Michael BurbankCoE'IVE eG
T� 4 i�. " oieved
STATEMENT OF ECONOMIC INTERES
A Public Document
FEB G 12009
Vl�L.&IX /CMG+ �,L,
Please type or print in ink
NAME (LAST)
(FIRST)
- DAYTIME NE NUMBER
p
�/ 91 !/( ey
zC6 /f0 -p
' 11270
(�Z�)
MAILING ADDRESS STREVT
I CITY
ZIP CODE
OPTIONAL: FAX I E -MAIL ADDRESS
COVER PAGE
1. Office, Agency, or Court
Provide precise name. Do not use acronyms.
Division, Board, District, if applicable:
Position: _ �i r
- AAlre)a
-1 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 � 659
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
4. Schedule Summary
(Check applicable schedules or "No reportable interests. ")
-+ During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 ❑ Yes - schedule attached
Investments (Less than to %ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (Gmafer @an fo %ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income & Business Positions (Income Other than Loans, Gifis, and Travel)
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
- dNo reportable interests ota
Tl number of pages (including this cover page):
❑ Assuming Office /Initial Date: __J__J
Annual
T heck one)
The period covered is January 1, 1999, through
December 31, 1999.
O The period covered is __J___J through
December 31, 1999.
❑ Leaving Office Date Left: ��—
(Check one)
O The period covered is January 1, 1999, through
the date of leaving office.
O The period covered is ��, 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.
Executecl on
(month, da year)
SIGNATURE
(File the ly signed staiement with your filing officer.)
FPPC Form 700 (199912000)
For Technical Assistance: 91 613 22 -5 66 0