITY, IF ANY, OF SOURCE
rhk ✓� 7C [ �ur - � PS
Rrw� T>iel✓' I2Sl�iirl fs
TYPE OF PAYMENT: (check one)
Gift Income.
AMT: $ /• yr DATE(S):
' ( Ilepplicable)
/o / ae2d O'le
DESCRIPTI O
l'� /Arts ''
/�N�:
/[ //l SPTU[G2 on
fe
/ r
&AYZ( ni G'( /CC[7i7
elE ✓e•i me-E-77 / r �s [i7
X200 a.
> NAME OF SOURCE
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT (check one)
Gift Income
AMT $ DATE(S):
(1l applimMe)
DESCRIPTION -
> NAME OF SOURCE
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT (check one) ❑ Gift ❑ Income
AMT. $ DATE(S)'.
(Il applcablef
DESCRIPTION
> NAME OF SOURCE .
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT: (check one) ❑ Gift ❑ Income
AMT: $ DATE(S):
(Ilapplicable)
DESCRIPTION:
Comments:
FPPC Form 700 (2002/1003) Sch. F
STATEMENT OF ECONOMIC INTERESTS Date Received
Omcial Use ONy
COVER PAGE
Please type or print in ink A Public Document
NAME (LAST)
(FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
CI CA 1 a 1"-e — �_ r. l-zL- - ek_
MAILING ADDRESS STREET CITY
(May be business address) ZIP CODE OPTIONAL FAX / E -MAIL ADDRESS
rOS'0 -Pct L1,al'ud CA- qI - 77 0 3u7-
1 . Office, Agency or Court
Name:
Division, Board, District, if applicable:
L� ". Cr/F� cn,t 62 ti, �I Raier- �? Ltir�airs
Positions l stn.: Jayu�
-' 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)
[ Z
❑ County of
❑ City of
❑ Multi -County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:
[� 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:
(Check one)
O 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 [ - schedule attached
Investments (Le: than tox D,vneraes)
Schedule A -2 ❑ Yes - schedule attached
Investments po% or gmaler ow
Schedule B [Wes - schedule attached
Real Property
Schedule C E[Yes - schedule attached
Income 8 Business Positions (Moome airman Loan:, Gins, ane rra�I
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F []K Yes - schedule attached
Income - Travel Payments
-or-
E] No reportable interests on any schedule
Total number of pages completed including this
cover page: r
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 thatthe foregoing is true and correct.
Date Signed 7 / 1 2Gc-G''JI �� r OI'i -'i
(monlh� day, year)
Signature sign r
(File the ongin� e en
d slaiemf with your fling official.)
FPPC Form 700 (2002/2009)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
CALIFORNIAFORM 700
FAIR POLRICALFRACTICES COMMISSION
Please type or print in ink
A Public Document
Date Received
onmiet use omy
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
MAILING ADDRESS IJ STREET CITY - ZIP CODE OPTIONAL FAX/ E—MAIL ADDRESS
(May be business address)
3/C�I /tlr �roS��ct � j o_Sriw2c� E c/-r �6� ��3n7 —�fcld
1 . Office, Agency or Court
Name:
Division, Board, District, if applicable: _.
ed t I Ah5i�C 1`6nagrcme1r Tomsk l�rc
POsItIA
(I I e 10
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 -
J' County of 1 —n
❑ City of
❑ 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: ��—
(Check one)
Q 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
n
U
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
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 - ❑ Yes - schedule attached
Investments x. man Cox 0—ae 1p)
Schedule A -2 ❑ Yes - schedule attached
Investments nox w greaser ownership)
Schedule B &Yes - schedule attached
Real Property
Schedule C � Yes - schedule attached
Income 6 Business Positions flnmme Omer man Lovers, oars, and rravep
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E .❑ Yes - schedule attached
Income - Gifts
Schedule F 4Yes - schedule attached
income - Travel Payments
-or-
No reportable interests on any schedule
Total number of pages completed including this
cover page: r- f`
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 )!I .F r)G? _
imonin, tlay, year)
Signature `.�`l'c2�
(File the wigiKally signed statemenl wtlh your hhng oRiaal.)
FPPC Form 70D (200212003)
FGPC Tnll -Free Hemline: 866 /ASK -FPPC
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink
A PUBLIC DOCUMENT
Date Received
0rreiei use ony
NAME (LAST) (FIRST). (Middle) DAYTIME TELEPHONE NUMBER
Margaret Clark (674 ?i'9-- 7308
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX E -MAIL ADDRESS
(May be business address)
3109 North Prospect Avenue, Rosemead, CA, 91770 (67 3 6 j
1. Office, Agency or Court:
Name:
County Sanitation Districts No(s). 15
of Los Angeles County
Division, Board, District, if applicable:
Board of Directors
Position:
Director - Rosemead
» If filing for multiple positions, list additional agencyfes)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position Title:
2. Jurisdiction of Office (Check at Least one box)
❑ State
❑ County of
❑ City of
❑ Multi- County
® Other Agency
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial
® Annual: The period covered is January 1, 2002, through
December 31, 2002.
.or-
0 The period covered is
December 31. 2002.
❑ Leaving Office Date Left: / /
(Check one)
0 The period covered is January 1, 2002, through
the date of leaving office.
-or-
0 The period covered is _
the date of leaving office.
❑ Candidate
4. Schedule Summary
(Check applicable schedules or "No reportable interests.")
00 During the reporting period, did you have any reportable interests to
disclose on:
Schedule A -1
❑ Yes - schedule attached
Investments (Less
than 10% 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. Gifts, and Travel)
Schedule D
❑ Yes - schedule attached
Income — Loans
Schedule E
❑ Yes - schedule attached
Income — Gifts
Schedule F ® Yes - schedule attached
Income — Travel Payments
-or-
il ❑ 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 Signed NdtGLv �� a,90-3
(month, tlay, year
Signature / / e cL[,G1 7�'
(File Wriginally signed slaleirent with yourfiling official.)
FPPC Form 70012002/2003)
FPPC Toll -Free Helpline: 866 /ASK -FPP
SCHEDULE B
Interests in Real Property
> STREET ADDRESS OR PRECISE LOCATION
7a 3/ F L m O-rsml P/.
CITY
K,oSElVl&t&E Cf�-
g1770
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
$10,001 - $100,000
F $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Rental Property ❑ Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
7$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
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (Months/Years)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,00o ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Comments:
7
> STREET ADDRESS OR PRECISE LOCATION
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 -/ -/ 02 _j_j 02
❑ $100.001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OFINTEREST
❑ Rental Property ❑ Ownership /Deed of Trust ❑ Easement
❑
Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $$00 - $1,000 ❑ $1,001 - $10,000
❑ $10.001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 1D% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (Months/Vears)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $$00 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
FPPC Form 700 (2002/2003) Sch. B
FPPC Toll -Free Helpline: 866/ASK -FPPC
L
SCHEDULE C
Income & Business Positions
(Income Other than Loans, Gifts, and
Travel Payments)
> NAM OF SOURCE
F, L 1 ( 6 F e-� I //
� O lA1 S k7 ;t T En G.
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
H$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, boar, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
( Descrbe)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $600 - $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, boar, etc.)
❑ Commission or ❑ Rental Income, list each source of 510,000 or more
❑ Other
(Describe)
Comments:
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $600 - $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
(Properly, car, Doat etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 ormoro
❑ Other
(Describe)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $600 - $1,0DO ❑ $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 eta)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
(Describe)
FPPC Form 700 (20022003) Sch. C
FPPC Toll -Free Helpline: 666 /ASK -FPPC
L
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.
> NAME OF SOURCE n n
I- eez c� 6f Cc, ii „ !a l i� r e
5
ADDRE
1#00 k Sf✓eefi
CITY AND STATE
�czc ru rn P vl { (A 9 58/ V
BUSINESS ACTIVITY, IF ANY OF SOURCE
&t0Qrrarlr Air- ertTBS an C 7Vtz1V- h25id¢N
TYPE OF PAYMENT.. (Check one) E3 Gift ❑ Income
AMT: S //. F or DATE(S): _J_/
(1/aPP1icab1a)
DESCRIPTIO N:: 7/ -and 77Crkh r".Ia rl Y
Vd Atjl TI ( — SL-rt ice o, board CIC_ of rR'ccfU /S
> NAME OF SOURCE
20 o Z-
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT. (check one) E] Gift [] Income
AML $ DATE(S): J__) )
(Ilapplicab/e)
DESCRIPTION:
Comments:
> NAME OF SOURCE
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT: (Check one) Gift Income
AMT: $ DATE(S): _J_/ — J — J —
(1l applicable)
DESCRIPTION:
> NAME OF SOURCE
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT: (check one) Gift ❑ Income
AMT: $ DATE(S):
MaPpiirabie)
DESCRIPTION:
FPPC Form 700 (200212003) Sch. F
FPPC Toll -Free Helpline: 866 /ASK -FPPC
DUPLICATE
S [ �I r p L- 1 Received
TATEMENT OF ECONOMIC INT
•' •' , ' l 1 ROSE�'I USe Only
COVER PAGE MAR 1 2003
A Public Document
rlease type or print in inn CITY CLERK'S OFFICE
NAME (LAST) (FIRST) (MIDDLE) ^ DAYTIME TELEPHONE NUMBER
I c(r k c t-'- ar F. aka ) 29Y— 730,Y
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL, FAX I E -MAIL ADDRESS
(May be business address)
4-tre _ oR e m ecd CA- '11
1 . Office, Agency or Court
Name:
Division, Board, District, if applicable:
Position:
O t 4
If fitting 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 )`
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:
Annual: The period covered is January 1, 2002,
through December 31, 2002.
-Or-
o The period covered is through
December 31. 2002.
❑ Leaving Office Date Left: —
(Check one)
0 The period covered is January 1, 2002, through
the date of leaving office.
-or-
0 The period covered is _—J—, 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 than lox Ownershlp)
Schedule A -2 ❑ Yes - schedule attached
Investments (10x or greater Ovmership)
Schedule B [,Yes - schedule attached
Real Property
Schedule C ® Yes - schedule attached
Income & Business Positions (income omar than Loans, curs, and Tiaval
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts ,
Schedule F [gYes - schedule attached
Income - Travel Payments
-or-
�. ❑ No reportable interests on any schedule
Total number of pages completed including this
cover page:
5. Verification
1 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 5 — y — C ,
(month, day, year)
Signature
FPPC Form 700 (200212003)
SCHEDULE B
Interests in Real Property
> STREET ADDRESS OR PRECISE LOCATION
7 E X111 P
is & R
CITY
pp
RoS Gl1'IkcttC
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
_$10,001 $100,000
-J---/ 02
ACQUIRED DISPOSED
❑ $700,001 - $1,000,000
❑ Over $1,000,000
NATURE OFINTEREST
❑ Rental Property ❑ Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs, remaining
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ so - $ 499 ❑ $500 - $1,000 g $1,001 - $10,000
❑ $10,001 - $1oo,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: It 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
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (Months /Years)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,0oo ❑ OVER $100,000
❑ Guarantor, if applicable
Comments:
> STREET ADDRESS OR PRECISE LOCATION
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 02
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
-❑ Over $1,000,000
NATURE OF INTEREST
❑ Rental Property ❑ Ownership/Deed of Trust ❑ Easement
❑ Leaseholtl ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $1o,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: It 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 --
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (Months /Years)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $1o,o01 . $100,000 ❑ OVER $100,000
❑ Guarantor, i1 applicable
FPPC Form 700 (2002/2003) Sch. B
FPPC Toll -Free Helpline: BGG /ASK -FPPC
SCHEDULE C
Income & Business Positions
(Income Other than Loans, Gitts, and .
Travel Payments)
>• NAME OF SOURCE
ADDRESS
� f LI'9
BUSINESS ACTIVITY, RNY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
® $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $10o,o00 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary Spouse's income ❑ Loan repayment
❑ Sale of
(Pmpeny, car, boat, em.)
❑ Commission or ❑ Rental Income, liar each source of $10,000 or more
❑ Other
(Describe)
T NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED -
❑ $500 - $1,000 ❑ $1,001 - S10,000
❑ $10,001 $100,000 ❑ OVER $100,0Do
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Properly, car, boat, elc)
❑ Commission or ❑ Rental Income, lief each source of SI0.000 or more
❑ Othe
rDescobe)
Comments:
> NAME DF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ E50D - $1,DOO ❑ $1,001 - $10,000
❑ slox, - $too,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of P o n
( pe y, car, boat, etc.)
❑ Commission or ❑ Rental Income, her each source of x10.000 or more
❑ Other
(Describe)
T NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - S1,D00 ❑ S1,001 - $10,000
❑ $10,001 - $1oo,0o0 ❑ OVER S10D,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Propene, cer, boat, em.)
❑.commission or ❑ Rental Income, her each source of 510,000 or more
❑ Other
_ (DescribeJ
FPPC Form 700 (200712003) Sch. C
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.
> NAME OF SOURCE
— 6% Le 01
ADDR
Nc, o k. St e-
CITY AND STATE
BUS ACTIVITY, IF ANY, OF SOURCE '
A v4ri! e V Adr ('/- e' 5 And 6 e/r i e5! 4
TYPE OF PAYMENT (check one) Ej Gift X Income
AMT: $ y/ DATE(S):
(ll apph.b
DESCRIPTION: /o -/ all2 d me, /2 /5
_ dp �un7. e^UicE
{'Je'. ✓en n7 CE..�r rKi s' .T .�f7C7 �.
> NAME OF SOURCE
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT: (Check one) ❑ Gift Income
> NAME OF SOURCE
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
TYPE OF PAYMENT. (check one) F Gift Income
A MT: $ .DATE(S).
(0applicable)
DESCRIPTION:
> NAME OF SOURCE .
ADDRESS
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
i
TYPE OF PAYMENT: (check one) ❑ Gift F� Income
AMT $ DATE(S)- � _J_ --J _J_
(llapplicable)
DESCRIPTION
Comments:
AMT: $ DATE(S):
(II applicable)
DESCRIPTION
FPPC Form 700 (2002/2003) Sch. F