700 Statement of Economic Interests ["1 <<~ ~ ~~ ~ a E
, ~ . ~ . STATEMENT OF ECONOMIC INTE ~ Olficial Use Onl , :,
1 1 ~,
~' COVER PAGE ~ ~~ ~~~ %` ~
A Pu,Slic Document ~-----------~
Please type or print in ink. C j ~ r ~ ~ -J' ~ ~ .j (~ ~ ~ TY C L ~ ~ K
NAME (11LAST) (FIRST) (MIDDLE) '~-~~~ DAYTIME TELEPHONE NUMBER
Sah 7 ar4 M ~+ v'/~ ~o h ~ ~d (~1o Q) P8'! - ~' 3 00
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS
(May use business address)
2I9s / L/~A y Lh C ~-p`r~i1~o G.,¢r1 s-d/N ~~~,u~/he~,~.-k ~ ~~.,;/.c
1. Office, Agency, or Court
Name of Office, Agency, or Court:
GI'~y Covhcj
-~
Division, Board, District, if applicable:
G ti v~ ~ ~--~~'- o
Your Position:
Cav~ct'~ /Yfes„~CN
- If filing for multiple positions, list additional agency(ies)/
position(s): (A/ttach a separate sheet if necessary.)
Agency: r f ~l ~ y~ ~U y/.•! si. ~ o~ 7 t~ c y
Position: ~ ~~ ~'~~'
2. Jurisdiction of Office (Check at least one box)
^ State
^ County of
® City of C [.` e t r~ Iy, D
^ Multi-County
^ Other
3. Type of Statement (Check at least one box)
^ Assuming Office/Initial Date: ~~
Annual: The period covered is January 1, 2008,
through December 31, 2008.
-or-
O The period covered is -J~ ,through
December 31, 2008.
^ Leaving Office Date Left: ~-~
(Check one)
O The period covered is January 1, 2008, through the
date of leaving office.
-or-
O The period covered is _l-~ ,through
the date of leaving office.
Candidate Election Year:- ~ Q
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 ^ Yes -schedule attached
Investments (cess than to% 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 man Gilts
and Travel Payments)
Schedule D ^ Yes -schedule attached
Income -Gifts
Schedule E ^ Yes -schedule attached
Income -Gifts -Travel Payments
-or-
No reportable interests on any schedule
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.
1 certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed ~ _ ~ ~ ~
(month, day, year)
Signature ~~~~
(File the originally signed statement with your filing official.)
FPPC Form 700 (2002009)
FPPC Toll-Free Helpline: 866/ASK-FPPC ttvww.fppc.ca.gov