700 Statement of Economic Interests TATEMENT Of= ECONOMIC
CI)VER PAGE
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NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS
(May use business addres GGam/ y~ ,,( /~ / p
/d %~~ /"I/'/'1R w+OwY'P '`r/1 ~t~lr~~~hV ~~ ! ~!f `~ 6~'~~'n ~,u~id~~r
1. Office, Agency, or Court
Name of Office, Agency, or Court: '
C~ I~~ihO C.~/~ C v r,.~~,~~
Division, Board, District, if a plicable:
Your Position:
~C~--li Cr
- If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. JurIShcCtlOn Of OfflCe (Check at least one box)
^ State
^ County of 1
[City of "/~ t'~ /~. ~' o
^ Multi-County r
^ Other
I3. Type of Statement (Check at least one box)
^ Assuming Office/Initial Date: ~-J
^ Annual: The period covered is January 1, 2008,
through December 31, 2008.
-or-
O The period covered is _l-J ,through
December 31, 2008.
^ Leaving Office Date Left: ~-J
(Check one)
O The period covered is January 1, 2008, through the
date of leaving office.
-or-
O The period covered is ~~ ,through
the date of leaving office.
Candidate Election Year: Z ~~ 9
4. Schedule Summary
- Total number of pages Z
including this cover page:
- Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A-1 Yes -schedule attached
Investments (Less than lo% Ownership)
Schedule A-2 ^ Yes -schedule attached
Investments (10% or greater ownership)
Schedule B ^ Yes -schedule attached
Real Property
Schedule C ^ Yes -schedule attached
Income, Loans, & Business Positions (Income other than Gies
and Travel Payments)
Schedule D ^ Yes -schedule attached
Income -Gigs
Schedule E ^ Yes -schedule attached
Income -Gigs -Travel Payments
-or-
No reportable interests on any schedule
5. Verification
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.
1 certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct
Date Signed ~~ V s ! ` 2 U~
(mo a year)
Signature
(Fil a originally signed statemen ith your filing official.)
FPPC Form 700 (2008/2009)
FPPC Toll-Free Helpline: 866/ASK-FPPC tnrww.fppc.ca.gov
SCHEDULE A-1 ~ • • ~ • • ~
Investnnents ~ ~ •
Stocks, Bonds, and Other Interests Nam/~~ ~~~~//
(Ownership Interest is Less Than 10%) l/~'r~~It /~tG~i JKC
Do not attach brokerage ~~r financial statements.
- NAME OF~ySINESS EN ITY /
rl P ~ It ~' ~4 c !'C 4 r~
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
CJ w.~/ j~~r ~oh/~i c Q~/r~ r
FAIR MARKET VALUE
^ $2,000 - $10,000 ~ $10,001 - $100,000
^ $100,001 - $1,000,000 ^ Over $1,000,000
NATURE OF INVESTMENT
Stock
^ Other
(Describe)
IF APPLICABLE, LIST DATE:
_/_/ 08 _/_~ 08
ACQUIRED DISPOSED
- NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
^ $2,000 - $10,000
^ $100,001 - $1,000,000
NATURE OF INVESTMENT
^ Stock
^ Other
^ $10,001 - $100,000
^ Over $1,000,000
(Describe)
IF APPLICABLE, LIST DATE:
_/_~ 08 ~_~ 08
ACQUIRED DISPOSED
- NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
^ $2,000 - $10,000
^ $100,001 - $1,000,000
NATURE OF INVESTMENT
^ Stock
^ Other
IF APPLICABLE, LIST DATE:
(Describe)
_/~ 08 ~_~ 08
ACQUIRED DISPOSED
Comments:
^ $10,001 - $100,000
^ Over $1,000,000
- NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
^ $z,ooo - $10,000
^ $100,001 - $1,000,000
NATURE OF INVESTMENT
^ Stock
^ Other
^ $10,001 - $100,000
^ Over $1,000,000
(Describe)
IF APPLICABLE, LIST DATE:
_J_~ 08 ~_/ 08
ACQUIRED DISPOSED
- NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
^ $2,000 - $10,000
^ $100,001 - $1,000,000
NATURE OF INVESTMENT
^ Stock
^ Other
^ $10,001 - $100,000
^ Over $1,000,000
(Describe)
IF APPLICABLE, LIST DATE:
_/_/ 08 _/_/ 08
ACQUIRED DISPOSED
- NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
^ $2,000 - $10,000
^ $100,001 - $1,000,000
NATURE OF INVESTMENT
^ Stock
^ Other
IF APPLICABLE, LIST DATE
(Describe)
_/~ 08 _/_/ 08
ACQUIRED DISPOSED
^ $10,001 - $100,000
^ Over $1,000,000
FPPC Form 700 (2008/2009) Sch. A-1
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov