Duc LoiPlease type or print in ink
RECEIVED Date R ceived
STATEMENT OF ECONOMIC IN'I EftlY95�S ROSEMEAD
A Public Document MAR 2 g 2001
- IQ CAT _ C ITY ('I FQVee it rr
NAME (LAST)
MAILING ADDRESS
(May be business address)
(FIRST)
t)LL C
(MIDDLE)
NUMBER
((r ) 2 V - 66'/-2
OPTIONAL: FAX I E -MAIL ADDRESS
7 7 C LVf Z�J�.✓ L /l L P-"LSeLI'f � -�7 � i 7�L)
COVER PAGE
1. Name of Office Sought or Held, Agency or
Court (Provide precise name. Do not use acronyms.)
Division, Board, District, if applicable:
A l C -4 M/vt4 -S 1" �y Z.
Position:
If Expanded Statement — List agency /position:
(Attach a separate sheet if necessary . Do not use acronyms.
File originally signed statement with each filing official.)
Agency:
Position Title:
2. Office Jurisdiction (Check one)
❑ State
❑ County of n
[9 of / wS��✓i �/4�
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: --- J— _J—
Annual
(Check one)
® The period covered is January 1, 2000, through
December 31. 2000.
p The period covered is
December 31, 2000.
through
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 2000, through the
date of leaving office.
The period covered is _J_J through the
+ate of leaving office.
4. Schedule Summary
(Check applicable schedules g - No reportable interests.
m* During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 - ❑ Yes — schedule attached
Investments (Lass man to% ownership)
Schedule A -2 ❑ Yes — schedule attached
Investments (G.W rinse lox oweaeehip)
Schedule B ❑ Yes — schedule attached
Real Property
Schedule C ❑ Yes — schedule attached
Income 8 Business Positions (Jr.. omer then Loan Gets, and Trve )
Schedule D ❑ Yes — schedule attached
Income — Loans
Schedule E ❑ Yes - schedule attached
Income — Gifts
Schedule F ❑ Yes — schedule attached
Income. Travel Payments
Q 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. I certify under penalty
of perjury under the laws of the State of California that the
foregoing is true and correct.
EXECUTED ON
/month, de' Yeah
SIGNATURE
(File the riginally signed statement with your filing official.)
ite
FPPC Form 700 (2000/2001)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
700
O00
FAIR POLITICAL
2001
FORM
PRACTICES
COMM.
Please type or print in ink
RECEIVED Date R ceived
STATEMENT OF ECONOMIC IN'I EftlY95�S ROSEMEAD
A Public Document MAR 2 g 2001
- IQ CAT _ C ITY ('I FQVee it rr
NAME (LAST)
MAILING ADDRESS
(May be business address)
(FIRST)
t)LL C
(MIDDLE)
NUMBER
((r ) 2 V - 66'/-2
OPTIONAL: FAX I E -MAIL ADDRESS
7 7 C LVf Z�J�.✓ L /l L P-"LSeLI'f � -�7 � i 7�L)
COVER PAGE
1. Name of Office Sought or Held, Agency or
Court (Provide precise name. Do not use acronyms.)
Division, Board, District, if applicable:
A l C -4 M/vt4 -S 1" �y Z.
Position:
If Expanded Statement — List agency /position:
(Attach a separate sheet if necessary . Do not use acronyms.
File originally signed statement with each filing official.)
Agency:
Position Title:
2. Office Jurisdiction (Check one)
❑ State
❑ County of n
[9 of / wS��✓i �/4�
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: --- J— _J—
Annual
(Check one)
® The period covered is January 1, 2000, through
December 31. 2000.
p The period covered is
December 31, 2000.
through
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 2000, through the
date of leaving office.
The period covered is _J_J through the
+ate of leaving office.
4. Schedule Summary
(Check applicable schedules g - No reportable interests.
m* During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 - ❑ Yes — schedule attached
Investments (Lass man to% ownership)
Schedule A -2 ❑ Yes — schedule attached
Investments (G.W rinse lox oweaeehip)
Schedule B ❑ Yes — schedule attached
Real Property
Schedule C ❑ Yes — schedule attached
Income 8 Business Positions (Jr.. omer then Loan Gets, and Trve )
Schedule D ❑ Yes — schedule attached
Income — Loans
Schedule E ❑ Yes - schedule attached
Income — Gifts
Schedule F ❑ Yes — schedule attached
Income. Travel Payments
Q 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. I certify under penalty
of perjury under the laws of the State of California that the
foregoing is true and correct.
EXECUTED ON
/month, de' Yeah
SIGNATURE
(File the riginally signed statement with your filing official.)
ite
FPPC Form 700 (2000/2001)
FPPC Toll -Free Helpline: 866 /ASK -FPPC