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Margaret ClarkDate Received "CALIROhNIA om� use only .• _ 700 / ECONOMIC INTERESTS FAIR POLITICAL PRACTICES COMM. CITY OF Rost0 W Document Please type or print in ink MAR 15 ZOO t j P I_- F C AT NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER CITY CLERK'S OFFICE ( 6-�� ) 73aY' /af � clix re f ........ - crnccr GTV ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS business COVER PAGE 1. Name of Office Sought or Held, Agency or 4. Schedule Summary Court (Provide precise name. Do not use acronyms.) (Check applicable schedules Q 'No reportable interests.") Division, Board, District, if applicable: 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 (Chackone) ❑ State ❑ County of _ ❑ City of ❑ 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. O The period covered is December 31, 2000. through ❑ Leaving Office Date Left: ��— (Check one) • The period covered is January 1, 2000, through the date of leaving office. • The period covered is through the date of leaving office. ❑ Candidate • During the reporting period, did you have any reportable interests to disclose on: Schedule A -1 ❑ Yes - schedule attached investments (Lass men lost ownership) Schedule A -2 ❑ Yes - schedule attached Investments (Greaterman ioa1. o- nemnip) Schedule B JKYes - schedule attached Real Property Schedule C ®'Yes - schedule attached Income 8 Business Positions (Inoome otner than Loans. Gets, and rrexeg Schedule D ❑ Yes – schedule attached Income – Loans Schedule E ❑ Yes – schedule attached Income – Gifts Schedule F ❑ Yes – schedule attached Income – Travel Payments r ❑ No reportable interests on any schedule Total number of pages (including this cover page): 3 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 2n eufz:r�i l� 20o1 (month, day, year) SIGNATURE Z ` 2 "_"'_4 " "' - 1 C46C �' (File the orignifilly signed statement win your filing official.) FPPC Form 700 (200012001) FPPC Toll -Free Helpllne: 866 1ASK -FPPC Schedule B Interests in Real Property STREET ADDRESS OR PRECISE PRECISE LOCATION p�- CITY � elno � 014- 9r7 - 7 0 FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 Smoot - $100,0oo /00 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Rental Property ❑ Ownership /Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $448 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, see the inslmcliona for reporting sources of rental income. STREET ADDRESS OR PRECISE LOCATION CITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 J 1 00 J --- J AL ❑ $100,001 - $1.000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OFINTEREST ❑ Rental Property ❑ Ownership /Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $448 ❑ $500 - $1.000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100.000 SOURCES OF RENTAL INCOME: if you own a ID% or greater interest, see the instructions for reporting sources of rental income. 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, if applicable Check below if another loan is disclosed on Schedule D. ❑ Additional loan - refer to Sch. D. Comments: NAME OF LENDER ADDRESS BUSINESS ACTIVITY OF LENDER ❑ Financial Institution ❑ Other INTEREST RATE TERM (Months/Years) °o ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $1o,0ol - $100 - ,000 ❑ OVER $100,000 ❑ Guarantor, If applicable Check below if another loan is disclosed on Schedule D. ❑ Additional loan - refer to Sch. D. FPPC Form 700 (2000/2001) Sch. B FPPC Toll -Free Helpline: 866/ASK -FPPC Schedule C / Income & Business Positions (Income Other than Loans, Gifts, and Travel Payments) > NAME OF SOURCE ,96 /e ADDRESS 1090 I BUSINESS ACTIVITY, IF ANY, OF SOURCE 90 o a / a YOUR BUSINESS POSITION GROSS INCOME RECEIVED ® $500 - $1,000 ❑ $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 (Property, ear b0e1, etc.) ❑ Commission or ❑ Rental Income, lial each source of $10,000 or more ❑ Other (Describe) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $50o - $1,000 ❑ $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 (PrepertE we boat, etc.) ❑ Commission or ❑ Rental Income, Hal eoM source of $10,000 or more ❑ Other ( Describe) Comments: > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $600 - $1,000 ❑ $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 (Prepe* car, boef, etc.) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $600 - $1,000 ❑ $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 /Pmparty, can boat, elcf ❑ Commission or ❑ Rental Income, llsl each source of $10,000 or more ❑ Other FPPC Form 700 (2 0 0 012 0 01) Sch. C FPPC Toll -Free Hellollne: 866/ASK-FPPC Date Received a . otroet u ee only STATEMENT OF ECONOMIC INTERESTS A Public Document Please type or print in ink - NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER C LA-p k M id e Gke & i F ( 6 - z 6) 2-?S- - 130 MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS (May be business address) 316 N� Pieos PCC A V E P? v S e K &:: ?,D Cam- 17 7 0 COVER PAGE 1. Name of Office Sought or Held, Agency or 4. Schedule Summary Court (Provide precise name. Do not use acronyms.) (Check applicable schedules gr 'No reportable interests.') /,`, ]]�{ p /� pp �'��- tG1.l So rT I TN 1' R CA-" w G During the reporting period, did you have any reportable L" 1r u 8 l P ,l _✓/1 Division, Board, District, if applicable: interests to disclose on: 1 g BPS R C_ Schedule A -1 E] Yes - schedule attached Position: -- ., - Investments rte. term rnx ow,re.W A-14- rpi aho ' &)a t -d 1q e ytv 6 e t Schedule A -2 ❑ Yes - schedule attached - Investments (Gma erman 10 C» Mhrp) e+ If Expanded Statement - List agencylposition: (Attach a separate sheet If necessary. Do not use acmnyms. Schedule B IN, Yes - schedule attached File originally signed statement with each filing official.) Real Property Agency: Schedule C Q Yes - schedule attached Income 8 Business Positions (lnmme other roan Loens. Gds, and Travel) Position Title: Schedule D ❑ Yes - schedule attached Income - Loans 2. Office Jurisdiction (Check one) Schedule E ❑Yes - schedule attached ❑ State -. Income - Gifts ❑ County of Schedule F ❑ Yes - schedule attached ❑ City of Income - Travel Payments E MUlti- County • ❑ No reportable interests on any schedule ❑ Other Total number of pages (including this cover page): _- 3. Type of Statement (Check at least one box) ® Assuming Office /Initial Date: � �_oL ❑ Annual (Check one) O The period covered is January 1, 2000, through December 31, 2000. O The period covered is December 31, 2DOO. through ❑ Leaving Office Date Left: ��— (Check one) O The period covered is January 1, 20DO, through the date of leaving office. O The period covered is _J _�_, through the date of leaving office. 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 9--7--0 1 (month, day, year) SIGNATURE ��'-r Urn 1 (File the origin y signed statemenl with your filing omcral.) ❑ Candidate FPPC Form 700 (2000120Df) FPPC Toll -Free Helpllne: 866 /ASK -FPPC Schedule B Interests in Real Property > STREET ADDRESS OR PRECISE LOCATION L ;� / L - CITY �iasei�Le C4 91 FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 $10,D01 - $1130,1300 --- j — -J—J ❑ $100,001 $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Rental Property ❑ Ownership/Deed of Trust ❑ Easement ❑ Leasehold ❑ Y.. remaining - Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $449 ❑ 5500 - $1 -ODD ❑ $1,OD1 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $10D,OD0 SOURCES OF RENTAL INCOME: if you own o i0% or greeter interest. see the inslmdions Iar reporting sources of ronlal income. NAME OF LENDER ADDRESS BUSINESS ACTIVITY OF LENDER ❑ Financial Institution ❑ Other INTEREST RATE TERM (MOnlhsNears) % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,oOD ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $1DO,ODO ❑ Guarantor, If applicable Check below if 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: ❑ $2.000 - $10,DD0 ❑ S10.D01 - $t DD,000 —J OD —J—J 00 ❑ $100,001 - $1,DOD,OOD ACQUIRED DISPOSED -❑ Over $I,000,OOD NATURE OFINTEREST ❑ Rental Property ❑ Ownership/Deed of Trust ❑ Easement ❑ Leasehold ❑ ym. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ SD - 5449 ❑ $5DO - $I,ODO ❑ 51,001 - SIO,DOO ❑ Slum - 5100,0OD ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% orgreafer interest, see the incoudions for reporting sources of rental income. NAME OF LENDER ADDRESS BUSINESS ACTIVITY OF LENDER ❑ Financial Institution ❑ Other INTEREST RATE - TERM (MonthsfYsars) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $50D - $1,000 ❑ $1,OD1 - S10,D00 ❑ $70,001 - $100 {000 ❑ OVER $100,000 ❑ Guarantor. if applicable _ Check below if another loan is disclosed on Schedule D. ❑ Additional loan - refer to Soh. D. FPPC Form 700 (20D012o01) Sch. B FPPC Toll -Free Helpline: 8661ASK -FPPC Schedule C Income & Business Positions (Income Other than Loans, Gifts, and Travel Payments) > NAME OF SOURCE ADDRESS iazo > BUSINESS ACTIVITY, IF ANY, OF SOURCE q0 o a YOUR BUSINESS POSITION GROSS INCOME RECEIVED ®5500 - 51,000 ❑ $1,001 - $10,DD0 ❑ $10,01)1 - 5100,DDD - ❑ OVER $100,13D0 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary jg Spouse's income ❑' Loan repayment ❑ Sale of (P-W ly car, DWI. etc./ ❑ Commission or ❑ Rental Income, list each source of S10,D00 or more ❑ Other (Describe) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED _ ❑ $500 - S1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,D00 ❑ OVER $100,DDD CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's Income ❑ Loan repayment ❑ Sale of (Pn,patlY. car, boat, etc.J ❑ Commission or ❑ Rental Income, list each source of S10,D00 or more ❑ Other Comments: > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION _ GROSS INCOME RECEIVED ❑ $500 - $1.0D0 ❑ $1,001 - 510,000 ❑ $10,001 - S100,000 ❑ OVER S100,0D0 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ salary ❑ Spouse's income ❑ Loan repayment ❑ Sale of (Propefy, ur, boat, ak.J ❑ Commission or ❑ Rental Income, list each source of 510,000 or mm ❑ Other (DesniDeJ '> NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - S1,DDD ❑ $1,DD1 - S10,0D0 ❑ S1D,D01 - 5100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's income ❑ Loan repayment ❑ Sale of (Pn,p -nY• cec boa( ak.) ❑ Commission or ❑ Rental Income, list each soon,- or $10,000 or more ❑ Other (DesuibaJ FPPC Form 700 (200012001) Sch. C FPPC Toll -Free Helpline: B661ASK -FPPC