Holly KnappSTATEMENT OF ECONOMIC INTEgi , F ITGI�e RUCeoived
A Public Document w✓ITY OF ROSEMEAD
MAR 14 2002
De,. n...a nr non, m ink
COVER PAGE
NAME (LAST) (FIRST) (MIDDLE) n DAYTIME TELEPHONE NUMBER
K4,N A-o-zp tLG LL �, ( a
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May be business address)
S 36 - 7 � , q X71
1. Full Name of Office Sought or Held,
Agency or Court:
�_ . L' -- o f �S21M�(ne�
Division, Board, Distr , if applicable:
Po_ sition:
I k-�-Cl c Q- oywrw'ss I Del ew
- - -`if filing multiple positions, list additional agency(ies)/
" position(s): (Attach a separate sheet if necessary.)
Agency:
Position Title:
2. Jurisdiction of Office (Cheek one box)
[]
P County of
/` 7 1-ity of < o VV\
❑ 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, 2001,
through December 31, 2001.
-or
0 The period covered is —J� through
December 31, 2001.
❑ Leaving Office Date Left: ��—
(Check one)
0 The period covered is January 1, 2001, 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 nos ownersr e)
Schedule A -2 Yes - schedule attached
Investments (crease. an io% owoerchm)
Schedule B - ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income & Business Positions (income Omer man Lonna, 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-
r ❑ No reportable interests on any schedule
Total number of pages completed including this
cover page:
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 Si g ned nlh, tlay� /0 �
Signature
FPPC Form 700 (2001/2002)
FPPC Toll -Free Helpline: 666 /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
j GENERAL DESCRIPTION OF BUSINESS ACTIVITY '
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 INVESTMENT
❑ Sole Proprietorship ❑ Partnership ❑
Other
YOUR BUSINESS POSITION
Check one
❑ Trost, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
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 INVESTMENT
❑ Sole Proprietorship ❑ Partnership ❑.
.Other
YOUR BUSINESS POSITION
1T
❑ $0 - S499 ❑ $10,001 - s100,000
$500 - $1,000 ❑ OVER $100,000
$1,001 - $10,000
Check one box:
❑ INVESTMENT ❑REAL PROPERTY
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,0ol - slo,000
Check one box:
:]INVESTMENT REAL PROPERTY
Name of Business Entity 1
Street Address or Assessors 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,
❑ $to,00l - $1o0,00o
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
-
❑ Property Ownership /Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold
Yrs- remaining
❑ Other
Vame of Business Entity pr
31ree1 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 - $10o,000
] $100,001 - $1,000,000
ACQUIRED DISPOSED
] Over $1,000,000
NATURE OF INTEREST
-
] Property Ownership /Deed of Trust
❑ Stock ❑ Partnership
] Leasehold
Yrs - remaining
I❑ Other
FPPC Form 700 (2001/2002) Sch. A -2
FPPC Toll -Free Helpline: 866 /ASK -FPPC
SCHEDULE E
Income — Gifts
> NAME OF SOURCEYY����CC
ADDRESM—L�� l3- ✓'�nL -1'/
- 0L�y � ,
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT (S) VALUE DATE
q) YdZ�4wC
4M 11C�p�,}I N NH $ASS
-> NAME OF SOURCE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S). VALUE DATE
$ __j_ /—
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S)
VALUE DATE
$ ��—
Comments:
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S)
VALUE- DATE
$ / __J-
$ ��-
> NAME OF SOURCE _
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S)
- VALUE DATE
NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S)
VALUE, DATE
. FPPC Form 700 (2001/2002) Sch. E
FPPC Toll -Free Helpline: 666 /ASK -FPPC