Jay ImperialRECEIVED
CALiFDRN1A
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*711R �DL771CALa'RAL710E5 LOMM.
Please type or print in ink I p
.NAME (LAST)
Imperial
Jay
OFFICE
(MIDDLE)
T
Date Received
oR r use omy
DAYTIME TELEPHONE NUMBER
(626 ) 280 -7054
OPiIDNAL. FAX 1 E-MAIL ADDRESS
rMey be business add..)
8755 E. Ralph Street, Rosemead CA 91770
COVER PAGE
1. Name of Office Sought or Held, Agency or
Court (Provide precise name. Do not use anonyms.)
Division, Board, District, if applicable:
Position:
City Council Member
If Expanded Statement - List agency /position:
- (Attach a separate sheet it necessary. Do not use acmnyms.
File originally signed statement with each filing olrcial.)
Agency:
Position Title:
2. Office Jurisdiction (Check one)
4. Schedule Summary
(Chock applicable schedules Qr'No reportable interests.)
• During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 ❑ Yes - schedule attached
investments (Less Bran 70% D, .hlp)
Schedule A -2
❑ Yes - schedule attached
investments (crmierman in ormerslep) -
Schedule B
Yes – schedule attached
Real Property
Schedule C
❑ Yes – schedule attached
income & Business Positions (lewme omar men Loans. Gres, ead rramg
Schedule D
❑ Yes - schedule attached
income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts _.
❑ State
❑ County of
P City of Rosemead
❑ Multi- County
❑ Other —
3. Type of Statement (Check at least one box)
❑ Assuming Office/Initial Date:
Annual
(Check one)
O The period covered is January 1, 2000, through
December 31, 2000-
Q The period covered is
December 31, 2000.
through
❑ Leaving Office Date Lett:
(Check one)
Q The period covered is January 1, 2000, through the
date of leaving office.
Q The period covered is Jam through the
date of leaving office.
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
.r ❑ No reportable interests on any schedule 2
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 March 21, 2001
mo ey, year)
SIGNATURE e e originally tl state and wkh your filing ohSdeL)
❑ Candidate FPPC Form 700 (20002001)
Schedule B
Interests in Real Properly
Name
Jay T. Imperial
> STREET ADDRESS OR PRECISE LOCATION
8755 E. Ralph Street
CITY
Rosemead, CA 91770
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,DOO - $10,00D DO
❑ $tO,001 - $100,000
❑ $1DO,001 - $1,000,000 ACQUIRED DISPOSED
7[E] Over $1,000,000 -
NATURE OF INTEREST nn
F Rental Property � .Owmership /De @d of Trust � Eis went
❑ Leasehold ® °
�i
ma A °nr°
Yrs. remaining Other _
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $449 ❑ $500 - $1,000 ❑ $1,001 - $10.00D
❑ $10,001 - $100,DOO ❑ OVER $100,OOD
SOURCES OF RENTAL INCOME: if you own a fo% or greeter inlerest.
see the ins(mciams for reporting sources of rental income.
> STREET ADDRESS OR PRECISE LOCATION
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
E] $m,Ool - $100,000 JJ --j--j 00
❑ $100,001 - $1,ODO,Dim ACQUIRED DISPOSED
❑ over $1,000.000
NATURE OF INTEREST
❑- Rental Property ❑ Ownership /Deed of Trusl ❑ Easement
❑ Leasehold ❑
Y. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 . $449 ❑ 5500 - $1,000 ❑ $1,001 - $10,000
❑ $10.001 - $100,DDO ❑ OVER $10D,000
SOURCES OF RENTAL INCOME: tr you own a fo% or greener inmre4
see the insnudoms 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 - $10D,000 ❑ OVER $100,001)
❑ 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 (MenthsNears)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $1D,DOO
❑ $10,001 - $100,DOD ❑ OVER $100,000
❑ Guarantor, if applicable
Check below if another loan is disclosed on Schedule D
❑ Additional loan - refer to Sch. D.
FPPC Form 7DO (200012001) Sch. B
FPPC Toll -Free Helpline: 866/ASK-FPPC
Date Received
- otsaar W. only
STATEMENT OF ECONOMIC INTERESTS
• A Public Document
Please type or pant in ink n UP L I CAT E
NAME (LAST) (FIRST) - (MIDDLE) DAYTIME TELEPHONE NUMBER
Imperial Jay T ( 62 )280 -7054
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May be business address)
8755 E. Ralph Street, Rosemead, CA 91770
COVER PAGE
1. Name of Office Sought or Held, Agency or 4. Schedule Summary
(Check applicable schedules gl 'No reportable interests.)
Court (Provide precise name. Do not use acronyms.)
City of Rosemead
Division, Board, District, if applicable:
Position:
City Council Member
If Expanded Statement - List agency /position:
(Attach a separate sheet if necessary. Do not use acmnyms.
File originally signed statement with each filing official.)
Agency: County Sanitation Districts
Position Title: Boardmember
2. Office Jurisdiction (Check one)
❑ State
County of Los Angeles
E City of n era
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box) ? ,
Assuming Office /Initial Date:J_�/!
® 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)
0 The period covered is January 1, 2000, through the
date of leaving office.
0 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 (Less Man fox ownership) _
Schedule A -2 ❑ Yes - schedule attached
Investments (Greater man fox Ownership)
Schedule B EjYes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income 8 Business Positions (1=me other then Linz Gifts, and Timmo
Schedule D " ❑ Yes - schedule attached
Income - Loans -
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
m* ❑ 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
" �on ,day, year)
SIGNATURE
(File a ongi lly signed Cement your ing official.)
FPPC Forth 700 (200012001)
FPPC Toll -Free Helpllne: 8661ASK -FPPC
Schedule B
Interests in Real Property'
Name
Say T. Imperial
> STREET ADDRESS OR PRECISE LOCATION
8755 E Ralph Street
CITY
Rosemead, CA 91770
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ S1o,001 - $100,000
❑ $100,001 - $1.0D0,000 ACQUIRED DISPOSED
- g® Over $1,000,000
NATURE OF INTEREST
❑ Rental Property a_Ownership /Deed of Trust ❑ Easement
Primary full
❑ Leasehold ® -_" "' rocirlonr`o
Ym remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $440 ❑ $500 - $1,000 ❑ $1,001 - $10,0D0
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 1o% or greater interest.
see the inslruc Toni for reporting sources of rental income.
NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
❑ Financial Institution
❑ Other
INTEREST RATE TERM (MonlhsNears)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $600 - $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:
> STREET ADDRESS OR PRECISE LOCATION
CITY
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10.001 - $100,000
— J oo __j__j 00
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Rental Property ❑ Ownership /Deed of Trust ❑ Easement
❑ Leasehold
❑
Ym. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0-S449 ❑ $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 interesl,
see the instructions for reporting sources of renlel income.
NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
❑ Financial Institution
❑ Other
INTEREST RATE TERM (MonthsfYears)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1.000 ❑ $1.001 - $10,DD0
❑ $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.
FPPC Form 7DO (200012001) Sch. B
FPPC Toll -Free Helpllne: 8661ASK -FPPC
- � Date Received
CALIFORNIA .- STATEMENT OF ECONOMIC INTERESTS F+� + "�
A Public Document ! "•'''w 14,c;:
j tM t i ...
p . Ip r - 1 0 r F I— p.
f- -� - -!� p..- Please type or print In Ink
MAR 3 11ggg
NAME (LAST) (FIRST) L1A1Jt J9't QlIiI[ MBER
M p C".rt, JR Y 7'
MAILING ADDRESS STREET CITY ZIP CODE
$755 E. 72nc.P/1 Y7. 7'o SC C'A• 9/770
COVER PAGE
1. Office, Agency, or Court
C t T y o f TZo s E�lEI{�
Division, Board, District, if applicable:
Position:
CO C.-wC/ L ftrM184`IZ
> It filing an expanded statement list agency /poshion:
(Afwh s s.pa.a. h..f it .. .... ry)
2. Office Jurisdiction (Check one)
[:]Stale ❑ County of
ch of R o sE/yIERD CA. 9/77e
❑ Multi- County
4. Schedule Summary
> During the reporting period, did you have any
reportable interests to disclose on:
Schedule A -1 ❑ Yes - schedule attached
Investments (L... @.n 10% O ....e;p) -
Schedule A -2 ❑ Yes - schedule attached
Investments (Gn.f.r in.n 10% O.n.r.hip)
Schedule B 2(Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income & Business Positions (Immnw Orh.r than Loans, Gins, and Tmv ij
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
❑ Other
3. Type of Statement (Check ar least one box)
> 2 No reportable interests
> Total number of pages (including this cover page): L
❑ Assuming Office /Initial Date:
Annual
(Check one)
-(yThe period covered is January 1, 1998 through
December 31, 1998.
O The period covered is __J __J_ through
December 31, 1998.
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
the 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.
❑ Leaving Office Date Left: _J_ /_
(Check one)
• The period covered is January 1, 1998 through
the date of leaving office.
• The period covered is __J_ /_ through
the date of leaving office.
❑ Candidate
Executed on APai[ / s;e , _ 19
(month, tl (year)
SIGNATURE
la
FPPC Form 700 (1998199)
For Technical Assistance: 9161322.5660
Schedule B
Interests in Real Property
> STREET ADDRESS OR PRECISE LOCATION
8755 E, RAL1 5T•
CITY
- R c yew 'A CA 9 1770
FAIR MARKET VALUE IF APPLICABLE. LIST DATE:
❑ $1,000 - $101000 �J 98
_J / 98
11 10,001 - $100,000 ACQUIRED
DISPOSED
LZ Dvet$100
NATURE OFINTEREST
❑ Rental Properly V Ownershlp/Deed of Trust
❑ Easement
❑ Leasehold ❑
Yrs. i.m ...ny Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $D - $249 ❑ $250 - S1,00D ❑ $1,001 - $10,000 ❑ Over $10,000
SOURCES OF RENTAL INCOME: II you own a lox or proemr irl -niM,
see the mslrucbons for repodmg sources of remal income.
7,a;s j1`5 1
RES I DEaIC15
1f1 /s P o PErtr / �►7�NH F12E
9` C LC6R- ,
NAME OF LENDER
NIA
ADA
BUSINESS Ar.TWrrY OF LENDER
p a r1) Fln3ncial Institution _
❑ Other
INTEREST PATE
?000 -----% ❑ None
TERM (Months/Years)
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $250 - S1,000 ❑ S1,DD1 - S1D,OOD Q O er $10,000
❑ Guarantor, II applicable
Check below it another loan is disclosed on Schedule D.
❑ Additional loan - rotor to Sch. D.
Comments:
> STREET ADDRESS OR PRECISE LOCATION
III a t39 Aj"s 5
CITY
7Ro S E CFl , 91770
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $1,000 - $10,000 J� 9 B
❑ $10,001 - S100,000 ACQUIRED DISPOSED
❑ Over$100,000
NATURE OF INTEREST
❑ Rental Property ❑ Ownershlp/Deed of Trust ❑ Easement
❑ Leasehold x
Yrs. remeinmp 01her
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $D - $249 ❑ $250 - $1,01)(1 ❑ $1,001 - $10,000 ❑ Over $10,000
SOURCES OF RENTAL INCOME: If you own a IOY. or proelsr interosl,
-see the instructions for reporting sources of rem -/ income.
%H /s �2o PEQT� � woe,
/1 1155 AT Z9 S 2i*E W17
/f /3 v y C/Z A'7' P4FSC -'a/T,
NAME OF LENDER
/1r',(Ian�T, cr rYIonTG�tcE�.sy
ADDRESS y 35/i'. $v, 1 # L�1 /av
1 UlUC X L R /DA, -T
BUSINESS ACTIVITY OF LENDER
9-1`nancial Institution
❑ Other
INTEREST RATE TERM�(MonthsNears)
7 1 5 % ❑ None f•i 4
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $250 - S1.000 ❑ $1,001 - S10,000 194er $10.000
❑ Guarantor. It applicable
Check below it another loan is disclosed on Schedule D.
❑ Additional loan - rotor to Sch. D.
FPPC Form 700 (1998/99) Sch. B
For Technical Assistance: 9161322 -5660
CALIF _ s°w*p -rr Ee,_ Date Received
,,, .- STATEMENT OF ECONOMIC I b ;C ~ ° "a "se
A Public DocumeYzt
P " n
Please type or print in ink ' �� V LIr:;J
NAME (LAST) (FIRST) DAYTIME TELEPHONE NUMBER
ZmPf�� / Y T CITY r . ,_.- .., OFFICE & ) W F0 - 7a�5
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL FAX I E -MAIL ADDRESS
(May be busness address) �� � •
?75"x" � • R ST 2otSF V17<
COVER PAGE
1. Office, Agency, or Court 4. Schedule Summary
Provide precise name. Do not use acronyms. (Check applicable schedules or "No reportable interests. ")
Division, Board, District, if applicable:
During the reporting period, did you have any reportable
interests to disclose on:
Position:
017 CovAJC F'19ZWR6 E
I
y Expanded Statement – List agencylposition:
(Attach a separate sheet it necessary. Do not use acronyms.)
Agency:
Position Title:
2. Office Jurisdiction (Check one)
❑ State
❑ C unty of�-7 - -
City of �S osEMM
Schedule A -1 ❑ Yes – schedule attached
Investments (Less than ]o % ownership)
Schedule A -2 ❑ Yes – schedule attached
Investments (Greaterthen 10 % Ownership) -
Schedule B VYes – schedule attached
Real Property
Schedule C
❑ Yes – schedule attached
Income 8 Business Positions (income Omer than Loans. Gins, and Tramil
Schedule D
❑ Yes – schedule attached
Income – Loans
Schedule E
❑ Yes – schedule attached
Income – Gifts
Schedule F
❑ Yes – schedule attached
Income – Travel Payments
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
-* ❑ No reportable interests
Total number of pages (including this cover page):
❑ Assuming OfficelInitial Date:
❑ Annual
(Check one)
__The period covered is January 1, 1999, through
December 31, 1999. -
0 The period covered is __J- -J —, through
December 31, 1999. -
❑ Leaving Office Date Left:
(Check one)
• The period covered is January 1, 1999, through
the date of leaving office.
• The period covered is _J__J -, through
the date of leaving office.
❑ Candidate
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 MRgr�I Z0 _Z ®6Q
(mo tlay, year)
SIGNATURE Y
(Fit e o finally signetl stalem 1 with your filing officer.)
FPPC Form 700 (1999I2D00)
For Technical Assistance: 9161322 -5660
Schedule B
Interests in Real Property
> STREET ADDRESS OR PRECISE LOCATION
V7 55 E, F N4 PH 5i-
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $1,000 - $10,000
❑ $10,001 - $t00,ODD ACQUIRED DISPOSED
Over $100, DOD
NATURE OF INTEREST -
❑ Rental Property ® Ownership /Deed of Trust 22y ❑ y Easement rolt I-
❑. Leasehold ® r 9P
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $299 ❑ $250 - $1,DOO ❑ $1,001 - $1D,000 ❑ Over $10,000
SOURCES OF RENTAL INCOME: If you own a 10% 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)
% F1 None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $250 - $1,000 - ❑ $1,001 - $10,000 ❑ Over $10,000
❑ 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
❑
$1,001) - $10,0DO J / 99
99
❑
$10,001 - $100,000 ACQUIRED
DISPOSED
❑
Over $100,00D
NATURE
OFINTEREST
❑
Rental Property ❑ Ownership /Deed of Trust
❑ Easement
❑
Leasehold ❑
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $249 ❑ $250 - $1,000 ❑ $1,1301 - $1D,000 ❑ Over $10,000
SOURCES OF RENTAL INCOME: It you own a 10% or greater Interest,
see the instructions for reporting sources of rental incomes.
NAME OF LENDER ..
ADDRESS
BUSINESS ACTIVITY OF LENDER
❑ Financial Institution
❑ Other
INTEREST RATE TERM (Months /Years)
❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,000
❑ Guarantor, if applicable
Check below if another loan is disclosed on Schedule D.
❑ Additional loan - refer to Sch. D.
FPPC Form 700 (199912000) Sch. B
For Technical Assistance: 916/322 -5660
_ n r k,,,a dam^ r Date Received
,,, . - '� STATEMENT OF ECONOMIC IfEST `; ° " ""a ° ""
CITE' "L t
A Public Document
COVER PAGE
1. Office, Agency, or Court 4. Schedule Summary
Provide precise name. Do not use acronyms (Check applicable schedules or 'No reportable interests.')
Division, Board, District, if applicable:
Position: _
COVAJCIL NllEI�18i�'
�+ EXpanded Statement — List agency /position:
(Attach a separate sheet if necessary. Do not use acronyms.)
Agency:
Position Title:
During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 ❑ Yes — schedule attached
Investments Gass than io %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.pnrome other than Loans, Gins, and Trawl)
2. Office Jurisdiction (check one)
❑ State
❑ C unty of
City of RAM MA -
❑ Multi- County
❑ Other
3. Type of Statement (check at least one box)
❑ Assuming Office /Initial Date:
❑ Annual
(Check one)
_eThe period covered is January 1, 1999, through
December 31, 1999.
Q The period covered is
December 31. 1999.
through
❑ Leaving Office Date Left:
(Check one)
Q The period covered is January 1, 1999, through
the date of leaving office.
Q The period covered is __J ___1_, through
the date of leaving office.
❑ Candidate
Schedule D ❑ Yes — schedule attached
Income — Loans
Schedule E ❑ Yes — schedule attached
Income — Gifts
Schedule F ❑ Yes — schedule attached
Income — Travel Payments
a* ❑ No reportable interests
Total number of pages (including this cover page):
5. Verification
I have used all reasonable diligence in preparing this
statement. 1 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 / ! 98 2bm6
SIGNATURE X r't'y ,/
(Filelt e onj inally signed statenneki -with your filing otrcec)
FPPC Form 700 (199912000)
For Technical Assistance: 9161322 -5660
r,
"ily1t
Please type or print in ink
NAME (LAST)
(FIRST)
-
DAYTIME TELEPHONE NUMBER
IM/�c�IAL
, Y T.
TA
C.1TV ( ' -.-
-, OFFi E`z6
MAILING ADDRESS STREET
CITY
ZIP CODE
OPTIONAL FAX / E -MAIL ADDRESS
(May be business address)
X 755 r /� AC,PH
ST TL
C4.
x/ /77 0
COVER PAGE
1. Office, Agency, or Court 4. Schedule Summary
Provide precise name. Do not use acronyms (Check applicable schedules or 'No reportable interests.')
Division, Board, District, if applicable:
Position: _
COVAJCIL NllEI�18i�'
�+ EXpanded Statement — List agency /position:
(Attach a separate sheet if necessary. Do not use acronyms.)
Agency:
Position Title:
During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 ❑ Yes — schedule attached
Investments Gass than io %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.pnrome other than Loans, Gins, and Trawl)
2. Office Jurisdiction (check one)
❑ State
❑ C unty of
City of RAM MA -
❑ Multi- County
❑ Other
3. Type of Statement (check at least one box)
❑ Assuming Office /Initial Date:
❑ Annual
(Check one)
_eThe period covered is January 1, 1999, through
December 31, 1999.
Q The period covered is
December 31. 1999.
through
❑ Leaving Office Date Left:
(Check one)
Q The period covered is January 1, 1999, through
the date of leaving office.
Q The period covered is __J ___1_, through
the date of leaving office.
❑ Candidate
Schedule D ❑ Yes — schedule attached
Income — Loans
Schedule E ❑ Yes — schedule attached
Income — Gifts
Schedule F ❑ Yes — schedule attached
Income — Travel Payments
a* ❑ No reportable interests
Total number of pages (including this cover page):
5. Verification
I have used all reasonable diligence in preparing this
statement. 1 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 / ! 98 2bm6
SIGNATURE X r't'y ,/
(Filelt e onj inally signed statenneki -with your filing otrcec)
FPPC Form 700 (199912000)
For Technical Assistance: 9161322 -5660
Schedule B
Interests in Real Property
> STREET ADDRESS OR PRECISE LOCATION
W 15 E
CITY
R os � /W'C��'A
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $1,000 - $10.000 J_J B9
❑ $70,001 - $100,000 ACQUIRED DISPOSED
Over $100,000
NATURE OF INTEREST
❑ Rental Property ® Ownership /Deed of Trust � y' Easement
P n- ,ntA I e 6 ,,r L-
❑ Leasehold ® R MP
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $249 ❑ $250 - $1.000 ❑ $1 .001 - $10,DO0 ❑ Over $10,000
SOURCES OF RENTAL INCOME: If you own a 10% 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 (MDnths/Years)
% ❑.None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,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:
❑
$1,000 - $10,000 � / 99
J� B9
❑
- 00 ACQUIRED
DISPOSED
❑
Over $
,1300
Over $100,000
NATURE
OF INTEREST
❑
Rental Property ❑ Ownership /Deed of Trust
❑ Easement
❑
Leasehold ❑
- Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED -
❑ $0 - $249 ❑. $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,D00
SOURCES OF RENTAL INCOME: If you own a 10% 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
% ❑ None
TERM (Months /Years)
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $250 - $1,000 ❑ $1,001 - $10,01DO ❑ Over $10,000
❑ Guarantor, if applicable
Check below if another loan is disclosed on Schedule D.
❑ Additional loan — refer to Sch. D.
FPPC Form 700 (199912000) Sch. B
For Technical Assistance: 9161322 -5660
Date Received
1948199 F NIA .-
CALIFOR STATEMENT OF ECONOMIC INTERESTS �*,�.
A Public Document 'J y "''' "�1 J
FAIR POLITICAL PRACTICES COMPO. [ .I , i.__ AID q(1 (g
- [g —! 4 .... �::' Please type or print In Ink AI „n 1 gg
NAME (LAST) (FIRST) yr rl3A17UttfifrCl` ¢ r(yQ' MBER
X M PCRIAL, J 1( 7- (LZL) ?SB I 1
MAILING ADDRESS STREET CITY ZIP CODE
&755 E. 7?.4)LP9 ST 7Zo 5 Ca. 91770
1. Office, Agency, or Court
C I I T Y O F J2o SE�JElrj�
Division, Board, District, if applicable:
Position:
Cc) vAiC1 L A1jfM/3EI2
> If filing an expanded statement list agency /position:
(Allech a sep r.td sheet if necess.ry)
2. Office Jurisdiction (Checkone)
❑ State ❑ County of
cit of Ro SEME/?D CA. 31771
❑ Multi- County
4. Schedule Summary
> During the reporting period, did you have any
reportable interests to disclose on:
Schedule A -1 ❑ Yes – schedule attached
Investments (L... rh.n 1e% own..hlp)
Schedule A -2 ❑ Yes – schedule attached
Investments (Gr..br th.n rox ownersniP)
Schedule B 2rYes – schedule attached
Real Property
Schedule C ❑ Yes – schedule attached
Income 8 Business Positions #noon. Other Ih.n L..ns, Gips, and T..0
Schedule D ❑ Yes – schedule attached
Income – Loans
Schedule E ❑ Yes – schedule attached
Income – Gifts -
Schedule ❑ Yes – schedule attached
Income – Travel Payments
❑ Other
3. Type of Statement (Check at least one box)
> R"�No reportable interests
> Total number of pages (including this cover page): L
❑ Assuming Office /Initial Date: —J —J _
Annual
(Check one)
-QJThe period covered is January 1, 1990 through
December 31, 1998.
0 The period covered is through
December 31. 1998.
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
the 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.
❑ Leaving Office Date Left:
(Check one)
• The period covered is January 1, 1998 through
the date of leaving office.
• The period covered is _ /_/ through
the date of leaving office.
❑ Candidate
Executed on A J s1 19 ? '?
(month, d (ye
SIGNATURE
FPPC Form 700 (1998199)
For Technical Assistance: 916/322 -5660
Schedule B
Interests in Real Property
> STREET ADDRESS OR PRECISE LOCATION
8755 E, RALP14 ST
CITY
e R cSEMFA'A
CA - 9 1770
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ S1,000 - $10,00D
9
J � 8
_
El 10,001 - S100,000 ACQUIRED
DISPOSED
Lir Over $100,000
NATURE OFINTEREST
❑ Rental Property
5 Ownershlp/Deed of Trust
❑ Easement'
❑ Leasehold
❑
Yr¢.
rerminmp
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ SD - S249 ❑ S25D - SI,000 ❑ S1,001 - 51D,0DD ❑ Over $10,0D0
SOURCES OF RENTAL INCOME: II yuv own a foX ar Dmerer imenal.
see the mseurlrons for reponmp source¢ of rental income.
7, ;s My
RES ! DEnICE
4` C LCR R.
NAME OF LENDER -
IJIA
ADDRES
BUSINESS Ar.TIVrTY OF LENDER
C 'Flnlincial Institution
❑ Other
pp
INTEREST RATE
? 4,_4 a_ :_% ❑None
TERM (Months/Years)
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $250 - $1,000 ❑ S1.001 - 510.000 [R O er $10,000
❑ Guaramor, It applicable
Check below it another loan is disclosed on Schedule D.
❑ Additional loan — refer to Sch. D.
.Comments:
> STREET ADDRESS OR PRECISE LOCATION
16 3 9 Airway ST-
CITY
L'A, 91770
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ 51.000 - $10,000 J 9 B
❑ S10,0D1 - $100,000 ACQUIRED DISPOSED
❑
Over $100.000
NATURE OF INTEREST
❑ Rental Property ❑ Ownomhlp/Deed of Trust ❑ Easement
❑ Leaseholtl
Yr¢. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $249 ❑ $250 - 51,000 ❑ $1,001 - 570,000 ❑ Over $10,000
SOURCES OF RENTAL INCOME: If you own a 10% or greeter tnlerest,
see the instruction¢ for repemrig aoumes o/ rental income.
i� /Is 0/ p EQTy �' woe,
T Z�/ W /
Ito r3 L C!Z A7" P4FSE"NT,
NAME OF LENDER
/1r"�IaNT, c. rYJoTlT�•riGE�-.T.t/
ADDRESS y 3 y b'. 5c,, Pm i,t!% /aL✓!T. 4V0f
SACA4S0,V t)1UC F4&gI p& id ' . 322✓ Z ' 09 °3
BUSINESS ACTIVITY OF LENDER
�Inancial Institution
❑ Other
INTEREST RATE TERM (MonthsNears)
7 1 `• % ❑ None I�qIV
HIGHEST BALANCE DURING REPORTING PERIOD
❑ S250 - S1,000 ❑ $1,001 - $10,000 D115<er $10,000
❑ Guarantor, II applicable
Check below it another loan is disclosed on Schedule D.
❑ Additional loan - reter to Sch. D.
FPPC Form 700 (1998199) Sch. B
inical Assistance- 916/322.566n