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Jay ImperialDate Received STATEMENT OF ECONOMIC INTERESTS A Public Document C1TY 0 per "'1w14r EI�J P L I C A Please type or print In Ink MAR 3 1 1993 NAME (LAST) (FIRST) 1S(ffMF x M rz"'4 , fA y 77 1 7 1 MAILING ADDRESS STREET CfTY ZIP CODE $ f. 7?ni_P1-1 ST 7Cc sC7A0,r W CA. 9/770 COVER PAGE 1. Office, Agency, or Court C I - rY 0. R - a sEw Division, Board, District, if applicable: 4. Schedule Summary > During the reporting period, did you have any reportable interests to disclose on: Position: Co L.'NCi l MEm/d�i2 > If filing an expanded statement list agency /position: (An.ch ...p.nf. sh..i if nscs...ry) 2. Office Jurisdiction (Check one) ❑ State ❑ County of cit of Ro SeWeN> CA 31771 ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: Annual (Check one) -Or The period covered is January 1, 1998 through December 31. 1998. 0 The period covered is _ /_J_ through December 31. 1998. ❑ Leaving Office Date Left: (Check one) • The period covered is January 1, 1998 through the date of leaving office. • The period covered is —J �_ through the date of leaving office. ❑ Candidate Schedule A -1 ❑ Yes - schedule attached Investments (L... th.n 10% own.r.hlp) Schedule A -2 ❑ Yes - schedule attached Investments (Gnat., th.n 10% o wn.r.hip) Schedule B ErYes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income 8 Business Positions 0.. other th.n Loans, Gift; and Ti.v.I) Schedule D ❑ Yes - schedule attached Income - Loans Schedule E ❑ Yes - schedule attached Income - Gifts Schedule F ❑ Yes - schedule attached Income - Travel Payments > C3 No reportable interests > Total number of pages (including this cover page): L 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 the 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. a Executed on 0mch / s 19 ? '7 (month, o (year) SIGNATURE FPPC Form 700 (1998199) For Technical Assistance: 916/322 -5660 �1 Schedule B Interests in Real Property > STREET ADDRESS OR PRECISE LOCATION 8 755 E, RALPH 5T• Cm - 9 ovear 'A CA . FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $1,000 - $10 J 98 � / 98 D's 10,001 - $100,000 ACQUIRED DISPOSED Over $100,000 NATURE OF INTEREST ❑ Rental Property V Ownershlp/Deed of Trust ❑ Easement ❑ Leasehold ❑ Y.. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $249 ❑ $250 - $1,000 ❑ $1,001 - $10,000 ❑ Over $10,000 SOURCES OF RENTAL INCOME: It you own • 10Y. or greeter inforest, see the inslruchons for reporting sources of rental income. Tais RES ! D EW 1 T�ris PRoPE/lTt1 i s miNE �� NAME OF LENDER NIA ADDR SE BUSINESS Ar.TIVrTY OF LENDER f e 43 Finhncial Institution ❑ Other INTEREST PATE TERM (Months/Years) o p -_% ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $250 - $1.000 ❑ 51.001 - $10,000 Q O er $10,000 ❑ Guarantor, If applicable Check below if another loan is disclosed on Schedule D ❑ Additional loan - refer to Sch. D. Comments: > STREET ADDRESS OR PRECISE LOCATION 96 a 9 A/ wati sT- CITY RosEmE� CA, 9177 FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $1,000 - $10,000 _ J_ J 98 — J--J -9 - 8 - ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ Over $100,000 NATURE OF INTEREST ❑ Rental Property ❑ Ownershlp/Deed of Trust ❑ Easement ❑ Leasehold X Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $249 ❑ $250 - $1,000 ❑ $1,001 - S1D,000 ❑ Over $10,000 SOURCES OF RENTAL INCOME: II you own a fo% or graeler interest, see the insimol ons for reporting sou2ros of rental income. ?H /Is O2o P !, - — oI R G� �97 7;�/ W/)W A0 /3 iR A7' P�FS[NT, NAME OF LENDER 1.17 zn1✓7, c rYlanT��yGE� sy vFSl ADDRESS q 3V Sc> Pa �L ✓sT• 'x� /O/ SACKS0MU1UC FLaltiyA i1221 4•09o3 BUSINESS ACTIVITY OF LENDER 91(inanclal Institution ❑ Other INTEREST RATE TERM (Months Nears) 1 % ❑ None !S HIGHEST BALANCE DURING REPORTING PERIOD ❑ $250 - $1,000 ❑ $1,001 - $10,000 �er $10,000 ❑ Guarantor, It applicable Check below it another loan is disclosed on Schedule D. ❑ Additional loan — refer to Sch. D. FPPC Form 700 (1998/99) Sch. 8 For Technical Assistance: 9161322.5660