Donald WagnerDate Received
Olfidal use Omy
STATEMENT OF ECONOMIC INTERESTS
A Public Document 301Ad0 S,)Il=1313.1113
Please type or print in ink _ 10 . n V
NAME (LAST) (FIRST) (MIDDLE) Qd3 w3S i7 CIA O YfIME ) TELE ( IH;NE NUMBER
WAGN "P? A � ®3n ;) - l o
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS
(May be business address)
'W38 E. VALLPY BW _RcsG R (770 �2,6.307 724Y
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 pL 'No reportable interests.")
C cri p� Kr,% e_ad -0 During the reporting period, did you have any reportable
Division, Board, D tdct, if applicable: interests to disclose on:
Position:
Asslstatjt C+v MAN,o-6IRE
si* If Expanded Statement - List agency /position:
(Attach a separate sheet IF necessary. Do not use acronyms
File originally signed statement with each tiling otiicieL)
Agency:
Position Title:
2. Office Jurisdiction (Check one)
❑ State
❑ County of
City of rk 0.
❑ Multi- County
❑ Other
Schedule A -1
❑ Yes - schedule attached
Investments (Leas man 10% Owrrersh/p)
Schedule A -2
❑ Yes - schedule attached
Investments (Greater man low oavremwp)
Schedule B
❑ Yes - schedule attached
Real Property
Schedule C
❑ Yes - schedule attached
Income & Business Positions (1n a Omer than Loans. Gins, and Travel
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. Type of Statement (Check at least one box)
❑ Assuming Office/Initial Date:
Annual
(Ch one)
VF The period covered is January 1, 2000, through
December 31. 2000.
0 The period covered is �� through
December 31, 2000.
❑ Leaving Office Date Left:��
(Check one)
O The period covered is January 1, 2000, through the
date of leaving office.
0 The period covered is —J —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.
FPPC Form 700 (200012001)
FPPC Toll -Free Helpline: 8661ASK -FPPC
❑ Candidate
Schedule E
Income — Gifts
> NAME OF SOURCE
BUSINESS ACTIVITY,
DESCRIPTION OF GIFT(S) VALUE DATE
u $ 0 0 X09 0
$
— $ � J—
> NAME OF SOURCE
MLLV I1 /�SWOLF5 _
ADDRESS
1 7-1 00 Cy oss vowels RA W TIC
BUSINESS ACTIVITY, IF ANY, OF SOURCE r /
�vteL� l�Etlrana. Cov�s�'ar .
DESCRIPTIO GIFT(S) VALU� DATE
d4 evetrd e $ aa� a 0010
$
> NM AE OF SOURCE
BUSINESS ACTIVITY, IF
DESCRIPTION OF GIFT(S) V �J / kDATE
$
Comments:
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S)
VALUE DATE
$
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S)
VALUE DATE
$
$
$
► NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S)
VALUE DATE.
$
$
FPPC Form 700 (200012001) Seh. E
FPPC Toll -Free Helpllne: 866/ASK -FPPC