Nancy Valderama�' I r r • M�tr�
Please type or pdm In ink - MAR 1 5
2 oo 0
NAME (LAST) (FIRST) DAYTIME TELEPHONE NUMBER
Dale Received
STATEMENT OF ECONOMIC INSh� O
A Public DocumATY OF ltOS00.Er''D
Ufac DE�Z� M>q AIi9AJa -Y ('ITS r s OFF�� d ) slog -.i6 - �
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS
(May be business address)
COVER PAGE
1. Office, Agency, or Court 4. Schedule Summary
Provide precise name. Do not use acronyms. (Check applicable schedules or 'No reportable interests.)
C / T V D F /� O S 6—'Cl 614_ During the reporting period, did you have any reportable
Division, Board, District, if applicable: interests to disclose on:
Position:
6 ATV C &e7eK
Expanded Statement - List agency /position:
(Attach a separate sheet X necessary. Do not use acronyms.)
Agency:
Position Title:
2. Office Jurisdiction (Check one)
❑ Stale
❑ County of
/�
0 Cit of / V'&6 EA II
❑ Multi -County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:
Annual
(Check one)
6 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: _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 dale of leaving office.
❑ Candidate
Schedule A -1 ❑ Yes - schedule attached
Investments (Loss Nan 10% Ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (GraeLxthan im 0—me wp)
Schedule B ❑ Yes - schedule attached
Reel Property
Schedule C ❑ Yes - schedule attached
Income 6 Business Positions tic Omer men Lien; °ins, and Tmml)
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
ry X 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 State of California that the
foregoing is true and correct...
Executed on � ? / 5 d 66 6
/ / mo / n tt h, day, year)
SIGNATURE
(File (File Ne o 'ginal/ signed statement with your filing officer)
FPPC Form 700 (199912000)
For Technical Assistance: 9161322-5660