Statement of Economic Interest
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STATEMENT OF ECONOMIC INTEREST 'Ji
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-- Date ;:e:: --r l i I'
þ~~ffIG¡~I~O~r¡8S 10
CALIFORNIA FORM 700
fAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink
A Public Document
COVER PAGE
; If J /G'l/5
CUPERTINO CITY CLERK
NAME
(lAST)
(FIRST)
t~
MAILING A DRESS STREET
(May use business address)
CITY
1. Office, Agency, or Court
Name of Office, Agency, or Court:
(J'1 CvJ^C I I
Division, Board, ~sr~t, if applicable:
Your Position: ~
COJ^(¡I ~ "'\
- If filing for 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
"$... City of r v(JJ: ,\11'1>
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Office/Initial
Date: -----1-----1_
o Annual: The period covered is January 1, 2004,
through December 31, 2004.
-or-
a The period covered is ----1----1_, through
December 31, 2004.
o Leaving Office Date Left: -----1-----1_
(Check one)
o The period covered is January 1, 2004, through the
date of leaving office.
-or-
a The period covered is ----1-----1_, through
the date of leaving office.
R Candidate
(MIDDLE)
DAYTIME TELEPHONE NUMBER
v
(CS-o) ~ - 3/"1(,
OPTIONAL: FAX ! E-MAIL ADDRESS
STATE ZIP CODE
f" Ie,
("'-J. 180. J.~ )~, (,.,
,.....
h
C/r
~ ''19J¿')
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 0 Yes - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 0 Yes - schedule attached
Investments (10% or greater Ownership)
Schedule B
Real Property
;¡,¡rYes - schedule attached
Schedule C
Income, Loans,
Travel Payments)
~ Yes - schedule attached
& ãlÆiness Positions (Income Other than Gifts and
Schedule D (Eliminated - report ioans on Schedule C)
Schedule E 0 Yes - schedule attached
Income - Gifts
Schedule F 0 Yes - schedule attached
Income - Travel Payments
-or-
- 0 No reportable interests on any schedule
Total number of pages
completed including this cover page:
~s
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
i h 105
(month, day, year)
Signature
your filing official)
FPPC Form 700 (200412005)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE Ä-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statements.
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Na~
1i""I,'j rf!'),Jrv.tt.r
). NAME OF BUSI~ESS ENTITY f).. M D
-II/I ~ Ulll
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
f't\/(J'J1p" <! Ij oJ ~
). NAME OF BUSINESS ENTITY
()6/l.-l
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
----
FAIR MARKET VALUE
1;8'$2,000 . $10,000
0$100,001 - $1,000,000
D $10,001 - $100,000
DOver $1.000,000
FAIR MARKET VALUE
D $2,000 - $10,000
D $100,001 - $1.000,000
0$10,001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
..M' Stock
D Other
NATURE OF INVESTMENT
D Stock
D Other
(Describe)
(Describe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
~--ºJ..¡~
ACQUIRED
~~~
DISPOSED
~~~
ACQUIRED
~~~
DISPOSED
). NAME OF BUSINESS ENTITY
)0 NAME OF BUSINESS ENTITY
DIe~1ft/JW ("N<J\<.I~/(j,¡) '5
GENERAL DESCRIPTION OF BU~]NESS ACTIV!TY
- W-i I? Vn-N9' 0
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
('D rc£
FAIR MARKET VALUE
JiC $2,000 - $10,000
o $100,001 - $1,000,000
0$10,001 - $100,000
DOver $1,000,000
FAIR MARKET VALUE
0$2,000 - $10,000
0$100,001 - $1,000,000
0$10,001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
~Stock
o Other
NATURE OF INVESTMENT
o Stock
o Other
(Describe)
(Describe)
IF APPLICABLE, LIST DATE:
~-º-1~
ACQUIRED
IF APPLICABLE, LIST DATE:
~~~
DISPOSED
~~~
ACQUIRED
~~~
DISPOSED
» NAME OF BUSINESS ENTITY
ÐDH
GENERAL DESCRI? ION OF BUSINESS ACTIVITY
~
)0 NAME OF BUSIN~~TY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
~
~
FAIR MARKET VALUE
0$2,000 - $10,000
0$100,001 - $1,000,000
o $10,001 - $100,000
DOver $1,000,000
FAIR MARKET VALUE
o $2,000 ~ $10,000
D $100,001 - $1,000,000
o $10,001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
o Stock
o Other
NATURE OF INVESTMENT
o Stock
D Other
(Describe)
(Describe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
~~~
ACQUIRED
~~~
DISPOSED
~~~
ACQUIRED
~~~
DISPOSED
Comments:
FPPC Form 700 (2004/2005) Sch. A-1
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE A-2
Investments, Income, and Assets
of Business EntitieslTrusts
(Ownership Interest is 10% or Greater)
,. .
Address
~ ",t:.v- J ~«y.^ J
C,,,·v,' f~'"
(? "I "
Check one
o Trust, go to 2
o Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
rv(þ
! FAIR MARKET VALUE
iO $2,000 - $10,000
D $10,001 - $100,000
D $100,001 - $1,000,000
DOver $1,000,000
NATURE OF INVESTMENT
o Sole Proprietorship D Partnership 0
IF APPLICABLE, LIST DATE
---1---1 04
ACQUIRED
---1---1~
DISPOSED
""'"
YOUR BUSINESS POSITION
CALIFORNIA FORM 7 0 0
FAIR POLITICAL PRACTICES COMMISSION
Name L
~ j kÞ~ 1'.er
> 1 BUSINESS ENTITY OR TRUST
Name
Address
Check one
D Trust. go to 2
f'F ,I Dr
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
D Business Entity, complete the box, then go to 2
FAIR MARKET VALUE
D $2,000 - $10,000
0$10,001 - $100,000
0$100,001 - $1,000,000
DOver $1,000,000
NATURE OF INVESTMENT
D Sole Proprietorship D Partnership
YOUR BUSINESS POSITION
IF APPLICABLE, LIST DATE:
---1---1 04
ACQUIRED
---1---1~
DISPOSED
o
""'~
o $0 ~ $499
o $500 ~ $1,000
D $1,001 - $10,000
0$10,001 - $100,000
DOVER $100,000
D $10,001 - $100,000
DOVER $100,000
» 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE lattaçM a separato sMeot f ne ~'saryl
t.J(1r
» 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
Check one box:
o INVESTMENT
o REAL PROPERTY,
rvlA
Name of Business Entity Q.[
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity 2r
City or Other Precise Location of Real Property
FAIR MARKET VALUE
D $2,000 - $10,000
D $10,001 - $100,000
D $100,001- $1,000,000
DOver $1,000,000
NATURE OF INTEREST
D Property Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
---1---1 04 ---1---1~
ACQUIRED DISPOSED
DStock
D Partnership
D Leasehold
D Other
Yrs.remaining
D Check box if additional schedules reporting investments or real property
are attached
Comments:
o $0 ~ $499
o $500 ~ $1,000
o $1,001 ~ $10,000
» 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE lattatM a soparato sMcot If necossary)
Check one box
o INVESTMENT
» 4 INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
o REAL PROPERTY
Name of Business Entity Q.[
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity Q.[
City or Other Precise Location of Real Property
FAIR MARKET VALUE
D $2,000 - $10,000
D $10,001 . $100,000
D $100.001 - $1,000,000
DOver $1,000,000
NATURE OF INTEREST
D Property Ownership/Deed of Trust
D Leasehold
Yrs.remaining
D Check box if additional schedules reporting investments or real property
are attached
IF APPLICABLE, LIST DATE:
---1---1 04 ---1---1~
ACQUIRED DISPOSED
D Stock
D Partnership
DOther
FPPC Form 700 (2004/2005) Sch. A-2
FPPC Toll-Free Helpline: 866fASK~FPPC
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE B
Interests in Real Property
(Including Rental Income)
> STREET ADDRESS OR PRECISE LOCATION
~ ì~<t/L1~ '8'5"1 ~4Ie J1¡,...
CITY / t '1"
L.v fiff N.I
FAIR MARKET VALUE
0$2,000 - $10,000
D $10,001 + $100,000
fia $100,001 - $1,000,000
o Over $1,000,000
IF APPLICABLE, LIST DATE:
~ --.lJ 04 --.f --.f 04
ACQUIRED DISPOSED
NATURE OF INTEREST
~ownershjPlDeed of Trust
D Easement
D Leasehold
o
Other
Yrs. remaining
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
o $0 ~ $499 0 $500 ~ $1,000 0 $1,001 ~ $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 õt
income of $10,000 or more.
NAME OF LENDER·
Welts ~'"
ADDRESS
T ~.A~
~~o---'"
BUSINESS ACTI~TY OF L1NDER
L..&-Vf (~'?
INTEREST RATE
TERM (Months/Years)
3Ó",¡-- /J;W)
.
C?
%
o None
HIGHEST BALANCE DURING REPORTING PERIOD
o $500 ~ 11.000 0 $1,001 ~ $10,000
o $10,001 - $100,000 ~ OVER $100,000
D Guarantor, if applicable
Comments: -1 n,... "^J N 7 ~C(
N~e
4.,) A ~'1'vJ::t' r-
> STREET ADDRESS OR PR,CISE LOCATION
f1 O~ (?(Lif
CITY
FAIR MARKET VALUE
0$2,000 - $10,000
o $10,001 - $100,000
0$100,001 - $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
--.f --.f 04 --.f --.f.M-
ACQUIRED DISPOSED
NATURE OF INTEREST
o Ownership/Deed of Trust
o Easement
D Leasehold 0
Yrs, remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
o $0 ~ $499 0 $500 ~ $1,000 0 $1.001 ~ $10,000
0$10,001 - $100,000 0 OVER $100,000
SOURCES OF RENTAL INCOMÈ: 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.
NAME OF LENDER·
ADDRESS
BUSINESS ACTIVITY OF LENDER
INTEREST RATE
TERM (Months/Years)
%
o None
HIGHEST BALANCE DURING REPORTING PERIOD
o $500 ~ $1,000 D $1,001 ~ $10,000
o $10,001 - $100,000 0 OVER $100,000
o Guarantor, if applicable
* 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 are not reportable.
FPPC Form 700 (200412005) Sch. B
FPPC Toll-Free Helpline: 8661ASK-FPPC
SCHEDULE C
Income, Loans* & Business
Positions
(Other than Gifts and Travel Payments)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Na~
4,J A~~,,,,\k-er
(
AOORESS 1--./
'\2 71 t:>", r-N"",
BUSINESS ACTIVITY, IF ANY, OF SOURCE
1.-01 v-.,) ,f7;....
YOUR BUSINESS POSITION I .1
f",kJ'o~~ -- !Jt}or!'()
GROSS INCOME RECEIVED/HIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
o $500 ~ $1,000 0 $1,001 ~ $10,000
o $10,001 - $100,000 ~OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
12( Salary 0 Spouse's income D Loan repayment
v ....."'-
"Jm. ~
'6/ ,,)
BUSINESS ACTIVITY, IF ANY, OF ~.QURCE
t. .. VII f1 r,...
(., kJ.-
GROSS INCOME RECEIVED/HIG 5T BALANCE DURING
REPORTING PERIOD, IF LOAN
D $500 - $1,000 D $1,001 - $10,000
0$10,001 - $100,000 g OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
~a)ary 0 Spouse's income 0 Loan repayment
o Sale of
o Sale of
(Property, car, boat, etc.)
(Property, car, boat, ele.)
D Commission or D Rental Income, !isl each SDurce 01 $10,000 or more
D Commission or D Rental Income, !isl each source of $10,000 or more
o Other
(Describe)
DOther
(Describe)
o LOAN RECEIVED (complete box 2)
o LOAN RECEIVED (complete box 2)
~I'\~I
ADDRESS v-
I)ð\ ()" I ~\? f/rr Cfri'tjbl
BUSINESS ACTI~TY, IF ANY, OF SO CE..bJ.
r ~..r", "-L .,. VI'- '
YOUR BUSINESS POSITION \A.o\. r:.r.. 5........
f~...(........c...~
GROSS INCOME RECEIVED/HIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
0$500 - $1,000 0 $1,001 - $10,000
CX-$10,001 - $100,000 DOVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
IASalary ¡g'Spouse's income D Loan repayment
% 0 None
SECURITY FOR LOAN
D None D Personal residence
o Real Property
Street address
City
D Guarantor
D Other
(Describe)
D Sale of
(Property, car, boat, ele.)
* 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.
o Commission or D Rental Income, list each source of $10,000 or more
D Other
(Describe)
Comments:
o LOAN RECEIVED (complete box 2)
FPPC Form 700 (2004/2005) Sch. C
FPPC Toll-Free Helpline: 866/ASK-FPPC