Holly KnappDate Received
STATEMENT OF ECONOMIC INTERESTREC , gaff lJ)an,
FAIR POLITICAL PRACTICES COMMISSION 1 COVER PAGE CITY OF ROSEMEAD
MAR 2 6 2003
Please type or print in Ink A Public Document
NAME (LAST) - (FIRST) (MIDDLE) L H6 UMBER
o ( L;4 ) 30 � sygj
MAIL NG ADDRESS I STREET ITY ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May be business address) -
1 . Office, Agency or Court
Name: D '
Division, Board, District, if applicable:
Position:U a, CA oy, Yo 614
�+ 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 N
[County of LO S Tn "FBI �S
[xCity of 114 MJQ
❑ 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) .
O The period covered is January 1, 2002, through
the date of leaving office.
-or-
0 The period covered is —J_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 ro% ownership) -
Schedule A - 2 -
�i Yes – schedule attached
Investments (10 %or grealer ownership) -
Schedule B
❑ Yes – schedule attached
Real Property
-
Schedule C
❑ Yes — schedule attached
Income & Business Positions (Ineoma Other than Loans, Gifts, and Travel)
Schedule D
❑ Yes – schedule attached
Income – Loans
- -
Schedule E
(Yes – schedule attached
Income – Gilts
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 Signed
(month,'d ,year)
Signature
FPPC Form 700 (2002/2003)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
SCHEDULE A -2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑$10,001 $1oo,000 / 02 _f_f
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Sole Proprietorship ❑ Partnership ❑
Other
YOUR BUSINESS POSITION
❑ $0- $499 ❑ $10,0ol - $100,000
$500 - $1,000 ❑ OVER $100,000
$1,001 - $10,000
Check one box:
❑ INVESTMENT - ❑ REAL PROPERTY
Name of Business Entity or
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity 2
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 _j___J 02 ___J___J 02
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000 ,
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust ❑ Stock E] Partnership
❑ Leasehold ❑ Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
k one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
IERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,00l - $100,000
❑ $100,001 - $1,000,000 - ACQUIRED DISPOSED
❑ Over $1,000,000 '
NATURE OF INVESTMENT
❑ Sole Proprietorship ❑ Partnership ❑
Other
YOUR BUSINESS POSITION
❑ $0 -$4ss - ❑ $1o,00l - $100,000 -
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,o01 - $10,00o
Check one box: -
❑ INVESTMENT ❑ REAL PROPERTY
of business Lnnry
Address or Assessors Parcel Number of Real Property
uescnpuon or business Acnvlry -or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:.
❑ $2,000 - $10,000
❑ $to,00l - $1oo,000
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000 .
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (200212003) Sch. A -2
FPPC Toll -Free Helpline: 866 /ASK -FPPC
SCHEDULE E
Income — Gifts
> NAME OF SOURCE
( 7 1
)) y p �� 1
ADD RESS
l.t - U
BUSINESS ACTIVITY, IF ANY, OF SOURCE
D NS�C_ R PTIO` ,QF G .,(S) VALUE DATE
V �u �I n� P b 6 LL- , t $4 Jr Si
$ bbi p ibn 11y
> NAME OF SOURCE
ADDRESS
ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S) VALUE DATE
$ - --
> NAME OF SOURCE
VALUE DATE
$ __J—J
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S)
VALUE DATE
Comments:
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE.
DESCRIPTION OF GIFT(S) VALUE DATE
> NAME OF SOURCE
i
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S)
VALUE DATE
S
' FPPC Form 700 (2002/2003) Sch. E
FPPC Toll -Free Helpline: 866 /ASK -FPPC