Merced OrtizDate Received
STATEMENT OF ECONOMIC INTF8 E I Glrrael U. only
FROSEMEAD
A Public Document
Please type or print in ink f" 1 i I1 10 I r A — r - MAR 2 ® 200
NAME (LAST) (FIRST) ( CLERK'S a PHONE NUMBER
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL FAX / E-MAIL ADDRESS
(May be business address) -
3g0q Al /C Gc/i �1�GCf
COVER PAGE
1. Name of Office Sought or Held, Agency or
Court (Provide precise name. Do not use acronyms.)
Division, Board, District, if applicable:
Positions: �
a llf9l�/lNll7/a C(},�vcnn155 /C�s/eF
If Expanded Statement - List agency /position:
(Attach a separate sheet it necessary. Do not use acronyms.
File originally signed statement with each filing ofcial.)
Agency:
Position Title:
2. Office Jurisdiction (Check one)
❑ State
❑ County of
❑ of R 0 5 e In e a w
❑ Multi -County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:
❑ Annual
(Check one) -
• The period covered is January 1, 2000, through
December 31, 2000.
• The period covered is __j __J_, through
December 31, 2000.
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 2000, through the
date of leaving office.
O The period covered is — / —, through the
date of leaving office.
❑ Candidate
4. Schedule Summary
(Check applicable schedules pr 'No reportable interests.')
aa� During the reporting period, did you have any reportable .
interests to disclose on:
Schedule A -1 ❑ Yes - schedule attached
Investments (Less man fox Gwnenabip)
Schedule A -2 ❑ Yes - schedule attached
Investments (Greaterman lox ownarehip)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
income 8 Business Positions (Income other man 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
w ❑ No reportable interests on any schedule
Total number of pages (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. 1 certify under penalty
of perjury under the laws of the State of California that the
foregoing is true and correct.
EXECUTED ON 3 7 - 0 /
(month, day, year)
SIGNATURE
(File the originally signed statement filing official.)
FPPC Form 700 (2 0 0 012 0 01)
FPPC Toll -Free Helpllne: 866 /ASK -FPPC