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Jay ImperialRECEIVED CALiFDRN1A I t tz * • �nDD1200'1FDRM pUK *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