Michael Burbankt.. tr FORM STATEMENT OF ECONOMIC INTERESTS CITY O SEMtAD
FAIR POLITICAL PRACTICES COMM. A Public Document MAR 21 2001
- Please type or print in ink �1
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NAME (LAST) (FIRST) (MIDDLE) ' " TELEPHONE NUMBEI
7C) (I
E - OPTIONAL: FAX I
address)
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 IL 'No reportable interests.*)
Division, Board, District, if applicable:
'e
J rat �
If Expanded Statement - List agency /position:
(Attach a separate sheet it necessary. Do not use acronyms.
File originally signed statement with each tiling oKciaO
Agency:
Position Title:
2. Office Jurisdiction (Check one)
❑ State
❑ County of
City of e,
Multi -County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office/initial - Date:
AAnnu
al
(check one)
) The period covered is January 1, 2000, through
December 31, 2000.
O The period covered is
December 31, 2000.
-0 During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 ❑ Yes - schedule attached
Investments (Less men to% Danenhip) -
Schedule A -2 ❑ Yes - schedule attached
Investments (Greemr men lb% Oenersnlp)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income 8 Business Positions (Inmme other than Loans, Gms, and rrereq
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts -
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
No reportable interests on any schedule
Total n mber 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.
through
EXECUTED ON
❑ Leaving Office Date Left: ---J-J—
(Check one)
O The period covered is January 1, 2000, through the
date of leaving office.
Q The period covered is through the
date of leaving office.
❑ Candidate
the
.FPPC Form 700 (200012001)
FPPC Toll -Free Helpllne: 8661ASK -FPPC