Date Received

STATEMENT OF ECONOMIC INTER~~C E.I V E i,cial Use Only

COVER PAGE

20'10 APR -I PM I: 16

Please type or print in ink.

A Public Document CITY CLERK~ADHIN. SVC.,

NAME

(LAST)

(FIRST)

(MIDDLE)

DAYTIME TELEPHONE NUMBER

CITY

STATE

ZIP CODe

1. Office, Agency, or Court

Division, Board District, if applicabl :

'/ti&tv1 'cd: 13

Your Position:

... If filing or multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.)

Agency: __

Position: _

2. Jurisdiction of Office (Check at least one box)

o State

o County of -:- _

~ity of uS ~~{.t4

o Multi"County ---- _

o Other _

3. Type of Statement (Check at least one box)

o Assuming Office/Initial Date: __j___j __

~ual: The period covered is January 1, 2009, through December 31, 2009.

-or-

o The period covered is __j___j __ , through December 31, 2009.

o Leaving Office Date Left: ___j__j __ (Check one)

o The period covered is January 1, 2009, through the date of leaving office.

-or-

O The period covered is __j__j __ , through the date of leaving office.

o Candidate Election Year:

'7001

o No reportable interests on any sChedule~' ~::.

.. f'.' .~,,,, ..

4. Schedule Summary

... Total number of pages ~

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 ~s - schedule attached Investments (Less then 10% Ownership)

Schedule A·2 0 Yes - schedule attached Investments (10% or Greater Ownership)

Schedule B ~s - schedule attached

Real Property

Schedule C

DYes - schedule attached

Income, Loans, & Business Positions (Income Other than Gifts and Travel Payments) .~ . Nn-:

Schedule D rn4es - sCh~le attached~' ~:

Income - Gifts 0 '-';' c .. ,,'

Schedule E ~s - sch~le attached:::' ~

Income - Gifts - Travel Payments -.I g

~.

:ll :f

-or- :

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 ofthe State of California that the foregoing is true and correct.

Date Signed __:·9:__-;:_/_--"'-/_;:,?':--~-__:_---(month, day, year)

Signature -..!:?"===~=''"-:-C-;~--,.-.#.#-c-' _~ __ -:-_-=-_=-:--:-:-(File the originally sIgned statement With your filing offiCIal,)

FPPC Form 700 (200912010) FPPC Toll-Free Helpline: 866/ASK·FPPC wwwJppc.ca.gov

SCHEDULE A-1 Investments

Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%)

Do not attach brokerage or financial statements .

.. NtfJ;etiN SS~

GENERAL DESC TION OF BUSINESS ACTIVITY

FA2!~~

0$2,000 - $10,000 $10,001 - $100,000

o $100,001 - $1,000,000 0 Over $1,000,000

NAJ,kffiE OF INVESTMENT

o Stock 0 Other ------,:------(Describe)

o Partnership 0 Income of $0 - $500

o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

__/__/_Jm._ ACQUIRED

__/__/_jJj_ DISPOSED

... NAM~BUSINESS ENTITY ~

GENERAL ~US!NESS ACTIVITY

FAIR~

o $2,000 - $10,000

o $100,001 - $1,000,000

[k(s'10,001 - $100,000 DOver $1,000,000

NAy6RE OF INVESTMENT

1£1 Stock 0 Other -----,--------(Describe)

o Partnership 0 Income of $0 - $500

o Income Received of $500 or More (RepOfl on Schedule CJ

IF APPLICABLE, LIST DATE:

__/ __j___illl_ ACQUIRED

__/__j_Jm._ DISPOSED

FAIRMf!S~

~0,001 - $100,000 Dover $1.000,000

o $2,000 - $10,000

o $100,001 - $1,000,000

!,!_AJ.LWE OF INVESTMENT

[!f Stock 0 Other ------------(Describe)

o Partnership 0 Income of $0 - $500

o Income Received of $500 or More (Report on Schedule CJ

IF APPLICABLE, LIST DATE:

__/ __j ___illl_ ACQUIRED

__j__j_Jm._ DISPOSED

CALIFORNIA FORM 700

FAIR POLITICAL PRACTICES COMMISSION

... NA~ OF BUSINESS ENTITY

~ 5hu.&Jk

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

F~M-~~

o $2,000 - $10,000 Qj'$1O,001 - $100,000

o $100,001 . $1.000.000 0 Over $1,000.000

NAJORE OF INVESTMENT

~ Stock 0 Other --- _

(Oescribe)

o Partnership 0 Income of $0 - $500

o I ncome Received of $500 or More (Report on Schedule CJ

IF APPLICABLE, LIST DATE:

__/__/_jJj_ ACQUIRED

__/__/...9Jl._ DISPOSED

FA~MARKET VALUE ITT $2,000 - $10,000

o $100.001 - $1.000,000.

o $10,001 - $100,000 DOver $1,000,000

~RE OF INVESTMENT

0' Stock 0 Other ----------:----- __ (Oescribe)

o Partnership 0 Income of $0 - $500

o I ncome Received of $500 or More (Report on Schedule CJ

IF APPLICABLE, LIST DATE:

__j__/.Jm_ ACQUIRED

__/__/_jJj_ DISPOSED

FAIR MARKET VALUE _/

o $2.000" $10,000 l)1 $10,001 - $100,000

o $100,001 - $1,000.000 0 Over $1,000,000

NATyRE OF INVESTMENT

[g"Stock 0 Other ----:-----:- _ (Describe)

o Partnership 0 Income of $0 - $500

o I neorne Received of $500 or More (Report on Schedule CJ

IF APPLICABLE. LIST DATE:

__j__/.Jm_ ACQUIRED

__/__/_jJj_ DISPOSED

Comments: __

FPPC Form 700 (2009/2010) Sch. A·1 FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov

SCHEDULE A~~ Investments

Stocks, Bonds, and Other Interests. (Ownership Interest is Less Than 10%)

Do not attach brokerage or financial statements.

GENE A OESCR ION OF BUSINESS ACTIVITY

FAIR MA~,,"tN ~

o $2,000 - $10,000 $10,001 - $100,000

o $100,001 - $1,000,000 DOver $1,000,000

NI)il'URE OF INVESTMENT

~ Stock 0 Other -----.,-----:-"----(Dewibe)

o Partnership 0 Income of $0 • $500

o Income Received of $500 or More (Report on Schedule q

IF APPLICABLE, LIST DATE:

__j__j..J!L ACQUIRED

__j__j..J!L DISPOSED

~ ~B6~0ITY~ 20V .

GENERAL DESCRIPTION L BUSINESS ACTIVITY~ ~

~~/~%lA- ~

FAIR MARKET VALUE ~ /

o $2,000 • $10,000 [kj"'$10,001 . $100,000

D $100,001 - $l,OOO,OOQ DOver Sl,OOO,Ooo

NATURE OF INV~ENT

D Stock [2J Other =.!==F:::...:=------,f-r--'--r-H-

D Partnership

IF APPLICABLE, LIST DATE:

__j__j..J!L ACQUIRED

__j__j~ DISPOSED

.. NAME OF BUSINESS ENTITY

II» NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE D $2,000 - $10,000

D $100,001 - $1,000,000

o $10,001 - $100,000 Dover $1,000,000

NATURE OF INVESTMENT

o Stock 0 Other ---_-=-~--:-"----(Descrlbe)

D Partnership 0 Income of $0 -. $·500

o I ncome Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

__j__j..J!L ACQUIRED

__j__j...sm__ DISPOSED

Nam~. • I.""

ov..(... ~CdiI:

10>- NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE D $2,000 - $10,QOO

o $100,001 • $1,000,000

D $10,001 - $100,000 DOver $1,000,000

NATURE OF INVESTMENT

o Stock D Other -------:'--::-:------

(Describe)

D Partnership 0 Income of $0 • $500

o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

__j__j~ ACQUIRED

__j__j~ DISPOSED

~ NAME OF BUSINESS ENTITV

GENERAL DESCR!PTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE D $2,000 . $10,000

D $100,001 - $1,000,000.

o $10,001 - $100,000 DOver $1,000,000

NATURE OF INVESTMENT

D Stock 0 Other -----.,.--::-----(Describe)

D Partnership 0 Income of $0 - $$00

o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

__j__j~ ACQUIRED

__j__j~ DISPOSED

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE D $2,000 - $10,000

o $100,001 - $1,000,000

o $10,001 - $100,000 DOver $1,000,000

NATURE OF INVESTMENT

D Stock D Other -------:':---::-,-------

(Describe)

D Partnership 0 Income of $0 - $500

o Income Received of $500 or More (Repotl on Schedule C)

IF APPLICABLE, LIST DATE:

__j__j~ ACQUIRED

__j__j..J!L DISPOSED

Comments: __

FPPC Form 700 (2009/2010) Sch. A-1 FPPC TolI·Free Helpline: 866/ASK-FPPC www.fppc.ca.gov

SCHEDULE B Interests in Real Property (Including Rental Income)

qDJJf3

FAIR MARKET VALUE 09,000 . $10,000 [B'$10,001 . $100,000 o $100.001 • $1,000,000 DOver $1,000,000

IF APPLICABLE, LIST DATE:

__/__j 09 __j__J 09

ACQUIRED DISPOSED

NA~RE OF INTEREST M OwnershipfDeed of Trust

o Easement

D Leasehold ------

D~------

Yrs. remaining

Other

IF RENTAL PROPERTY, GROSS INCOME REC';!YED

D $0· $499 0 $500 - $1,000 [5'$1,001 - $10,000

o $10,001 . $100,000

DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more.

CITY

U+,C-A

FAIR MARKET VALUE I:] V,OOO . $10,000 []"$lQ,OOl - $100,000 o $100,001 . $1,000.000 Dover $1,000.000

IF APPLICABLE, LIST DATE:

__j__j 09 __j__J 09

ACQUIRED DISPOSED

NA)J"RE OF INTEREST

~ Ownership/Deed of Trust

o Easement

o Leasehold ------

0-------

Yrs. remaining

Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

D $0 - $499' D $500 . $1.000 . ~.001. $10.000

D $10,001 . $100.000 0 OVER $100.000

SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more.

* You are not required to report loans from commercial lending institutions 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'

NAME OF LENDER'

ADDRESS (Business Address Acceptable)

8USINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (Months/Years)

----% D None

HIGHEST BALANCE DURING REPORTING PERIOD

0$500. $1.000 D.M.o01 - $10.000

o $10.001 . $100,000 0 OVER $100.00"0

o Guarantor. if applicable

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (Months/Years)

----'% 0 None

HIGHEST BALANCE DURING REPORTING PERIOD

o $500· $1.000 0 $1,001 . $10,000

o $10,001 . $100.000

DOVER S100,000

o Guarantor, if applicable

Comments: __

FPPC Form 700 (2009/2010) Sch. B FPPC Toll-Free Helpline: 866/ASK·FPPC www.fppc.ca.gov

SCHEDULE B Interests in Real Property (Including Rental Income)

FAIR MARKET V. E

D $2,000 • $10,000

D $10,001 - $100,000 D $100,001 - $1,000,000 DOver $1,000,000

IF APPLICABLE, LIST DATE:

__j__j 09 __j__j 09

ACQUIRED

DISPOSED

NATURE OF INTEREST

D Ownership/Deed of Trust

D Easement

uf-D~

Other

D Leasehold ------

Yrs. remaining

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

D,. - $499 D $500 • $1,000 D $1,001 - $10,000

~ $10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of

i~OO~,;;~

II> STREET ADDRESS OR PRECISE LOCATION

CITY

FAIR MARKET VALUE o $2,000 • $10,000

D $10,001 - $100,000 D $100,001 . $1,000,000 DOver $1,000,000

IF APPLICABLE, LIST DATE:

__j__j 09 __j__j 09

ACQUIRED DISPOSED

NATURE OF INTEREST

D Ownership/Deed of Trust

D Easement

D Leasehold ------

D-------

Yrs. remaining

Other

IF RENTAL PROPERTY. GROSS INCOME RECEIVED

D SO· $499 D $500 - $1,000 D $1,001 - $10,000

D $10,001 - $100,000

DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a Single source of income of $10,000 or more.

* You are not required to report loans from commercial lending institutions 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'

NAME OF LENDER'

ADDRESS (BUSiness Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (MonthsNears)

____ % o None

HIGHEST BALANCE DURING REPORTING PERIOD

D $500· $1,000 D J{OO1 - $10,000

D $10,001 • $100,000

DOVER $100,000

D Guarantor, if applicable

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (MonthslYears)

------,% 0 None

HIGHEST BALANCE DURING REPORTING PERIOD

D $500 • $1,000

o $10,001 ' $100,QOO

D $1,001 • $10,000 DOVER $100,000

o Guarantor, if applicable

Comments: __

FPPC Form 700 (2009/2010) Sch. 8 FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov

SCHEDULE D Income - Gifts

~ ~~Ehltr- (~ itt)

ADDRESS (Business Address Acceptable) ~

DATE (mmlddlyy) VALUE

DESCRIPTION OF GIFT(S)

__j__j_ $----

__j__j_ $----

ADDRESS (Business Ad r 5S Acceptable)

BU~A72I~y~QUR~~

DESCRIPTION OF GIFT(S)

VALUE

__j__j--- $--------

__j__j_ $----

~ NAME OF SOURCE

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY. IF ANY, OF SOURCE

DATE (mmlddlyy) VALUE

DESCRIPTION OF GIFT(S)

__j__j_ $,-------

__j__j_ $,----

__j__j_ $,----

~ NAME OF SOURCE

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mm/ddlyy) VALUE

DESCRIPTION OF GIFT(S)

__j__j_ $,----

__j__j_ $,----

__j__j_ $,----

II>- NAME OF SOURCE

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mmlddlyy) VALUE

DESCRIPTION OF GIFT(S)

__j__j_ $,----

__j__j_ $,----

__j__j_ $,----

.. NAME OF SOURCE

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mmldd/yy) VALUE

DESCRIPTION OF GIFT(S)

__j__j_ $----

__j__j_ $,----

__j_j_ $----

Comments: _

FPPC Form 700 (200912010) Sch. D FPPC Toll-Free Helpline: 866IASK-FPPC www.fppc.ca.gov

SCHEDULE E Income - Gifts

Travel Payments, Advances, and Reimbursements

• Reminder - you must mark the gift or income box,

o You are not required to report "income" from government agencies .

ck;~O~O~t~.f>I-f)~/e~~

ADDRESS ~ ~

1'33~ t+ ~I--- AjtU

CITY AND STATE

WCLD~ h:nt. Dc... ~b'D6S-

BUSINESS C IVITY, IF ANY, OF SOURCE

~~~~~~~~~~--DATE(S}:_i;3' rJff- ..i_;.:iJ1ti AMT: $ &loJ/D ,~

ADDRESS

CITY AND STATE

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE(S):__J__j __ __j__j_ AMT: $, _

(If applicable)

TYPE OF PAYMENT: (must check one) 0 Gift 0 Income

DESCRIPTION: _

.. NAME OF SOURCE

ADDRESS

CITY AND STATE

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE(S): __J__J_ . __J__J_ AMT: $, _

(If applicable)

TYPE OF PAYMENT: (must check one) 0 Gift 0 Income

DESCRIPTION: _

.. NAME OF SOURCE

ADDRESS

CITY AND STATE

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE(S): __J__J_ . __J__j_ AMT: s _

(If applicable)

TYPE OF PAYMENT: (must check one) 0 Gift 0 Income

DESCRIPTION: _

Commenw: __

FPPC Form 700 {2008/2009} sen. E FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov