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- L STATEMENT OF ECONOMIC INTERESTS

CALIFORNIA FORM 700


FAIR POLITICAL PRACTICES COMMISSION
C6VER PAGE
ZDuS~.PR - 6 Fh 331.f.P;ublic Document;; •.
Please type or print in ink.
;~~~ ..}
(LAST) (FIRST) DAYTIME TELEPHONE NUMBER
NAME

MON Ic..f\-
OPTIONAL: FAX I E-MAIL ADDRESS
MAILING ADDRESS STREET CITY STATE ZIP CODE
(May use business address)

4. Schedule Summary
, ~ Total number of pages
including this cover page: ...;..__

Division, Board, Distri~, if a .. ~ Check applicable schedules or "No reportable

'P>o&\.~ of ,l..~~ ~ b interests."


I have disclosed interests on one or more of the
Your Position: n L attached schedules:

---I'--~----,j~ (.; Schedule A-1 ~ Yes - schedule attached


~ If filing for multiple positions, list additional agency(ies)/ Investments (Less than 70% Ownership)

position(s): (Attach a separate sheet if necessary.)


Schedule A-2 !iI Yes - schedule attached
Agency: ___ Investments (70% or greater Ownership)

Schedule BOYes - schedule attached


Position: __ Real Property

Schedule C ~ Yes - schedule. attached


Income, Loans. & Business Positions (Income Other than Gifts
2. Jurisdiction of Office (Check at least one box) and...TcaJteLPaymentsl .

tJ State Schedule 0 0 Yes - schedule attached


o County of ---------------- Income - Gifts

o City of ---------------- Schedule E 0 Yes -


Income - Gifts - Travel Payments
schedule attached

o Multi-County ----------------
-or-
o Other -------------------
o No reportable interests on any schedule
3. Type of Statement (Check at least one box)

o Assuming Office/lnitial Date: ----1----1--


5. Verification
cg. Annual: The period covered is January 1, 2008, I have used all reasonable diligence in preparing this
through December 31, 2008. statement. I have reviewed this statement and to the best
-or- of my knowledge the information contained herein and in any
attached schedules is true and complete.
O The period covered is ----1----1--, through
December 31,2008.
I certify under penalty of perjury under the laws of the State

o Leaving Office Date Left: ----1----1--


of California that the foregoing is true and correct.

(Check one)
o The period covered is January 1, 2008, through the HftVCh /& I ;JOt') 1
date of leaving office.
-or-
"1 "'-,
Date Signed ------------------
(month. day, year)

O The period covered is ----1----1--. through


. / v'&{,-t( t\ ~1
Signature! "
the date of leaving office. (Fil.i the originally signed state ent with your filing official.)
v

o Candidate Election Year: FPPC Form 700 (2008/2009)


FPPC Toll-Free Helpline: B66/ASK-FPPC www.fppc.ca.gov
SCHEDULE A-1 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Investments
Stocks, Bonds, and Other Interests I Name/
(Ownership Interest is Less Than 10%) V"----------
00 not attach brokerage or fi;;8ncia/~

~ NAME OF BUSINESS ENTITY


~ NAME OF BUSINESS ENTIT¥

A.t"-... LLC- GENERAL DESCRIPTION OF BUSINESS ACTIVITY


L DESCRIPTION OF BUSINESS ACTIVITY

~ S. (i\~ \ ~}vW\A+\ ~~ FAIR MARKET VALUE


FAIR MARKET
o
VALUE
o $10.001 ~ $100,000
o $2,000" $10,000 o $10,001 " $100,000

o
$2.000 • $10,000
$100,001 . $1,000,000 III Over $1.000,000 o $100.001 " $1.000,000 DOver $1,000,000

NATURE OF INVESTMENT
NATURE
o Stock
OF INVESTMENT
o Stock

o Other _'Pill.V" ~ US h l e
(DesCribe)
o Other ---------:=---------
(Desclibe)

IF APPLICABLE, LIST DATE:


IF APPLICABLE, LIST DATE:

--1--1~ --1--1~
--1--1~ .--l~~ ACQUIRED DISPOSED
ACQUIRED DISPOSED

.. NAME OF BUSINESS ENTITY


~ NAME OF BUSINESS ENTITY ,I
fA.~ L'\ C A-t\~ U"$ dV\ f., fit. GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE


FAIR MARKET VALUE
o o o $10,001 - $100,000
o $2.000" $10,000 $10,001 " $100,000
$2,000 " $10,000
DOver $1,000,000
o $100.001 " $1,000.000 [J<l Over $1,000,000
0$100,001 - $1,000.000

NATURE OF INVESTMENT
NATURE
~ Stock
OF INVESTMENT
o Stock

o Omer ~~~------
o Other -----------------
(Describe)
(DesCribe)

IF APPLICABLE. LIST DATE:


IF APPLICABLE, LIST DATE:
--1--1~ --1--1~
--1~~ .--l--1~ ACQUIRED DISPOSED
ACQUIRED DISPOSED

~ NAME OF BUSINESS ENTITY R. .. NAME OF BUSINESS ENTITY

G~~~~lV;E~RI~O~;!~ ex,- ~Vl~ GENERAL DESCRIPTION OF BUSINESS ACTIVITY

(Y\ lJ'-t-") ~ l:: FAIR MARKET VALUE


FAIR MARKET VALUE
o --"0 $2.000 - $10,000
o $10,001 - $100,000
o $2,000 " $10,000
DOver
$10,001 " $100,000
$1,000,000
0$100,001 - $1.000.000 DOver $1,000.000
[il $100,001 "$1,000,000
NATURE OF INVESTMENT
NATURE
~Stock
OF INVESTMENT o Stock

o Omer _ o Other -----------------


(Describe)
(Descnbe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE. LIST DATE:
---'.--l~ ---'--1~
--1~~ .--l---'~ ACQUIRED DISPOSED
ACQUIRED DISPOSED

Comments: FPPC Form 700 (200B/2009) Sch. A·1


FPPC TolI.Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
SCHEDULE A-2 CALIFORNIA FORM
FAIR POLITICAL PRACTICES COMMISSION
700
Investments, Income, and Assets Name
of Business EntitieslTrusts
(Ownership Interest is 10% or Greater)

Name
f(.?-,JIJ ·rvt!JfV/ft1
Name

<6lJ ~ ~t-e.- \ PUllpt id ~ JClt


Address
Address
Check one
Check one
B Trust, go to 2 D Business Entity, camp/ete the i:lQx, rhli!n go to ? [j. Trust, go to 2 o Business Entity, camp/ete the box, then go to 2

GENERAL DESCRIPTION OF BUSINESS ACTIVITY


GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE IF APPLICABLE, LIST DATE:


FAIR MARKET
o
VALUE IF APPLICABLE, LIST DATE:
o $2,000 - $10,000

o
$2,000 • $10,000
~~08 o $10,001 - $100,000 ~~~ ~----108
$10,001 - $100,000
0$100,001 - $1,000,000
DISPOSED o $100,001 - $1,000,000 ACQUIRED DISPOSED

DOver $1,000,000
DOver $1,000,000

NATURE OF INVESTMENT
NATURE OF INVESTMENT
o Sale Proprietorship 0 Partnership 0 ---------- o Sale Proprietorship 0 Partnership 0 ----------
Other
Other
YOUR BUSINESS POSITION ---------------
YOUR BUSINESS POSITION ---------------

o [E $0 - $499 o $10,001 - $100,000


~
o
$0· $499 $10,001 • $100,000
o $500 - $1,000 DOVER $100,000

o
$500 - $1,000
$1,001 - $10,000
DOVER $100,000
o $1,001 - $10,000

• 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF


INCOME OF $10,000 OR MORE (o."ch, -"p.,"!' -.hcc! ., -""0" a·'l)

• 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HElD frl THE


4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD frl THE BUSINESS ENTITY OR TRUST
BUSINESS ENTITY OR TRUST
Check one box:

o
Check one box:

INVESTMENT o REAl PROPERTY


o INVESTMENT o REAL PROPERTY

Name of Business Entity Q[


Name of Business Entity Q[ Street Address or Assessor's Parcel Number of Real Property
Street Address or Assessor's Parcel Number of Real Property

Descrtpt10n of Business Activity Q[ .--


Description of Business Activity Q[ Citror Other Precise Location of Real Property
City or Other Precise Location of Real Property

FAIR MARKET VAlUE IF APPLICABLE, LIST DATE:

o
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
o $2,000 - $10,000

o
$2,000 - $10,000
$10,001 - $100,000
~----1 08 ~~~ o $10,001 - $100.000
~~
ACQUIRED
08 ~----1
DISPOSED
08

o $100,001 - $1,000,000
ACQUIRED DISPOSED 0$100,001
DOver
- $1,000,000
$1,000,000
DOver $1,000,000

NATURE OF INTEREST
o o
NATURE OF INTEREST
o o o Partnership
o Property Ownership/Deed Df Trust Stock Partnership Property Ownership/Deed of Trust Stock

o o o Other ----------
o Leasehold Yrs. remaining
Other -----------

o
Leasehold 'Irs. remaining

o Check box if additional schedules reporting investments or real property


Check box if additional schedules
are attached
reporting investments or real property

are attached
comments: FPPC Form 700 (2008/2009) Sch. A-2
FPPC TolI.Free Helpline: 866/ASK-FPPC www.(ppc.ca.gov
SCHEDULE C CALIFORNIA FORM 700
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION

Name
Positions
(Other than Gifts and Travel Payments)

NAME

ADDRESS

~
OF SOURCE Of

~ ~rl lO
21
W\
INCOME

P{Dwe¥"
V\

,t,,- LA. CA...


~Ii't
NAME OF SOURCE OF INCOME

ADDRESS
Drro-cy Co .
BUSINESS ACTIVITY. IF ANY. OF SOURCE
5l/1) ~. 'B~~ Vt~i7L , l>lJr~~hK, tt:\.
BUSINESS ACTIVITY. IF ANY, OF SOURCE

____~~~~S~~D~~~
YOUR BUSINESS POSITION"
_
YOUR BUSINESS
~DtI\V7l ()t D ll\t~ frlt.
POSITION
]>'1t, lISt., c-tt.
b'~vk .
GROSS INCOME RECEIVED
GROSS INCOME RECEIVED
o $500 - $1,000 0 $1.001 - $10,000
0$500 - $1.000 0 $1,001 - $10.000
~ $10.001 - $100.000 ~OVER $100.000
~ $10,001 - $100,000 0 OVER $100.000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED


CONSIDERATION FOR WHICH INCOME WAS RECEIVED
~ sala"; 0 Spouse's or registered domestic partner's income
o Salary 0 Spouse's or registered domestic partner's income
o Loan repayment
o Loan repayment

o Sale of (Propeny. car. boac. etc.)


o Sale of iPropeny. car. boac. erc.)

o Commission or 0 Rental Income. Jist each source of 510.000 or more


o Commission or 0 Rental Income. list each source of 570.000 or more

o Other (Describe) o Other

~ 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD

* You are not required to report loans from commercial lending institutions, or any indebtedness created as part
of a retail installment or credit card transaction, made in the lender's regular course of business on terms
available to members of the public without regard to your official status. Personal loans and loans received
not in a lender's regular course of business must be disclosed as follows:

NAME OF LENDER' INTEREST RATE TERM (MonthslYears)

ADDRESS
-----% 0 None
SECURITY FOR LOAN

BUSINESS ACTIVITY, IF ANY. OF LENDER o None 0 Personal residence

HIGHEST BALANCE DURING REPORTING PERIOD


o Real Property Screec address

o $500 - $1.000

o $1,001 - $10.000
o Guarantor ----
city

_
o $10.001 - $100.000

DOVER $100.000
o Other (Describe)

Comments:

FPPC Form 700 (200812009) Sch. C


FPPC Toll-Free Helpline: B66/ASK-FPPC www.fppc.ca.gov
SCHEDULE C CALIFORNIA fORM 700
fAIR POLITICAL PRACTICES COMMISSION
Income, Loans, & Business
Name
Positions
(OU'ler than Gifts and Travel Payments)

'\.T.
N,~E OF SOURCE OF iNCOME '
NAME OF SOURCE OF INCOME {,.

VV e U'\ jtHr-i- ~ V,V1vi vt""h uY'V citl i}v"llt',- W-rC( ~h (vdt:. FO\.A l/1c-Lej,hrh.
ADDRESS
ADDRESS

io!55 vV
I
l'-lJ~ t-v'-t0~ ~ tJ~? Oat 1?1 n"{j (~\.
BUSINESS ACTIVITY. IF ANY, OF SOURCE
BUSINESS ACTIVITY, IF ANY. OF SOURCE
j ,..
Fa V\.V'\ t{h~ l{
@ Vt i'1. C{Ci ,f, u~,
YOUR BUSINESS POSITION
YOUR BUSINESS POSITiON
1). [ly c- fcl'l'L

GROSS INCOME RECEIVED


GROSS INCOME RECEIVED

0$500 - $1.000 [B S1,001 - $10,000


o $500 - S1,000 0 $1.001 - S10,000

0$10.001 - S100.000 DOVER $100,000 ~ $10,001 - $100.000 0 OVER $100,000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED


CONSIDERATION FOR WHICH INCOME WAS RECEIVED
~ Salary n Spouse's or registered domestic partner's income
~alary 0 Spouse's or registered domestic partner's income

o Loan repayment
o Loan repayment

o Sale of -----------------
o Saie of --------------------
(Property. car. boat. etc.)
(Property car, boac f'lC.)

o Commission or 0 Rental Income, list each source [}i' 510.000 or more


o Commission or 0 Rental Income, fist each source of 570,000 or mon.'

o Other (Desc:rfbej
o Other
(Describe)

* You are not required to report loans from commercial lending institutions, or any indebtedness created as part
of a retail installment or credit card transaction, made in the lender's regular course of business on terms
avai!able to members of the public without regard to your official status. Personal loans and loans received
not in a lender's regular course of business must be disclosed as follows:
INTEREST RATE TERM (MonthsiYears)
NAME OF LENDER'

____ % 0 None
ADDRESS
SECURiTY FOR LOAN

BUSINESS ACTIVITY IF ANY. OF LENDER


o None 0 Personal residence

o
----"-.,
Rea! Property Stroot adeiress

HIGHEST BALANCE DURING REPORTiNG PERIOD

o $500 - '$1.000 City

o $1,001 - $10,000 o Guarantor

o S10,001 - S100,000

DOVER $100.000 o Other (Describej

Comments:
FPPC Form 700 (2008i2009) Sch, C
FPPC Toll-Free Helpline: 866IASK-FPPC wwwJppc.ca.gov

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