Margaret Clark=r% Date Date Received
.-
STATEMENT OF ECONOMIC 14 1 SE U 01;c'.1 usi, On,
A Public Document MAR G ,) 2002
YP p .:..) 1 I CAT COVER PAGE ., v r� "....
Please t ype or riot in ink �� I `r d r_ K•
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
C�a� r per ( 6)-b) 2- C'9 -730a
- MAILING ADD ESS STREET CITY ZIP CODE OPTIONAL: FAX / EMAIL ADDRESS
)May be business address) _
310 N. f o5 (_- Aw. '�05tlA W CA qt 626 B67 9air'
1. Full Name of Office Sought or Held,
Agency or Court:
Division, Board, District, if applicable:
Position: ,
c� t ('Out r IIM t7�r
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 one box)
❑ State
❑ County of
® City of R�S'e vYI �C
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial - Date:
,® Annual: The period covered is January 1, 2001
through December 31, 2001.
-or-
The period covered is
December 31, 2001.
through
❑ Leaving Office Dale Left: ��—
(Check one)
O The period covered is January 1, 2001, 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 io , Ownership)
Schedule A -2 ❑ Yes - schedule attached
investments (Giesler loan 70 %b Ownership)
Schedule B Yes - schedule attached
Real Property -
Schedule C Yes - schedule attached
income & Business Positions pncome Diner man Loans, Gins, and navel)
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: 3
15. 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 Slate of California
that the foregoing is true and correct.
Date Signed M4 � � �d U `�'
(month, day, year)
Signature
(File the or nally signed statement with your tiling official.)
FPPC Form 700 (200112002)
FPPC Toll -Free Helpline: 666lASK -FPPC
0
SCHEDULE B
Interests in Real Property
STREET ADDRESS OR PRECISE LOCATION
7 53 - 3 ,E E`l? P r c'71
CITY
os�rn� C4 ZI77d
FAIR MARKET VALUE IF APPLICABLE. UST DATE:
❑ S2,0D0 - S10,DOD
® $10,001 - $10o.DDO
❑ $100,001 •$1,000,000 ACOUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
Q: Rental Property ® Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaoing Omer
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ SO - $499 ❑ S500 - $1,000 0 $1,001 . 510,000
❑ S10,001 - 5100,000 ❑ OVER 5100,000
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 S10,000 or more.
NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
❑ Financial Institution
❑ Other
INTEREST RATE TERM (Months/years)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10.000
❑ $10,001 - $100.000 ❑ OVER $100.000
❑ Guarantor, it applicable
Check below it another loan is disclosed on Schedule D.
❑ Additional loan - refer to Sch. D.
Comments:
) STREET ADDRESS OR PRECISE LOCATION
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ S2.0DO - S1O.00D
❑ 510,001 • S1o0.000
❑ $700,001 - 51,000,000 ACOUIRED DISPOSED
❑ Over $7.000.000
NATURE OF INTEREST
❑ Rental Property ❑ Ownership/Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. rernaining
Omer
IF RENTAL PROPERTY. GROSS INCOME RECEIVED
❑ s0 - S499, ❑ S500 - S1:ODD ❑ S1,0D1 - S10.0DO
❑ SIO.001 - $100.000 ❑ OVER S100.ODD
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 510,000 or more.
NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
❑ Financial Institution
❑ Other
INTEREST RATE TERM (Months/Years)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ 5500 - s1,ODO ❑ s1,001 - 51D.ODo
❑ $10,001 - s100,000 ❑ OVER $700,000
❑ Guarantor, 0 applicable
Check below if another loan is disclosed on Schedule D
❑ Additional loan - refer to Sen. D.
FPPC Form 700 (200112002) Sch. IS
CDPC Tn11.C— Ndnlinr W JAQK�Ptbn
• SCHEDULE C •
Income & Business Positions
(Income Other than Loans, Gifts, and
Travel Payments)
> NAME OF SOURCE -
ADDRESS 11
/0&/
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
5 $500.51,000 ❑ $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
(Pmperry. we tmat. arc)
❑ Commission or ❑ Rental Income, list eau source of $10.000 or more
❑ Other
lDescrarel
> 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 $10D.OD0
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Pmpmty, ear. Goat. etG)
Commission or ❑ Rental Income, Asl eacn swrc of Si0.0o0 w more
❑ Other
lDeeams)
Comments:
> NAME OF SOURCE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1.000 . ❑ 57.001 - $10.000
❑ $10.001 - S100,000 ❑ OVER $100.000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
❑ Commission or ❑ Rental Income, list eacn source of slo.ow or more
❑ Other
lDeswme)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1.001 - $10,0D0
❑ $1 o,OD1 - $100,000 ❑ OVER $100.000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary - ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Progeny car, cwt arc)
❑ Commission or ❑ Rental Income. Ast each swore of 510,000 w o1."
❑ Other
[Dow -be)
FPPC Form 700 (200112002) Soh. C
FPPC TolWree Helpline: 866/ASK -FPPC