Statement of Economic Interest
CALIFORNIA FORM 700
FA!R POLITICAL PRACTICES COMMISSION
rõ) ~~~~~~~;,; ~ Wi fE fñì
trù AUG 1 2 2005 UJ)
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink
A Public Document
CUPERTINO CITY CLERK
NAME
DAYTIME TELEPHONE NUMBER
(lAST)
j1I}a.þ01'1{,'
)íIRST) ¡
Urr,,,,
STREET CITY STATE ZIP CODE
f'Vl,'vc¡..., (}./\/( ¡( l (o'[7(Y'/';"O G <¡SOIL!
MAILING ADDRESS
(May use business address)
I () '/1..0
1. Office, Agency, or Court
Name of Office, Agency, or Court:
C,iy L(}(h1CI'I
Division, Boafc1, District, if applicable:
Your P~i~~mi
L/f,/ ér;JUhC,'I fYJ(~/'t/'
,
- 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
C 0'1"7(, I;" ¡)
,
~CitYOf
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming OfficellnitiaJ
.
Date:~~_
o Annual: The period covered is January 1, 2004,
through December 31, 2004.
-or-
a The period covered is ~~_, through
December 31, 2004.
o Leaving Office Date Left: ~~_
(Check one)
o The period covered is January 1, 2004, through the
date of leaving office.
-or-
e The period covered is ---1---..-1_. through
the date of leaving olfice.
Candidate
(MIDDLE)
40'ö) 72')-/767
OPTIONAL: FAX I E-MAIL ADDRESS
orYï'n """H< Ao<'l' éJ
~lIj""Cc...s ." ( I-
4. Schedule Summary
(Check applicable schedules or "No reportable ínterests.'7
- During the reporting period, did you have any reportable
interests to disclose on:
Schedule A-1 ~ Yes - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 0 Yes - schedule attached
Investments (10% or greater Ownership)
Schedule B
Real Property
o Yes - schedule attached
Schedule C 0 Yes - schedule attached
Income, Loans, & Business Positions (Income Other than Gifts and
Travel Payments)
Schedule D (Eliminated - report loans on Schedule C)
Schedule E 0 Yes - schedule attached
Income - Gifts
Schedule F 0 Yes - schedule attached
Income - Travel Payments
-or-
- D No reportable interests on any schedule
Total number of pages
completed including this cover page:
2-
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 of the State
of California that the foregoing is true and correct.
Date Signed
Signature
FPPC Form 700 (200412005)
FPPC TolI~Free Helpline: 8661ASK-FPPC
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statements.
CALIFORNIA FORM 700
FAIR P01.ITICAL PRACTICES COMMISSION
N~e A/1
0/"/;" /,/(1 ~(J/II
> NAME OFBUSINEpS ENTITY /7 k J
hi?o,v(ell-rá( c.ý
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
{'v '""('7..,( ("r )'V/f)< I1vl", {¡." rr....
,
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
0$2,000 . $10,000
¡xJ $100,001 - $1,000,000
NATURE OF INVESTMENT
Dr! Stock
D Other
0$10,001 . $100,000
DOver $1,000,000
FAIR MARKET VALUE
D $2,000 - $10.000
0$100,001 - $1,000,000
D $10.001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
o Stock
D Other
(Describe)
(Describe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
---1---1.JM...
ACQUIRED
---1---1.JM...
DISPOSED
---1---1.JM...
ACQUIRED
---1---1.JM...
DISPOSED
,. NAME OF BUSINESS ENTITY
,. NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
D $2,000 - $10,000
0$100,001 . $1,000,000
0$10,001 . $100,000
DOver $1,000,000
FAIR MARKET VALUE
o $2,000 . $10,000
o $100,001 . $1,000,000
0$10,001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
D Stock
D Other
NATURE OF INVESTMENT
D Stock
D Other
(Describe)
(Describe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
---1---1.JM...
ACQUIRED
---1---1.JM...
DISPOSED
---1---1.JM...
ACQUIRED
---1---1.JM...
DISPOSED
> NAME OF BUSINESS ENTITY
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
0$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
0$100,001 . $1,000,000
0$10,001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
D Stock
o Other
NATURE OF INVESTMENT
D Stock
o Other
(Describe)
(Describe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
---1---1.JM...
ACQUIRED
---1---1.JM...
DISPOSED
---1---1.JM...
ACQUIRED
---1---1.JM...
DISPOSED
Comments:
FPPC Form 700 (2004/2005) Sch. A-1
FPPC Toll-Free Helpline: 866/ASK-FPPC