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STATEMENT OF ECONOMIC INTERE�jiI eta `� ivied
LITY 0= ROSEMEAD
A Public Docu/nent
COVER PAGE
MAR 0 6 2002
. .___ — - . _ ___ CITY r.. . �.. . 1-„
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NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEP O NUMBER
m2�KT-:C'H n-) LAa rn (�d�,sra5 -a�ys
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL. FAX / E -MAIL ADDRESS
(May be business address)
�l3 AL LSD, iCu515-ir!ra /77U
1. Full Name of Office Sought or Held,
Agency or Court:
DivisioK Board, District, if applicable:
Position:
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
�q city Of (LOSJ:54"J AFQ
❑ 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-
0 The period covered is 1— J —, through
December 31, 2001. -
❑ Leaving Office Date Left: ---J---J-
(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 man lo% ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (Greater than 10 % 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-
_X No reportable interests on any schedule
Total number of pages completed including this
cover page: _ I
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 m ,4ti rli (e J O U "Z.
(month, day, year)
Signatur _
(File the originally signed statement with your filing olficial.)
FPPC Form 700 (2001/2002)
FPPC Toll -Free Helpline: 866 /ASK -FPPC