Michael BorgaokDate Received
, T . STATEMENT OF ECONOMIC INTERESTS Official Use only
FAIR POLITICAL PRACTICES COMMISSION I COVER PAGE A01=1=10 S,Y182�O A l ' 1 =
Please type or print in ink
A Public Document EOOZ I Z M
NAME (LAST) (FIRST) - (MIDDL / @ 11MI EPHONE NUMBER
MAILINA ADDRESS I STREET CITY - -- ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May be business address) -
1 . Office, Agency or Court
Name:
Division, Board, District, if applicable:
- P �-� osition:� f
�cRe- 4 /a-
..r If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
greater Ownership) _
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County o
City of
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: __J __J
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
4. Schedule Summary
(Check applicable schedules or "No reportable interests. ")
iii iiiF the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1
❑ Yes - schedule attached
Investments (Less than
fo %Owner :hip)
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-
—A No reportable interests on any schedule
Total number 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 "
( nth, year
Signature
(File the original sta em with y r filing I. dq
FPPC Form 700 (200212003)
FPPC Toll -Free Helpline: 866 /ASK -FPPC