Brandon MatsdorfDate Received
STATEMENT OF ECONOMIC'fTEREST�� S`I offiawU..O
g �� _- �.j)
A Public DOCu)�R OF I-,W fl/EAD
Please type or print in ink �V - �001
NAME - (LAST) - (FIRST) DAYTIME TELEPHONE NUMBER
C� sG�D rT �raVIA(AVA ("7)r r °° rer( 2 v) 2_ i)bwi l7
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS
(May be business address)
COVER PAGE
1. Office, Agency, or Court
Provide precise name. Do not use acronyms. _
� b (gym it —' o J�
Division, Board, District,, if ap
r fi>W \nii`z 640 n �'
Position
4. Schedule Summary
(Check applicable schedules or - No reportable interests.*)
-0 During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 ❑ Yes - schedule attached
Investments (Ltrw than 10% oii,.MNp1
Schedule A -2 ❑ Yes - schedule attached
Investments (Gresterman io% ownership)
oa Expanded Statement - List agency /position:
(Attach a separate sheet if necessary.. Do not use acronyms.)
Agency:
Position Title:
2. Office Jurisdiction (Check one)
❑ State
❑ County of ��((
City of 1
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
Assuming Office /Initial Dale:` ®1
❑ Annual
(Check one) _
• The period covered is January 1, 1999, through
December 31, 1999.
• The period covered is through
December 31, 1999.
❑ Leaving Office Date Left: ----J ---J—
(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.
Schedule B ❑ Yes - schedule attached
Real Property _
Schedule C ❑ Yes - schedule attached
Income 8 Business Positions flnconn other man Loans, &to, am Trereg
Schedule D ❑ Yes – schedule attached
Income – Loans
Schedule E ❑ Yes – schedule attached
- income Gifts
Schedule F ❑ Yes – schedule attached
Income – Travel Payments
a+ A No reportable interests
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 Slate of California that the
foregoing is true and correct.
Executed on
(month, day, yeao
SIGNATURE s
(pile ,xhe° riginaly signed statement with your fling o erJ
❑ Candidate
FPPC Fonn 700 (199912000)
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