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John ScottSTATEMENT OF ECONOMIC INTERESTS Date 13 Official Us e O Onl nld COVER PAGE Please type or print in ink A public Document NAME (LAST) (FIRST) (MIDDLE) - DAYTIME TELEPHONE NUMBER SCAT FOl'tAl 13 ( C2Z )56q - 22_ MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL FAX / E -MAIL ADDRESS (May be business address) 23.E aa�fe sf. J /�JI 1 . Office, Agency or Court Name: Division, Board, District, if applicable: Position: PaK�� W � t )A)TAN� • 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 R7Si.✓»P ❑ Multi- County ❑ Other 3. Type of Statement (check at least one box) ❑ Assuming Office /Initial Date: —Y �— 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: —� —J (Check one) - p 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 than 10 %Ownership) Schedule A -2 ❑ Yes - schedule attached Investments (10% or greater Ownership) Schedule B Yes - schedule attached Real Property s Schedule C Yes - schedule attached Income & BUSines POSltions (Income Other than Loans, Gdts, 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- rr ❑ 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 b 3- ZO - 0 3 (month, day, year) Signature Y (File the originally signed statement with your filing official.) FPPC Form 700 (200212003) FPPC Toll- Free Helpline: B66 /ASK -FPPC SCHEDULE B Interests in Real Property name T # Secy- > STREET ADDRESS OR PRECISE LOCATION 1 3 5 D u l Sf'• CITY Clare -Mohr" CA q 171 i FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 - 09' ( 02 02 J L 2 ❑ $10.001 - $100,000 - ACQUIRED DISPOSED � $mo,00l - $1,000,000 ❑ Over $1,000,000 > STREET ADDRESS OR PRECISE LOCATION CITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 El $10,001 - $100,000 �-/ 02 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED - ❑ Over $1,000,000 NATURE OFINTEREST _ ❑ Rental Property ❑ Ownership /Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Omer NATURE OFINTEREST ❑ Rental Property 19 Ownership /Deed of Trust ❑ Easement ❑ Leasehold Yrs. remaining L Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $ass ❑ $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. _ IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ so - $409 ❑ $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 Af3tlfl AMRo ADDRESS 2,600 W' bl'' aerwevrM• BUSINESS ACTIVITY OF LENDER mar-k,ckq L(3g e INTEREST RATE TERM (Months /Years) .2 5 % ❑ None Jo Y1ZS HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,00l - $10,000 ❑ $10,001 - $100,000 -OVER $100,000 ❑ Guarantor, if applicable Comments: NAME OF LENDER ADDRESS BUSINESS ACTIVITY OF LENDER INTEREST RATE TERM (Months /Years) % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,00o ❑ $10,00l - $100,000 - ❑ OVER $100,000 ❑ Guarantor, it applicable FPPC Form 700 (2002/2003) Sch. B FPPC Toll -Free Helpline: 866 /ASK -FPPC SCHEDULE C CALIFORNIA FORm 700' Income & Business Positions FAIR POLITICAL PRACTICES COMMISSION (Income Other than Loans, Gifts, and Name f Travel Payments) > NAME OF SOURCE A10 IV, ADDRESS &4,J T S S (A r t e 'z BU NESS - ACTIVITY, IF ANY, 5F SOURCE b Pt ?t /v , ;b YOUR BUSINESS POSITION PpAk �. d� GROSS INCOME AECEIVED ❑ $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 17Fv WPStWood I'��i4 -c�+.1 Pemoy,. (Property car, boa(, efcJ ❑ Commission or ❑ Rental Income, fist each source of $10,000 or more >< >Other ",© 110 /Aei Other _ > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,0oo ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's income ❑ Loan repayment ❑ Sale of (Properly, car, boat, ❑ Commission or ❑ Rental Income, fist each source of $10,000 or more ❑ Other (Describe) Comments: > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION - GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,00l - $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, fist each source of $10,000 or more ❑ Other (Describe) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION 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 (Properly car, boat, etc.) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other FPPC Form 700 (2002/2003) Sch. C FPPC Toll -Free Helpline: B66 1ASK -FPPC