Peter Wallin.
CALIFORNIA
' FAIR
❑ Yes - schedule attached
,
FORM
700
Schedule C -
❑ Yes - schedule attached
POLRICAL PRACTICES
COMMISSION
❑ Yes - schedule attached
Income - Loans
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COVER PAGE
K , J 2003
A Public Document
NAME' (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
W ( 310') 41'o 9S$2 -x21
MAILING ADDRESS STREET CITY - ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May be business address) - -
2800 ST -#'31S gC)Art C4 c a 90ydr 3/0 ffv 6a
1 . Office, Agency or Court
Name: n
Division, Board, District, if applicable:
Position:
&(T
If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency: 'RA7IZYQ1 I t �ea$ v'1
Position: T qM 0400 N SVV—
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
�p City of
F Mult
❑ Other
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
STATEMENT OF ECONOMIC I *RESTS �e� D ate
use only
IT' 'J7MEAD
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 )jrYes - schedule attached
Investments (Less than 10 % ownership)
Schedule A -2 �es - schedule attached
Investments f10% or greater Ownership)
Schedule B
❑ Yes - schedule attached
Real Property
Schedule C -
❑ Yes - schedule attached
Income & Business Positions pncome Omer than Loans. Gies, 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-
. ❑ 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
Signature
FPPC Form 700 (200212003)
ree I AAA /ACK_FPPC
SCHEDULE A -1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10 %)
Do not attach brokerage or financial statements.
> NAME OF BUSINESS ENTITY
S ` NG u S "�
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ $10,001 - $100,000
❑ Over $1,000,000
❑ Other
(Describe)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,0oo - $10,000 ❑ $1o,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED _
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE _
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
(Describe)
IF APPLICABLE, LIST DATE:
__J__J 02 __J__J 02
ACQUIRED DISPOSED
Comments:
Name
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
[D $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
(Describe)
IF APPLICABLE, LIST DATE:
__J__j 02 __J___/
ACQUIRED DISPOSED
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,0o1 - $10o,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ - Other
(Describe)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $1o,o01 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
(Describe)
IF APPLICABLE, LIST DATE'
ACQUIRED DISPOSED
FPPC Form 700 (200212003) Sch. A -1
FPPC Toll -Free Helpline: 86WASK -FPPC
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SCHEDULE A -2 CALIFORNIA FOR
Investments, Income, and Assets
of Business Entities/Trusts Nam
(Ownership Interest is 10% or Greater)
Name y 7
Add 510 2f nz f�- f�TiT f� l� arC+
510-70S
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
rneclr one - -
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR M RKET VALUE
IF APPLICABLE, LIST DATE:
$2,000 - $10,000
❑ $10,001 - $1 oo,000
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000 -
-
NATURE OF INVESTMENT
] Sale Proprietorship
art
Pnership ❑
Other
YOUR BUSINESS POSITION
�I6[�1b4a/
❑ $o - $agg ❑ $10,001 - $100,0oo
❑ $500 - $1,000 OVER $100,000
❑ $1,001 - $10,Do0
Check one box: /V W&
&
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity or
Street Address or Assessor's Parcel Number of Real Property -
Description of Business Activity or
City or Other Precise Location of Real Property
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 OF INTEREST
❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership
3ENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE - - IF APPLICABLE, LIST DATE:
] $2,000 - $10,000
] $10,001 - $100,00o
] $100,001 - $1,000,000 ACQUIRED - DISPOSED
] Over $1,000,000 _
- URE OF INVESTMENT
Sole Proprietorship ❑ Partnership ❑
BUSINESS POSITION
❑ $0 - $ngg ❑ $10,001 - $1oo,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000 -
Check one box:
] INVESTMENT ❑ REAL PROPERTY
Name of Business Entity a
Street Address or ASseeser's Parcel Number of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property -
R MARKET VALUE
$2,000 - $10,000
$10,001 - $100.000
$100,001 - $1,000,000
Over $1,000,000
IF APPLICABLE, LIST DATE:
--J-J _/ / 02
ACQUIRED DISPOSED
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust
❑ Stock ❑ Partnership
❑
Leasehold ❑ Other ❑ Leasehold ❑ Other
Yrs. remaining Yrs, remaining .
❑ Check box it additional schedules reporting investments or real property ❑ Check box if additional schedules reporting investments or real property
are attached are attached
FPPC Form 700 (200212003) Sch. A -2