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HomeMy WebLinkAboutAgenda Packet 10/13/1999 *PUBLIC REVIEW COPY Please do not remove from counter 19181 ® 91 79 \A�`A''SCADF�O% NOTICE OF A SPECIAL MEETING ATASCADERO CITY COUNCIL Wednesday, October 13, 1999 6:00 p.m. City of Atascadero 6500 Palma Avenue, 4th floor Atascadero, California City Council Appointment PLEDGE OF ALLEGIANCE: Mayor Johnson ROLL CALL: Mayor Johnson Mayor Pro Tem Arrambide Council Member Clay Council Member Luna [Vacancy] APPROVAL OF AGENDA: Roll Call City of Atascadero Special Meeting Notice October 13, 1999 Page 2 CITY COUNCIL APPOINTMENT: 1. Public Comment 2. Candidate Forum I Appointment ADJOURNMENT: The City Council will adjourn to the next Regular Session on Tuesday,October 26, 1999 at 7:00 p.m STATE OF CALIFORNIA ) COUNTY OF SAN LUIS OBISPO ) CITY OF ATASCADERO ) MARCIA MCCLURE TORGERSON, being fully sworn, deposes, and says: That she is the duly elected City Clerk of the City of Atascadero and that on Tuesday,October 12, 1999,she caused the above Notice to be posted on the doors of the City's Administration Building,6500 Palma Avenue in Atascadero,California. _ L � MARCIA MCCLURE TORGERSON City Clerk City of Atascadero DATE: 10/13/99 19181, n p 1079 City Clerk's Agenda Report g p Marcia McClure Torgerson City Council Appointment DISCUSSION: Ken Lerno filed his resignation from the City Council with the City Clerk's office on September 21, 1999 leaving a vacancy on the City Council. His term on the City Council expires in November 2000. Government Code § 36512 requires, "the council shall, within 30 days from the commencement of the vacancy, either fill the vacancy by appointment or call a special election to fill the vacancy." If the Council fails to appoint a new member to the City Council within thirty (30) days, the special election must be held on the next regularly established election date not less than 114 days from the call of the special election. A special election would be held on March 7, 2000. The City Clerk has solicited applications from the members of the public pursuant to City Council direction. Thirteen applications were received for the vacancy. Two applicants have withdrawn their application for this position. It has been verified by the City Clerk's office that the remaining eleven applicants are residents of the City of Atascadero and registered voters in the City of Atascadero. Therefore, there are eleven applications attached for your review. Mayor Johnson has proposed to have a Candidate Forum. All the applicants would attend the entire meeting as opposed to the interview process where each applicant is interviewed separately by the Council. Applicants would draw a number at the beginning of the meeting to designate the order they will answer the questions. The public and Council would be asked to write down questions they would like the applicants to answer and submit them to the City Clerk. Submitted questions would be grouped into categories and the City Clerk would ask questions of the applicants based on those categories. Atascadero Municipal Code §2-1.05 states that the Mayor "decides all questions of order." Therefore, the agenda has been written to reflect the Mayor's preference. However, the Code also states that the Council may appeal the Mayor's preference, "in which event a majority vote shall govern and conclusively determine such question of order." This would be done during the Approval of Agenda portion of the meeting. DATE:-1 0/13/99 Once the Candidate Forum portion of this interview process is completed, the Council has two p options: 1. City Clerk will accept nominations for appointment. 2. City Clerk will hand out ballots to Council including all names of applicants and ask each Council Member to circle their choice. ALTERNATIVES: A majority of the Council may appoint a new Council Member without following any of the above- mentioned suggestions. The following is a summary of the choices mentioned in this report: Reviewing Applicants 1. Candidate Forum 2. Interview applicants Appointment of Council Member 1. Select, by nomination and vote, applicant to fill vacancy. 2. Select,by ballot, applicant to fill vacancy. ATTACHMENTS: 11 Applications Please return to: t CITY CLERK p' ` ® OCT -A 1 � • 6500 Palma Avenue 1�1 1918 a �„ 1978 7 - Room 208 CA] CITY OF ATASCADERO Atascadero, CA 93422 CITY CLERK'S OFFICE CITY OFATASCADERO CITY COUNCIL APPLICATION PLEASE NOTE: You must meet the minimum qualifications of being a registered voter and resident of the City. Minimum qualifications are subject.to verification. Please fill out and attach a Statement of Economic Interests, Form 700. NAME: L A�Rj FA LX HOME ADDRESS: 5350 IZO SA'P-1 O AI'E- Home Phone: 442---862-0 MAILING ADDRESS (if different): Work Phone: - /L' I Are you a resident of the City of Atascadero? YES How Long? Yeet I'S Are you a registered voter? Yes l- No Social Security No.a OCCUPATION: MQ 35 1- CD0(ZE)1�A-129/e- i EMPLOYMENT: Present or last employer's name, address and phone number: Cv 5TO tA Position held and length of employment: EDUCATION: City of Atascadero City Council Application, Page 2 Describe any relevant training, experience, certificates of training, licenses or professional registration: - GArLI F lil c�NS� ���N�.�-L COi-�1�CT�12 I G e�f2_'1'I F-I E9 gtJ I t,12 tnlG' I rJ SPFCTO _ ,F_-PJ A-ND Describe involvement in community, volunteer, professional and/or academic organizations: -- P4Pr- V In E, /NSI7_v cTaR- C0050- Cc u 6-F Cd H 5T ' clf7`1,�/" S {��T ��SDUGrOP— Plq-S D 2© !3� s �t c-q u� Describe membership on other city commissions, committees or boards you have previously or are currently serving on: 0 Once this application is on file in the City Clerk's office, it will be considered a "public document" and will be available for review upon request. hereby certify, under penalty of perjury, that the information on this application are true and correct. • -Signature: Date: Date Received CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS FAIR POLITICAL PRACTICES COMM. A Public Document Please type or print In Ink NAME (LAST) (FIRST) DAYTIME TELEPHONE NUMBER FAL-K L A-1ZR\1 (Sas ) 46l-/41l MAILING ADDRESS STREET CITY ZIP CODE 53550 k-0 5fWf 0 An'�-- Al?�KCft E70-0 CA- g3y22- COVER PAGE 1. Office, Agency, or Court 4. Schedule Summary 0/TY CoyIV Gl L > During the reporting period, did you have any Division, Board, District, if applicable: reportable interests to disclose on: Schedule A-1 Yes - schedule attached Position: Investments (Less than 10% Ownership) G� r � v I.1�[ � /'�l�jN���- Schedule A-2 ❑ Yes - schedule attached Investments (Greater than 10% Ownership) > If filing an expanded statement list agency/position: (Attach a separate sheet it necessary) Schedule B Yes – schedule attached Real Property Schedule C )Yes – schedule attached Income & Business Positions pncome Other then Loans,Gies,and Tiaveq Schedule D 9Yes – schedule attached Income – Loans 102. Office Jurisdiction (Check one) Schedule E ❑ Yes – schedule attached ❑ State ❑ County of Income – Gifts City of //� I "4G"61zD Schedule F ❑ Yes – schedule attached ❑ Multi-County Income – Travel Payments ❑ Other > ❑ No reportable interests > Total number of pages (including this cover page). 3. Type of Statement (Check at least one box) �. Assuming Office/Initial Date: /0 5. Verification ❑ Annual I have used all reasonable diligence in preparing this (Check one) 9 P P 9 statement. I have reviewed this statement and to the best O The period covered is January 1, 1998 through of my knowledge the information contained herein and in December 31, 1998. the attached schedules is true and complete. I certify under Q The period covered is —J—J through penalty of perjury under the laws of the State of California December 31, 1998. that the foregoing is true and correct. ❑ Leaving Office Date Left: _I_l Executed on /0 /3 19 q2 (Check one) (mont day) (year) Q The period covered is January 1, 1998 through the date of leaving office. SIGNATURE O The period covered is —I through the date of leaving office. ❑ Candidate FPPC Form 700 (1998/99) For Technical Assistance: 916/322-5660 Schedule A-1 CALIFORNIA Investments 1998199 FORM FAIR POLITICAL PRACTICES COMM. Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) > NAME OF BUSINESS ENTITY > NAME OF BUSINESS ENTITY Gl��r F SrVf - -C1jfP 5 GENERAL DESCRIPTION OF BUSINESS ACTIVITY I�tD GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE FAIR MARKET VALUE 511000-$10,000 ❑$1,000-$10,000 ❑$10,001 -$100,000 ❑$10,001 -$10o,000 ❑Over$100,000 ❑Over$100,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Stock 7 ❑ Stock Other I � "' -' ❑ Other IF APPLICABLE, LIST DATE: IF APPLICABLE,LIST DATE: —l—/ 98 —1 98 1 / 98 —J—/ 98 ACQUIRED DISPOSED ACQUIRED DISPOSED > NAME OF BUSINESS ENTRY > NAME OF BUSINESS ENTITY 5f5, v,Ugf U P�e�1-r Pf71,/0v t GENERAL DESCRIPTI N OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE FAIR MARKET VALUE $1,000-$10,000 ❑$1,000-310,000 ❑$10,001 -$100,000 ❑$10,001 -$100,000 ❑Over$100,000 ❑Over$100,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Stock ❑ Stock PrOther V "/—' —v 'l �V' ' -/ ❑ Other IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: / 98 —J—J 98 9 8 98 ACQUIRED DISPOSED ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE FAIR MARKET VALUE ❑$1,000-$10,000 ❑$1,000-$10,000 ❑$10,001 -$100,000 ❑$10,001 -$100,000 ❑Over$100,000 ❑Over$100,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Stock ❑ Stock ❑ Other ❑ Other IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: 1 98 _/_/ 98 / 98 _J_/ 98 ACQUIRED DISPOSED ACQUIRED DISPOSED Comments: FPPC Form 700 (1998/99) Sch. A-1 For Technical Assistance: 916/322-5660 Schedule B . - .. . .. 700 Interests in Real Property FAIR POLITICAL [Name _ STREET ADDRESS OR PRECISE LOCATION > STREET ADDRESS OR PRECISE LOCATION 3 5-0 Ro ,Wr o 1AVC-1 CITY ^ ,„,J Cl glI I V CITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $1,000-$10,000 ❑ $1,000-$10,000 $1100,000 �—�98 —�—�98 J 98 / /9 8 $10,001 -$ ACQUIRED DISPOSED ❑ $10,001 -$100,000 ACQUIRED DISPOSED Over$100,000 ❑ Over$100,000 NATURE OF INTEREST NATURE OF INTEREST ❑ Rental Property kOwnership/Deed of Trust ❑ Easement ❑ Rental Property ❑Ownership/Deed of Trust ❑ Easement ❑ Leasehold ❑ ❑ Leasehold ❑ Yrs. remaining Other Yrs.remaining Other IF RENTAL PROPERTY,GROSS INCOME RECEIVED IF RENTAL PROPERTY,GROSS INCOME RECEIVED ❑$0-$249 ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over 310,000 ❑$0-$249 [:]$250.$1,000 ❑$1,001 -$10,000 ❑Over$10,000 SOURCES OF RENTAL INCOME: It you own a fox or greater interest, SOURCES OF RENTAL INCOME: It you own a lox or greater interest, see the instructions for reporting sources of rental income. see the instructions for reporting sources of rental income. • NAME OF LENDER NAME OF LENDER PAI CA-A-C-L We,/,Ti ADDRESS ADDRESS 5660 Fes- PoNnPr� 1)f BUSINESS ACTIVITY OF LENDER BUSINESS ACTIVITY OF LENDER ❑Financial Institution ❑ Financial Institution hery r � ❑Other JJJJJJI""""NT' ER ST RATE TERM(MonthsNears) INTEREST RATE TERM(Months/Years) % ❑None;7 %. ❑None HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD ❑$250-$1,000 []$1,001 .$10,000 ;)XOver$10,00o ❑$250-$1.000 ❑$1,001 -$10,000 ❑Over$10,000 ❑Guarantor,it applicable ❑Guarantor,if applicable Check below if another loan is disclosed on Schedule D. Check below if another loan is disclosed on Schedule D. ❑Additional loan—refer to Sch. D. ❑Additional loan—refer to Sch. D. Comments: FPPC Form 700 (1998/99) Sch. B For Technical Assistance: 916/322-5660 Schedule C . - Income & Business Positions (Income Other than Loans, Gifts, and Name )�Q Travel Payments) rr > NAME OF SOURCE > NAME OF SOURCE Ab441�/ L�fi1�� CvS17J� ��X55 ADDRESS i � 6-(2'rr_� ^ d J rADDRESS BUSINESS ACTIVITY, IF ANY, OF�SOURCE GJ' BUSINESS ACTIVITY, IF ANY, OF SOURCE fi»;IGSR —&»I,P BUSINESS POSITION BUSINESS POSITION PFJ EC-f C.e 012.,91 GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑$250-$1,000 Q$1,001 -$10,000 kPover$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED salary ❑Spouse's Income ❑Loan repayment ❑salary ❑Spouse's Income ❑Loan repayment ❑Sale of E]Sale of (Property,car,boat,etc.) (Property,ear,boat,e(c.) ❑Commission or ❑Rental Income, list each source of$10,000 or more ❑Commission or ❑ Rental Income, list each source of$10,000 or more ❑Other ❑Other _ NAME OF SOURCE > NAME OF SOURCE ADDRESS ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS POSITION BUSINESS POSITION GROSS INCOME RECEIVED GROSS INCOME RECEIVED Q$250-$1,000 ❑$1,001 -$10,000 ❑over$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 ❑over$10,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑Salary ❑Spouse's Income ❑ Loan repayment Q Salary ❑Spouse-s income. Q Loan repayment ❑Sale of ❑Sale of (Property,ear,boat,etc.) (Property,ear,boat,etc.) ❑Commission or ❑Rental Income, fist each source of 510,000 or more ❑Commission or Q Rental Income, fist each source of 510,000 or more ❑Other ❑Other Comments: FPPC Form 700 (1998/99) Sch. C For Technical Assistance: 916/322-5660 Schedule D CALIFORNIA1998/99 FORM 11 Income — Loans FAIR POLITICAL PRACTICES COMM. Name (Received or Outstanding) > NAME OF LENDER > NAME OF LENDER jD U C, ML b d rTA- L42 ADDRESS ADDRESS BUSINESS ACTIVITY OF LENDER BUSINESS ACTIVITY OF LENDER ❑Financial Institution ❑Financial Institution Other [?ti"yj'j� �a ❑Other INTER ST RATE TERM(MonthsNears) INTEREST RATE TERM(MonthsNears) % ❑ None 8 MS % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD ❑$250-$1,000 ❑$1,001 -$10,000 jk�over$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 SECURITY FOR LOANSECURITY FOR LOAN [3None ❑Automobile Personal residence ❑ None ❑Automobile ❑Personal residence ❑Real Property ❑trees address Real Property Street address City City ❑Guarantor ❑Guarantor ❑Other ❑Other > NAME OF LENDER > NAME OF LENDER ADDRESS ADDRESS BUSINESS ACTIVITY OF LENDER BUSINESS ACTIVITY OF LENDER ❑Financial Institution ❑ Financial Institution ❑Other ❑Other INTEREST RATE TERM(MonthsNears) INTEREST RATE TERM(MonthsNears) % ❑ None % ❑None HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD ❑$250-$1.000 ❑$1,001 -$10,000 ❑Over$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 SECURITY FOR LOAN SECURITY FOR LOAN ❑None ❑Automobile ❑ Personal residence ❑ None ❑Automobile ❑Personal residence ❑Real Property ❑Reai Property Street address Street address City City . ❑Guarantor ❑Guarantor ❑Other ❑Other Comments: FPPC Form 700 (1998/99) Sch. D For Technical Assistance: 916/322-5660 Please return to: GCT — 5 19We CITY CLERK `� Ir �' 6500 Palma Avenue CITY OF ATASCADERO Room 208 A' �ERp�, CITY CLERK'S OFFICE Atascadero, CA 93422 CITY OF ATASCA DERO CITY COUNCIL APPLICATION PLEASE NOTE: You must meet the minimum qualifications of being a registered voter and resident of the City. Minimum qualifications are subject to verification. Please fill out and attach a Statement of Economic Interests, Form 700. NAME: DA-Vl HOME ADDRESS: 735 -5;94/29- Home Phone: L f(6-a 6 3 7 MAILING ADDRESS (if different): Work Phone: Vv/ 7/2/ Are you a resident of the City of Atascadero? How Long? --;2,S— Are ;2S—Are you•a registered voter? Yes 7e— No Social Security No. OCCUPATION: # 3 y 7 EMPLOYMENT: Present or last employer's name, address and phone number: NOR- 9 Ave-, , Sti; -e } °I3y22- Porrssi^ition held and length of employment: l e.2 z ��' �,eov �C� o� pe W R c EDUCATION: City of Atascadero City Council Application, Page 2 Describe any relevant training, experience, certificates of training, licenses or professional registration: 1rc *w 6,m S76 D = �H R,o�l�� f�sJerr7� 3/3 y 7 -e CCroK1P. : l e�c- cokn I�� S'L o rr b 615,h rgs-, /v/}A Describe involvement In community, volunteer, professional and/or academic organizations: tw — CAL,Pgoqt j� Fii eds •J eoz� /I I Oki 9 Vo(k on 7e e�A— ;e4 X 2 7`-� rn • e SO Colas 14V l Cl�s�- I/o�uPI e-4-0 .D25 x /46ency L ea t soIk Coo+*,7�d Describe membership orV other city commissions, committees or boards you have previously or are currently serving on: Q /) PSR K S e Co/Yi f s s;o s° V b l�it/��e2� Re�n/4�t - P•�o,de, _ cue° li uJ�e�2s ,4�►ce `,� • 1e Con� a�o2 Se�e��i 0`1com•y,.'#e e fj,4"i s.e 7ig-x 6 D/.4R-J Sib coon A� ` e- Once , Once this application is on file in the City Clerk's office, it will be considered a "public document" and will be available for review upon request. 1 hereby certify, under penalty of perjury, that the information on this application are true and correct. Signature: Qatl?-a— Date: AND CO -. 1� �; o Ati b�i11UO3�1� 4� tit IPJ -�-+ , - A ERSITf„ � 5 y bINHO311� N U ca . L O _O U N W M U oo , � w x • D 00 �' a z w a) > w c cn 75 NV CCL OW W- W VO O � 10 � Hm Z W � = o= A _ o w _ � P !� I �I ISI • y CA:LIFORNIA Date Received 1998199FORm 700 STATEMENT OF ECONOMIC INTERESTS FAIR POLITICAL PRACTICES COMM. A Public Document Please type or print In Ink �. NAME (LAST) (FIRST) DAYTIME TELEPHONE NUMBER G I4h,9L.% Z)"q'vl k ( go,;- ) q66_ ,71.21 MAILING ADDRESS STREET CITY ZIP CODE 7 3 sv 5,*►, s- YsA-d e( 4ye- Af*sc,4-J a Ro Ci 9 3 y.- 2- COVER COVER PAGE 1. Office, Agency, or Court 4. Schedule Summary > During the reporting period, did you have any Division,, Board, District,, if applicable: / reportable interests to disclose on: C+ e- -a Schedule A-1 Yes - schedule attached Position: Investments (Less than 10% Ownership) Schedule A-2 AYes - schedule attached Investments (Greater then 10% Ownership) > If filing an expanded statement list agency/position: � (Attach a separate sheet if necessaryV�`) Schedule B Yes - schedule attached Real Property Schedule C ( Yes - schedule attached Income& Business Positions (Income Other than Loans,Gifts,and Tnwel) Schedule D -Yes - schedule attached Income - Loans 2. Office Jurisdiction (Check one) Schedule E ❑ Yes - schedule attached ❑ State ❑ County of Income - Gifts City of L�C' Schedule F ❑ Yes - schedule attached ❑ Multi-County Income - Travel Payments ❑ Other > ❑ No reportable interests 3. Type of Statement (Check at least one box) > Total number of pages (including this cover page): ❑ Assuming Office/Initial Date: 5. Verification ❑ Annual I have used all reasonable diligence in preparing this (Check one) statement. I have reviewed this statement and to the best Q The period covered is January 1, 1998 through of my knowledge the information contained herein and in December 31, 1998. the attached schedules is true and complete. I certify under O The period covered is —Ithrough penalty of perjury under the laws of the State of California December 31, 1998. that the foregoing is true and correct. ❑ Leaving Office Date Left: �_� Executed on47 19 l (Check one) (month,day) (year) Q The period covered is January 1, 1998 through . the date of leaving office. SIGNATURE _D/Y/Zjj�a- 0 The period covered is —J_/ through the date of leaving office. Candidate FPPC Form 700 (1996/99) For Technical Assistance: 916/322-5660 Schedule A-1 CALIFORNIA Investments 1998/99 FORm FAIR POLITICAL PRACTICES COMM. Stocks, Bonds, and Other Interests Name n r (Ownership Interest is Less Than 10%) y4aI Ge,4A > NAME OF BU (NESS ENTITY > NAME OF BUSINESS ENTITY Me K- Cekvt tZ . �— GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY Try- o-IPo c e FAIR MARKET VALUE FAIR MARKET VALUE ❑$1,000-$10,000 ❑$1,000-$10,000 ❑$10,001 -$100,000 ❑$10,001 -$100,0oo Ia Over$100,000 ❑Over$100,000 ,NATURE OF INVESTMENT NATURE OF INVESTMENT x Stock ❑ Stock T❑ Other ❑ Other IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: 98 �_J 98 — / 98 98 ACQUIRED DISPOSED ACQUIRED DISPOSED > NAMEOF BUSINFfLC Fnr 'V > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY Ph A-A^ 4.t✓v FAIR MARKET VALUE FAIR MARKET VALUE $1,000-$10,000 ❑$1,000-$10,000 $10,001 -$100,000 ❑$10,001 -$100,000 ❑Over$100,000 ❑ Over$100,000 NATURE OF INVESTMENT NATURE OF INVESTMENT Stock ❑ Stock ❑ Other ❑ Other IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: J� & —lam 98 —/—J 9 8 I—1 98 ACQUIRED DISPOSED ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE FAIR MARKET VALUE ❑$1,000-$10,000 ❑$1,000-$10,000 ❑$10,001 -$100,000 ❑$10,001 •$100,000 ❑Over$100,000 ❑Over$100,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Stock ❑ Stock ❑ Other ❑ Other IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: 98 _/_/ 98 / 98 _/_/ 98 ACQUIRED DISPOSED ACQUIRED DISPOSED Comments: FPPC Form 700 (1998/99) Sch. A-1 For Technical Assistance: 916/322-5660 Schedule A-2 CALIFORNIA Investments, Income, and Assets 1998/99 FORM FAIR POLITICAL PRACTICES COMM. of Business Entities/Trusts Name - (Ownership Interest is 10% or Greater) OR 7A- & 1;,- 4 Check one box., Nome / ❑ INVESTMENT 0 REAL PROPERTY 5905 CAO!S Avv /¢S -42a Address Name of Business Entity gj Check orn Trust,go to 2Business Entity,complete ria box than go a 2 Street Address or Assessor's Parcel Number of Real Property GENERAL DESCRIPTION OF BUSINESS ACTIVITY CQ— Description of Business Activity gj FAIR MARKET VALUE IF APPLICABLE, LIST DATE: City or Other Precise Location of Real Property $1,000-$10,000 $10,001 -$100,000 98 FAIR MARKET VALUE IF APPLICABLE, LIST DATE: Mover$100,000 ACQUIRED DISPOSED $1,000-$10,000 NATURE OF INVESTMENT r ❑$10,001 -$100,000 /--/—!98 � 98 Over$100,000 ACQUIRED DISPOSED E]Sole Proprietorship [:]Partnership ! ❑ Q �[ Other C � BUSINESS POSITION_;-Rpl,� el�V1' ati:�U NATURE OF INTEREST C]Property Ownership/Deed of Trust Stock Partnership • '• • • • • -• Leasehold • •• • • Yrs. remaining $0-$249 [D$250-$1,000 C]$1,001 -$10,000 OVER$10,000 Other REPORTABLE3. LIST EACH • OF • • OF t ttt OR MORE Ake C d '7 Check one box: INVESTMENT REAL PROPERTY Name of Business Entity lu A,4. INVESTMENTS • INTERESTS IN REAL PROPERTY HELDBY Street Address or Assessoes Parcel Number of Real Property THE BUSINESS ENTITY OR Check one box: [] INVESTMENT F1 REAL PROPERTY Description of Business Activity IIL City or Other Precise Location of Real Property Name of Business Entity 2L FAIR MARKET VALUE IF APPLICABLE, LIST DATE: Street Address or Assessors Parcel Number of Real Property $1,000•$10,000 ❑$10,001 -$100,000 98 E]Over$100,000 ACQUIRED DISPOSED Description of Business Activity 91 Crty or Other Precise Location of Real Property NATURE OF INTEREST Property Ownership/Deed of Trust Stock Partnership FAIR MARKET VALUE IF APPLICABLE, LIST DATE: E]$1,000-$10,000 Leasehold ❑ 98 Yrs.remaining $10,001 -$100,000 AC ��98 Over$100,000 ACQUIRED DISPOSED Other NATURE OF INTEREST Property Ownership/Deed of Trust Stock Partnership Leasehold Comments: Yrs.remaining Other FPPC Form 700 (1998/99) Sch. A-2 For Technical Assistance: 916/322-5660 Schedule B CALIFORNIA 1998199 . - interests in Real Property FAIR POLITICAL PRACTICES COMM. Name Art- )1, STREET ADDRESS OR PRECISE LOCATION > STREET ADDRESS OR PRECISE LOCATION S9.697 C1W13 RA+Wl¢,-d 390 - G"Is ARA ow&e. # $ CITYIr CITY $ � A (*5 X91 wo FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $1,000-$10,000 ❑ $1,000-$10,000 / _ 8 _/_/9 8 �7I _�_ 98 � /98 $10,001 -$100,000 ACQUIRED DISPOSED �t $10,001 -$100,000 ACQUIRED DISPOSED Over$100,000 '❑ Over$100,000 NATURE OF INTEREST NATURE OF INTEREST ❑ Rental Property gOwnership/Deed of Trust ❑ Easement ❑ Rental Property MOwnership/Deed of Trust ❑ Easement ❑ Leasehold ❑- 13 Leasehold 1:1Yrs.remaining Other Yrs.remaining Other IF RENTAL PROPERTY,GROSS INCOME RECEIVED IF RENTAL PROPERTY,GROSS INCOME RECEIVED ❑$0-$249 [:]$250-$1,000 ❑$1,001-$10,000 g Over$10,000 ❑$0-$249 ❑$250-$1,000 ❑$1,001 -$10,000 X Over$10,000 SOURCES OF RENTAL INCOME: If you own a 10%or greater interest, SOURCES OF RENTAL INCOME: It you own a 10%or greater interest, see the instructions for reporting sources of rental income. see the instructions for reporting sources of rental income. NAME OF LENDER NAME OF LENDER I s ADDRESS ADDRESS 6 �iistsrs�d C49 �9SD �(Gxr�ii K o lQ.�•N/�`,e�sc•5f a�e/�o Get BUSINESS ACTIVITY OF LENDER BUSINESS ACTIVITY OF LENDER N_Financial Institution %Financial Institution ❑Other ❑ Other � k�;I,N,'LTEREST RATE TERM(MonthsNeaars) INTEREST RATE TERM(Months/Years) P * 2— % ❑ ',2p None 5- ///ZJ 1 R44-1- % ❑ None01 HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD ❑$250-$1,000 ❑$1,001 -$10,000 gtOver$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 [over$10,000 ❑Guarantor,it applicable ❑Guarantor,it applicable j� Check below if another loan is disclosed on Schedule D. Check below if another loan is disclosed on Schedule D. ❑Additional loan-refer to Sch. D. ❑Additional loan-refer to Sch. D. Comments: FPPC Form 700 (1998/99) Sch. B For Technical Assistance: 916/322-5660 Schedule C CALIFORNIA •• FORm 700 Income & Business Positions FAIR POLITICAL PRACTICES COMM. (Income Other than Loans, Gifts, and Name r / �. Travel Payments) ZA Ui�i CIQi9-h�y'j > NAME OF SQYRC COW^ � TAA-, 11 > 1V oQNAME FM RN CE !l/0 R. /��ll.. ADDRESS ADDRESS BUSINESS ACTIVItYDIFF ANY,OF SOURCE BUSINESS AC IVITY, IF ANY,OF SOURCE c Ti�-r� t9 t`ce BUSINESS POSITION BUSINESS POSITION GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑$250-$1,000 ❑$1,001 -$10,000 Over$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 Rover$10,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary ❑Spouse's Income ❑Loan repayment ❑Salary ❑Spouse's Income ❑Loan repayment ❑Sale of ❑Sale of (Property,car,boat,etc.) (Property,car,boat,etc.) ❑Commission or ❑Rental Income, list each source or$10,000 or more ❑Commission or [Rental Income, list each source of$10,000 or more ❑Other ❑Other > NAME OF SOU CE / > NAME OF SOURCE by �T .! LD�c�t — r� �(lOQ7 f ,tics rSi �IS�k .. �►C ADDRESS ADDRESS E905 am 51PS BUSINESS ACTT ITY, IF ANY, OF SOURCE BUSINESS ACTT TTY IF ANY, OF SOURCE BUSINN�EESS,/POSITION BUSINESS POSITION �/TT!`GQ �IA�AC� �PSSb2 GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑$250-$1,000 ❑$1,001 -$10,000 over$10,000 ❑$250-$1,000 ❑$1,001 •$10,0000 ver$10,000 CONSIDERATION FOR PrICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑Salary Spouse's Income ❑Loan repayment ❑Salary ❑ Spouse's Income ❑Loan repayment ❑Sale of T` ❑Sale of (Property,car,boat,etc.) rq (Property,car,boat,etc.) ❑Commission or [:]Rental Income, list each source of$10,000 or more ❑Commission or Rental Income, list each source of$10,000 or more ❑Other ❑Other • Comments: FPPC Form 700 (1998/99) Sch. C For Technical Assistance: 916/322-5660 Schedule D • - Income — Loans ' Name (Received or Outstanding) > NAME F LENDER > NAME OF LENDER � " �� ADDRESS ADDRESS &?-So FZckm I h'a �e•� S 4%61L BUSINESS ACTIVITY OF LENDER BUSINESS ACTIVITY OF LENDER (Financial Institution ❑Financial Institution T❑`Other ❑Other j� INTEREST RATE TERM(Months/Years) INTEREST RATE TERM(Months/Years) 1 A;OtC f- Z % ❑ None _ yRf % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD ❑$250-$1,000 ❑$hoot -$10,000 ❑over$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 ❑over$10,000 SECURITY FOR LOAN SECURITY FOR LOAN ❑None ❑Automobile ❑ Personal residence ❑None ❑Automobile ❑ Personal residence Real Property -A105,-&V;6 Ltc/Td e#"' #� ❑Real Property Street address street address city city ❑Guarantor ❑Guarantor ❑Other ❑Other > NAME OF LENDER > NAME OF LENDER ADDRESS ADDRESS BUSINESS ACTIVITY OF LENDER BUSINESS ACTIVITY OF LENDER ❑Financial Institution ❑ Financial Institution ❑Other ❑Other INTEREST RATE TERM(Months/Years) INTEREST RATE TERM(Months/Years) ❑None % ❑None HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 SECURITY FOR LOAN SECURITY FOR LOAN ❑None ❑Automobile ❑ Personal residence ❑None ❑Automobile ❑ Personal residence ❑Real Property ❑Real Property Street address Street address City City ❑Guarantor ❑Guarantor ❑Other ❑Other Comments: FPPC Form 700 (1998/99) Sch. D For Technical Assistance: 916/322-5660 Please return to: r edAw e a CITY CLERK OCT _ 8 FM 6500 Palma Avenue �s;a 9 ,� ° ,s,a1--1 _ Room 208 CAD Atascadero, CA 93422 \ CITY OF ATASCADERO CITY CLERK'S OFFICE CITY OFATASCADERO CITY COUNCIL APPLICATION PLEASE NOTE: You must meet the minimum qualifications of being a registered voter and resident of the City. Minimum qualifications are subject to verification. Please fill out and attach a Statement of Economic Interests, Form 700. NAME: FD JWc'013SCYJ HOME ADDRESS:_6055 C,61S 06Iq L- Home Phone: 4&(i 92/0 MAILING ADDRESS (if different): Work Phone:4&6r, 34C0 Are you a resident of the City of Atascadero? �'/�.5 How Long? CD Are you a registered voter? Yes v No Social Security No OCCUPATION: A45 C2 /VCG. 96)�Z'U C &W QeZe EMPLOYMENT: Present or last employer's name, address and phone number: C�4 L lFC,2,-1GA -56C%G, 77096`16 64 1,2102 54 CC) Position held and length of employment: EDUCATION: City of Atascadero City Council Application, Page 2 Describe any relevant training, experience, certificates of training, licenses or professional registration: 7 S;r 2VJ 2-(1/4- : . � 7�Tf f!��-SS�`cA-� l/���-,ti► zA /�I /,-� 2 1r �' Describe involvement in community, volunteer, professional and/or academic organizations: IVO.Z�/ � �u ?y /'3 —S S- 4-7- Describe 3�Describe membership on other city commissions, committees or boards you have previously or are currently serving on: �JCU,tJIZ P45 i 1,46464-164-U7 4�/,7 C,4 D�. f�c-A- WN� Once this application is on file in the City Clerk's office, it will be considered a "public document" and will be available for review upon request. hereby certify, under penalty of perjury, that the information on this application are true and correct. k Signature. Date: CALIFORNIA Date Received 99 FORM 700STATEMENT OF ECONOMIC INTERESTS FAI- POLITICAL PRACTICES COMM. A Public Document Please type or print In Ink J�c�i?Ds,cAi I ,�� NAME (LAST) (FIRST) �2 Z_ DAYTIME TELEPHONE NUMBER (50155 CA_i S(c 03n 3400 MAILING ADDRESS STREET CITY ZIP CODE COVER PAGE 1. Office, Agency, or Court 4. Schedule Summary- — j SIA DE aO > During the reporting period, did you have any Division, Board, District, if applicable: reportable interests to disclose on: CCsC.;Aicl M2.,nAL;I .-t- Schedule A-1 Yes — schedule attached Position: Investments (Less than 10% Ownership) Schedule A-2Yes — schedule attached Investments (Gree er the 10% Ownership) > If filing an expanded statement list agency/position: (Attach a separate sheet it necessary) Schedule B ❑ Yes — schedule attached Real Property Schedule C Xes — schedule attached Income& Busine'X it.ons (Income Other than Loans,Gifts,and Travel) Schedule D ❑ Yes — schedule attached Income — Loans 2. Office Jurisdiction (Check one) ❑ State E] County of Schedule E ❑ Yes — schedule attached Income — Gifts City of A 1 1)S C+4D t P-0 Schedule F ❑ Yes — schedule attached ❑ Multi-County Income — Travel Payments ❑ Other > ❑ No reportable interests 3. Type of Statement (Check at least one box) > Total number of pages (including this cover page): ❑ Assuming Office/Initial Date: 5. Verification ❑ Annual (Check one) I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best O The period covered is January 1, 1998 through of my knowledge the information contained herein and in December 31, 1998. the attached schedules is true and complete. I certify under Q The period covered is _�_/ through penalty of perjury under the laws of the State of California December 31, 1998. that the foregoing is true and correct. ❑ Leaving Office Date Left: _/� Executed on a67636" t is (Check one) (month,day) (year) 0 The period covered is January 1, 1998 through SIGNATURE the date of leaving office. "CC�� Q The period covered is _/_—Jthrough the date of leaving office. Candidate FPPC Form 700 (1998/99) Schedule A-1 CALIFORNIA Investments1998/99 FORm 11 POLITICAL PRACTICES COMM. Stocks, Bonds, and Other Interests m Name (Ownership Interest is Less Than 10%) . J_A-<'-" NAME OF BUSINESS ENTITY > NAME OF BUSINESS ENTITY �Tr� JA c:�Gs� GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY I N S U r D-NA C- , C--U Gam- Oc'-;.n-eii2 FAIR MARKET VALUE FAIR MARKET VALUE ❑$1,000-$10,000 ❑$1,000-$10,000 ,001 -$100,000 ❑$10,001 -$100,000 ver$100,000 ❑Over$100,000 NATURE OF INVESTMENT NATURE OF INVESTMENT Stock ❑ Stock e-- t s ❑ Other ❑ Other IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: —J� 98 —�—J 98 _J_/ 98 _/_� 98 ACQUIRED DISPOSED ACQUIRED DISPOSED NAME OF BUSINESS ENTITY > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY • FAIR MARKET VALUE FAIR MARKET VALUE ❑$1,000-$10,000 ❑$1,000-$10,000 ❑$10,001 -$100,000 ❑$10,001 -$100,000 ❑Over$100,000 ❑Over 6100,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Stock ❑ Stock ❑ Other ❑ Other IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: —1—/ 98 —/—/ 98 / 9 8 —1—J 98 ACQUIRED DISPOSED ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE FAIR MARKET VALUE ❑$1,000-$10,000 ❑$1,000-$10,000 ❑$10,001 -$100,000 ❑$10,001 -$100,000 ❑Over$100,000 ❑Over$100,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Stock ❑ Stock ❑ Other ❑ Other IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: 98 _/_J 98 _/_/ 98 _�_/ 98 ACQUIRED DISPOSED ACQUIRED DISPOSED Comments: FPPC Form 700 1998/99 Sch. A-1 Schedule A-2 CALIFORNIA Investments, Income, and Assets1998/99 FORm 700 FAI_ POLITICAL PRACTICES COMM. of Business Entitiesrrrusts Name (Ownership Interest is 10% or Greater) i)O-1. BUSINESS ENTITY OR TRUST )1-4.(cont.) Check one box: Name�+ (� S �Z f`�a;�j��7~�—Gt`- ❑ INVESTMENT �EAL PROPERTY Address Name of Business Entity z Check one ❑Trust,go to 2 usinsss Entity,complete the box, then go to 2 Street Address or Assessor's Parcel Number of Real Property GENERAL DESCRIPTION OF BUSINESS ACTIVITY 6762)& I N St_a r r CE- A-ci&----u Cy Description of Business Activity➢[ FAIR MARKET VALUE IF APPLICABLE, LIST DATE: City or Other Precise Location of Real Property r. �✓L"a3�-�-' ' ❑$1,000-$10,000 Ce�%!lTi�-uTS� ❑$ 0,001 -$100,000 —J—J98 —�—�98 FAIR MARKET VALUE IF APPLICABLE, LIST DATE: Over$100,000 ACQUIRED DISPOSED WF."v ,000-$10,000 NAT E OF INVESTMENT 0,001 -$100,000 —/98 _/_/ 98 Sole Proprietorship ❑Partnership E] er$100,000 ACQUIRED DISPOSED N Other BUSINESS POSITION W NFE. NATE OF INTEREST Property Ownership/Deed of Trust ❑Stock ❑ Partnership •• ' • • ' •' ❑Leasehold • •• • • - Yrs. remaining $0-$249 [j$250-$1,000 [-]$1,001 -$10,000 OVER$10,000 E]Other REPORTABLE • OF • • OF$10,000 � OR •. A► ( 7L&L,Darz__ Fz-jL-",A Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity gi 4. INVESTMENTS • PROPERTY • BY Street Address or Assessor's Parcel Number of Real Property THE BUSINESS ENTITY • TRUST - Check one box: INVESTMENT ❑ REAL PROPERTY Description of Business Activity 21 �1 City or Other Precise Location of Real Property Name of Business Entity gl Street Address or Assessors Parcel Number of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ���� 7nA- "�`G cam. ❑$1,000-$10,000 �`"7 ❑ $10,001 -s100,000 �—/98 �_I 98 �Lf?�7 �}7 'Ga4Q164 -53,42 Z ❑Over$100,000 ACQUIRED DISPOSED Description of Business Activity 21 City or Other Precise Location of Real Property NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑Partnership AI MARKET VALUE IF APPLICABLE, LIST DATE: $1,000-$10,000 ❑Leasehold ❑$10,001 -$100,000 —�_ /98 _/_/98 Yrs.remaining Agaho Over$100,000 ACQUIRED DISPOSED ❑Other NATURE OF INTEREST ❑Property Ownership/Deed of Trust ❑ Stock ❑Partnership ❑Leasehold Comments: XO,h,, Yrrs remaining FDDC Pnrrn mann ricoaiom tz.h A-9 Schedule C CALIFORNIA Income & Business Positions 1998/99 FORm 700FAIR POLITICAL PRACTICES COMM. (Income Other than Loans, Gifts, and Name Travel Payments) ,-DjV > NAME OF SOURCE > NAME OF SOURCE ADDRESS c U� A %/G 4,44.� ,4 7;,-Of ADDRESS /NS01z.4-mc,6 Cs� BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS POSITION BUSINESS POSITION GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑$250-$1,000 ❑$1,001 -$10,000 X0ver$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑Salary ❑Spouse's income ❑Loan repayment ❑Salary ❑Spouse's Income ❑Loan repayment ❑Sale of E]Sale of (Property,car,boat,etc.) (Property,ear, boat,etc.) ommisslon or [:] Rental Income, list each source of sio,o00 or more ❑Commission or ❑Rental Income, list each source or$10,000 or more INGal1�Fz ❑Other ❑Other > NAME OF SOURCE > NAME OF SOURCE ADDRESS ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS POSITION BUSINESS POSITION GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 ❑$250-$1,000 ❑ $1,001 -$10,000 ❑ Over$10,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑Salary ❑ Spouse's Income ❑Loan repayment ❑Salary ❑Spouse's Income ❑Loan repayment ❑Sale of ❑Sale of (Property,ear,boat,etc.) (Property,car,boat, etc.) ❑Commission or ❑ Rental Income, list each source of$10,000 or more ❑Commission or ❑Rental Income, list each source of$10,000 or more ❑Other ❑Other Comments: FPPC Form 700 1998199) Sch. C RECEIVED Please return to: r,nh, ilia CITY CLERK - ., OCT 14 6500 Palma Avenue s,a q , 1978 Room 208 \�1SCADF�/ L���;"Y GF HT=':SCAvtRU Atascadero, CA 93422ITY D FR-K'56 C BICE CITY OFATASCADERO CITY COUNCIL APPLICATION PLEASE NOTE: You must meet the minimum qualifications of being a registered voter and resident of the City. Minimum qualifications are subject to verification. Please fill out and attach a Statement of Economic Interests, Form 700. NAME: Kimberly A. Jeanes HOME ADDRESS: 6280 San Anselmo Rd- Ata--;- Home Phone: 461-1589 MAILING ADDRESS (if different): Work Phone: 466-4894 Are you a resident of the City of Atascadero? YeS How Long? 20 years Are you a registered voter? Yes X No Social Security No OCCUPATION: Financial Advisor EMPLOYMENT: Present or last employer's name, address and phone number: Designs In Life Educational and Financial Services 5814 Traffic Way Atascadero, CA 93422 805-466-4894 Position held and length of employment: Owner - 9 years EDUCATION: See Attached City of Atascadero City Council Application, Page 2 Describe any relevant training, experience, certificates of training, licenses or professional registration: See attached Describe involvement in community, volunteer, professional and/or academic organizations: See Attached Describe membership on other city commissions, committees or boards you have previously or are currently serving on: See Attached Once this application is on file in the City Clerk's office, it will be considered a "public document" and will be available for review upon request. hereby certify, under penalty of perjury, that the information on this application are true and correct. Signature: Date: 9-30-99 Kimberly A. Jeanes — Profile Personal Background: ♦ Atascadero resident since 1979 ♦ Married (Shawn Jeanes)with 2 children(Joshua—15 and Tiffany—12) ♦ Grandparents founded North County Christian School and the Atascadero Thrift Shop Professional Background: ♦ Marketing Director for Kennedy Club Fitness (1984-1990) ♦ Owner—Designs In Life Educational and Financial Services (1990—Present) ♦ Chartered Financial Consultant, Registered Investment Advisor ♦ Financial Planning Designations Obtained from the American College in Pennsylvania ♦ Pace Program Participant(Annual Continuing Education) ♦ Instructor of the Successful Money Management Course at Cuesta College (1995—Present) ♦ Training Instructor for the California Law Enforcement Association Training Conference (1999) ♦ PIO (Public Information Officer) Training Conferences—Instructor(1999) Community/Organizations: ♦ California Youth Authority Outreach Program (1986-1989) ♦ Atascadero Vineyard Christian Fellowship Food Ministry Outreach Volunteer(1987-1989) ♦ Local Hospital Pediatrics Outreach (1989—1993) ♦ Downtown Business Owner(1994—present) ♦ Chartered Member of the National Fellowship of Christian Financial Planners (1998-present) ♦ Downtown Business Improvement Association (BIA) President(1996-1999) ♦ During Presidency,the BIA: ► Initiated Street Faire for the Annual Christmas Lighting Ceremony ► Re-lit all four trees in Sunken Gardens ► Established the Downtown Sunken Gardens Lighting Project Fountain Light, Season's Greetings Sign, electrical re-wiring,trees,etc.— 10,- Established an annual benefit golf tournament to finance lighting project ♦ City of Atascadero Planning Commissioner(1999) ♦ City of Atascadero Economic Roundtable Member(1997) ♦ City of Atascadero Lifetime Historical Society Member ♦ City of Atascadero Chamber of Commerce Member ♦ City of Atascadero Rotary Board Member(1996-1998) ♦ Women's Leadership Council Member(1999) ♦ Women's Leadership Conference—Women in Politics(1999) ♦ Co-Founder, Executive Committee Member,and Public Information Officer for the San Luis Obispo County Y2K Action Alliance (SLOCYAA) (1998-present) ♦ Board Member of the Freedom Through Recovery House(1999) ♦ Friday Variety Night Program Volunteer(1998-present) ♦ Volunteer Speaker for the Atascadero Junior High School Opportunities Class (1999) Property/Business Interests: ♦ Homeowner at 6280 San Anselmo Rd.,Atascadero (1991-present) ♦ No other business property or personal property ownership in Atascadero ♦ Owner of Designs In Life Educational and Financial Services—building is leased Priorities for Our Community Downtown: ♦ Business Retention ♦ Revitalization ♦ Main Street ♦ Beautification Community Involvement: ♦ Leading by example ♦ Soliciting inputtinvolvement in the long term vision and planning for our city ♦ Encouraging citizens to become involved in the political and planning process for the future of their city ♦ Encouraging citizens and business owners to give back to their community Youth Activities and Education: ♦ Supporting youth centered projects ♦ Encouraging citizens and business owners to give back to the youth in the community ♦ Educating the youth on the political process ♦ Community centered programs for youth that encourage healthy recreation,teach strong work ethics and model personal responsibility Fiscally Responsible Government: ♦ Maintaining financial responsibility for our city in the confines of a balanced budget with spending that reflects the best interests of the community Balanced Approach to Growth: ♦ Facilitating meaningful, long tern planning that will preserve the historical beauty of Atascadero and the small town atmosphere while managing the inevitable growth in a responsible manner CALIFORNIA Date Received •� FORM 700 STATEMENT OF ECONOMIC INTERESTS PAIR POLITICAL PRACTICES COMIJ. A Public Document Please type or print in Ink NAME (LAST) C (FIRST) DAYTIME TELEPHONE NUMBER Cv MAILING ADD 6°Q�SS A)eJ STREET 1&C ��� ZIP CODE (�O 5 COVER PAGE 1. Office, Agency, or Court 4. Schedule Summary- >- During the reporting period, did you have any Division, Board, District, if applicable: reportable interests to disclose on: C/7'X D Jr Avxf s C-A-,b 6-'Ad-0 Schedule A-1 ❑ Yes – schedule attached Position: Investments (Less than 10%. Ownership) ional 7– COy A [ l lKE� Schedule A-2 Cg Yes – schedule attached Investments (Greater than 10% Ownership) > If filing an expanded statement list agency/position: (Attach a separate sheet it necessary) Schedule B ❑ Yes – schedule attached Real Property Schedule C Yes – schedule attached Income & Business Positions (Income Other than Loans, Gifts,and Travel) Schedule D ❑ Yes – schedule attached Income – Loans 2. Office Jurisdiction (Check one) Schedule E ❑ Yes – schedule attached ❑ State ❑ County of Income – Gifts City of A-n)SC4L6( i� 0 Schedule F ❑ Yes – schedule attached ❑ Multi-County Income – Travel Payments ❑ Other > ❑ No reportable interests 3. Type of Statement (Check at least one box) > Total number of pages (including this cover page): �a_ Y Assuming Office/Initial Date:��_2'? 5. Verification ❑ Annual (Check one) I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best 0 The period covered is January 1, 1998 through of my knowledge the information contained herein and in December 31, 1998, the attached schedules is true and complete. I certify under 0 The period covered is —J—J through penalty of perjury under the laws of the State of California December 31, 1998. that the foregoing is true and correct. ❑ Leaving Office Date Left: —/ Executed on ✓�30 , 19 / 9 (Check one) (month,day) (year) 0 The period covered is January 1, 1998 through the date of leaving office. SIGNATURE 0 The period covered is through the date of leaving office. ❑ Candidate FPPC Form 700 (1998/99) For Technical Assistance: 916/322-5660 Schedule A-2 r • Investments, Income, and Assets • of Business Entities/Trusts Name ( ES (Ownership Interest is 10% or Greater) Con 4-111 110-1. BUSINESS ENTITY OR TRUST 4.(.ont.) 9f Check one boz:. Name rtV.44101 AL SeeVlC&:r ❑ INVESTMENT ❑REAL PROPERTY 581'1 >`L�GFiG why �rsc �c0 C� Address Name of Business Entity 2L Check one ❑Tnut,go ro 2 5jB,,.as•Entity.complete"box,dren Dob 2 Street Address or Assessors Parcel Number of Real Property GENERAL DESCRIPTION OF BUSINESS ACTIVITY ()ascription of Business Activity 2L FAIR MARKET VALUE IF APPLICABLE, LIST DATE: City or Other Precise Location of Real Property ❑$1,000-$10,000 _J—UI 98 _�_� 9 6 C]510,001 -$100,000 ACQUIRED DISPOSED FAIR MARKET VALUE IF APPLICABLE,LIST DATE: to over$100,000 ❑$1.000-$10,000 NATURE OF INVESTMENT ❑$10,001 •$100,000 —J_J 9 8 —JJ 9 88 ,Sole Proprietorship ❑Partnership ❑ ❑Over$100,000 ACQUIRED DISPOSED •./ Other A BUSINESS POSITION W/1f 2 /.tlq�✓�fA� 14-10 SO NATURE OF INTEREST ❑Property ownership/Deed of Trust ❑Stock ❑ Partnership •. • • •"0VFRSM000 Leasehold Yrs.remaining Q$250-51,000 . ❑S,,001 -S10,Ooo ® , Other$0.$249 ❑ REPORTABLE3.LIST EACH • • • • • S10.000 OR MORE (.4L Sf�2U c�S ����5 �T✓QOM f-' ` �0ieeo/ � ©�� �l� 7[] INVESTMENT : z R/11�L �9YtJ ��Z �iE�,EI✓¢'�.sl�� ❑REAL PROPERTY Name of Business Entity 21 )p 4.INVESTMENTS • INTERESTS IN REAL PROPERTY • Street Address or Assessoes Parcel Number of Real Property THE BUSINESS ENTITY OR TRUST Check one box: [] INVESTMENT ❑REAL PROPERTY Description of Business Activity 21 City or Other Precise Location of Real Property Name of Business Entity jU FAIR MARKET VALUE IF APPLICABLE, LIST DATE: Street Address or Aasessoes Parcel Number of Real Property ❑$1,000-510,000 ❑$10,001 -$100.000 ❑Over$100,000 ACQUIRED DISPOSED Description of Business Activity 2L City or Other Precise Location of Real Property NATURE OF INTEREST ❑Property Ownership/Deed of Trust ❑Stock ❑Partnership FAIR MARKET VALUE IF APPLICABLE,LIST DATE: El$1,000-$10,000 E]Leasehold _�—J 98 � / 98 Yra.remaining ❑$10,001 •$100,000 ❑over 5100,000 ACQUIRED DISPOSED ❑Other NATURE OF INTEREST ❑Property Ownership/Deed of Trust ❑Stock ❑ Partnership ❑Leasehold Comments- yrs.remaining ❑Other PPPr Pgrm 71710 (19981991 Sch. A-2 Schedule C CALIFORNIA 1998/99 FORM 11 Income & Business PositionsFAIR POLITICAL PRACTICES COMM. (Income Other than Loans, Gifts, and Name Travel Payments) > NAME OF SOURCE > NAME OF SOURCE . ADDRESS / ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE 40108 - 5,400,5E ou)/I e/� BUSINESS POSITION BUSINESS POSITION GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑$250-$1,000 ❑$1,001 -$10,000 Over$10,000 ❑$250-$1,000 Q$1,001 -$10,000 Q Over$10,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑Salary Spouse's income Q Loan repayment ❑Salary ❑Spouse's Income p Loan repayment Q Sale of Q Sale of (Property,car,boat,etc.) (Property,ear,boat,ate.) ❑Commission or ❑Rental Income, list each source of 110,000 or more Q Commission or [:] Rental Income, fist each source of$10,000 or more ❑Other ❑Other NAME OF SOURCE > NAME OF SOURCE ADDRESS ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS POSITION BUSINESS POSITION GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑$250-$1,000 ❑$1,001 -$10,000 ❑ Over$10,000 Q$250-$1,000 Q$1,001 •$10,000 Q Over$10,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑Salary Q Spouse-s Income ❑ Loan repayment ❑Salary ❑Spouse's Income Q Loan repayment Q Sale of C1 Sale of (Property,car,boat,oto.) (Property,ea,boat,ate.) ❑Commission or []Rental Income, list each source of$10,000 or more ❑Commission or Q Rental Income, fist each source of$10,000 or more ❑Other ❑Other Comments: FPPC Form 700 (1998199) Sch. C Please return to: .. SEP 3 01999 CITY CLERKt , 6500 Palma Avenue iMIS R ,,; 1979 7 Room 208 � ��p; CITY OF ATASCADERO Atascadero, CA 93422 CITY CLERK'S OFFICE CITY OF ATASCADERO CITY COUNCIL APPLICATION PLEASE NOTE: You must meet the minimum qualifications of being a registered voter and resident of the City. Minimum qualifications are subject to verification. Please fill out and attach a Statement of Economic Interests, Form 700. NAME: HOME ADDRESS: Home Phone: '�•. tJ��7� tom} nc, - "- . MAILING ADDRESS (if different): �- Work Phone: Are you a resident of the City of Atascadero? How Long? Are you a registered voter? Yes>_ No Social Security No. OCCUPATION: K= Z-�5�_,�,►- ►z= ct,z�. EMPLOYMENT: Present or last employer's name, address and phone number: Position held and length of employment: EDUCATION: jJ1� 5 0tT0 LT ��u)2S� uJ4s� �C LJc` L/� �E�ilLA z G .E_ City of Atascadero City Council Application, Page 2 Describe any relevant training, experience, certificates of training, licenses or professional registration: { ' ►Vr;�Tu7 GG ki 4 cZ�.1�G( rr +— t�T-s t CL L-;!. "--2 Describe Describe involvement in community, volunteer, professional and/or academic organizations: c7zG 6Z ,Al b- }c�h— Cly• �7-t'LG1 c .�� #;urC --� �i�tr,r-13� C d"t E -- �- [ :t j � rV"!�riC ft✓a� 5 k'�i' L_-{ ��-v +G. -` c tl G l�F T ` + {• rA 715. T .rant S tT i:::. Describe membership on other city commissions, committees oroards you have previously or are currently serving on: Once this application is on file in the City Clerk's office, it will be considered a "public document" and will be available for review upon request. I hereby certify, under penalty of perjury, that the information on this application are true and correct. � J Dater Signature =c'-c Date Received 1998199 9 CALIFORNIA FORM STATEMENT OF ECONOMIC INTERESTS FAIR POLITICAL PRACTICES COMM. A Public Document . Please type or print In Ink �. NAME (LAST) (FIRST) DAYTIME TELEPHONE NUMBER MAILING ADDRESS STREET CITY ZIP CODE -F7v, COVER PAGE PAGE 1. Office, Agency, or Court 4. Schedule Summary ,�fC-rL( u > During the reporting period, did you have any Division, Board, District, if applicable: reportable interests to disclose on: If1-r-( CF ,�-rAg�,a � Schedule A-1 ❑ Yes - schedule attached Position: Investments (Less than 10% Ownership) uctL Schedule A-2 ❑ Yes - schedule attached Investments (Greater than 10% Ownership) > If filing an expanded statement list agency/position: (Attach a separate sheet if necessary) Schedule B ❑ Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income& Business Positions (Income Other than Loans,Gifts,and Thwoo Schedule D ❑ Yes - schedule attached 2. Office Jurisdiction (Check one) Income -Loans Schedule E ❑ Yes - schedule attached ❑ State ❑ County of Income - Gifts �ity of CAU=o-G Schedule F ® Yes - schedule attached ❑ Multi-County Income - Travel Payments ❑ Other > 1�1 No reportable interests 3. Type of Statement (Check at least one box) > Total number of pages (including this cover page): [LAssuming Offic nitial Date: t3 /� 9 5. Verification ❑ Annual I have used all reasonable diligence in preparing this (Check one) statement. I have reviewed this statement and to the best Q The period covered is January 1, 1998 through of my knowledge the information contained herein and in December 31, 1998. the attached schedules is true and complete. I certify under O The period covered is —lam through penalty of perjury under the laws of the State of California December 31, 1998, that the foregoing is true and correct. c� ❑ Leaving Office Date Left: —I_J Executed on ��r cam- , 19 / l (Check one) (month,day (year) O The period covered is January 1, 1998 through 444,'J'___z the date of leaving office. SIGNATURE O The period covered is —J—! through the date of leaving office. ( {.Candidate FPPC Form 700 (1998/99) For Technical Assistance: 916/322-5660 Schedule F • - Income — Gifts Travel Payments, Advances, and Name Reimbursements &AA ► =- >NAME OF SOURCE >NAME OF SOURCE �--, ANU=_L-._5 T X4_:�!5 ADDRESS ADDRESS e5crU53 T5M - iAtfLP-at uoi CITY AND STATE / CITY AND STATE BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY, IF ANY, RCE 701 TYPE OF PAYMENT: (check one) TYPE OF PAYME�] I /nm ne) Gift Income Gift AMT:S �'� DATE(S):_J_J— _/�— AMT:$ DATE(S): (if applicable) / (it applicable) DESCRIPTION: —� fir'e- "502— DESCRIPTION: r'-' �A-1 l orJ d JyAI= �� >NAME OF SOURCE >NAME OF SOURCE ADDRESS ADDRESS i CITY AND STATE CITY AND STATE i BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, O OURCE i TYPE OF PAYMENT:Jcheck one) TYPE OF PAYMEN . (check one) 0 Gift Q income Gift Income AMT,$/ DATE(S):�_J_ _/�— AMT:$ 1z DATE(S):_/_J_ j (if applicable) (it applicable) DESCRIPTION: DESCRIPTION: 10 >NAME OF SOURCE >NAME OF SOURCE ADDRESS ADDRESS CITY AND STATE CITY AND STATE BUSINESS ACTIVITY, IF ANY, SOURCE BUSINESS ACTIVITY, IF ANY, SOURCE TYPE OF PAYMEN . (check one) TYPE OF PAYMENT-- check one) Gift income ❑Gift Income AMT:$ DATE(S):—f_f_ �_l_ AMT:$ DATE(S): _J� (it applicable) (ll applicable) DESCRIPTION: D CRIPTION: Comments: FPPC Form 700 (1998/99) Sch. F For Technical Assistance: 916/322-5660 • RECEIVED Please return to: CITY CLERK ` �'a `�' OCT — 7 IL 6500 Palma Avenue 1979 Room 208 Atascadero, CA 93422 + H 'SCA"`r�t� I Ii.'CLERK'S OFFICE CITY OFATASCADERO CITY COUNCIL APPLICATION PLEASE NOTE: You must meet the minimum qualifications of being a registered voter and resident of the City. Minimum qualifications are subject to verification. Please fill out and attach a Statement of Economic Interests, Form 700. NAME: HOME ADDRESS: -5o � :g T11d ! T,¢ Home Phone: MAILING ADDRESS (if different): Work Phone: V-A Are you a resident of the City of Atascadero? How Long? .36 Are you a registered voter? Yes No Social Security N A���� OCCUPATION: mz_" EMPLOYMENT: Present or last employer's name, address and phone number: S _-z .� Position held and length of employment: a EDUCATION: City of Atascadero City Council Application, Page 2 Describe any relevant training, experience, certificates of training, licenses or professional registration: l q 79- a { ?; 04 Describe involvement in community, volunteer, professional and/or academic organizations: Describe membership on other city commissions, committees or boards you have previously or are currently serving on: Once this application is on file in the City Clerk's office, it will be considered a "public document" and will be available for review upon request. hereby certify, under penalty of perjury, that the information on this application are true and correct. Signature: sR Date: 0 �' — �-r-- CALIFORNIA Date Received •� FORM 700 STATEMENT OF ECONOMIC INTERESTS COMM.FAIR POLITICAL PRACTICES A Public Document Please type or print In Ink NAME (LAST) (FIRST) DAYTIME TELEPHONE NUMBER. MAILING ADDRESS STREET CITY ZIP CODE $5r� uW) AQ . TAS: CA1JE Zo C� 43 4G-Z � COVER PAGE 1. Office, Agency, or Court 4. Schedule Summary- >- During the reporting period, did you have any Division, Board, District, if applicable: reportable interests to disclose on: 4—/ A _S C_ 1z 0 Schedule A-1 R Yes – schedule attached Position: Investments (Less than 10%Ownership) I l y C U U G I L_ Schedule A-2 ❑ Yes – schedule attached Investments (Greater than 10% Ownership) > If filing an expanded statement list agency/position: (Attach a separate sheet i1 necessary) Schedule B 151 Yes – schedule attached Real Property Schedule C ❑ Yes – schedule attached Income 8i Business Positions (Income Other than Loans, Gilts, and Travel) . Schedule D ❑ Yes – schedule attached Income – Loans 2. Office Jurisdiction (Check one) Schedule E ❑ Yes – schedule attached ❑ State ❑ County of Income – Gifts City of A TA GA F-:,P-0 Schedule F ❑ Yes – schedule attached ❑ Multi-County Income – Travel Payments ❑ Other > ❑ No reportable interests 3. Type of Statement (Check at least one box) > Total number of pages (including this cover page): 3 ❑ Assuming Office/Initial Date: 5. Verification ❑ Annual (check one) I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best 0 The period covered is January 1, 1998 through of my knowledge the information contained herein and in December 31, 1998. the attached schedules is true and complete. I certify under 0 The period covered is _/_I through penalty of perjury under the laws of the State of California December 31, 1998. that the foregoing istrue and correct. E] Leaving Office Date Left: �� Executed on 1 Y /719q !T — (Check one) (month,day) (year) . Q The period covered is January 1, 1998 through the date of leaving office. SIGNATURE 0 The period covered is I ---itthrough the date of leaving office. XCandidate FPPC Form 700 (1998199) Schedule A-1 Investments CALIFORNIA. FORm 1 1 FAIR POLITICAL PRACTICES COMM. Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) > NAME OF BUSINESS ENTITY > NAME OF BUSINESS ENTITY L-b STATE DANKfAGIFIc G//sP- Ci-Ktc, GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY i3AK (NG -fb3cic- u7( LjT j FAIR MARKET VALUE FAIR MARKET VALUE ❑$1,000-$10,000 $1,000-$10,000 $10,001 -$100,000 K$10,001 -$100,000 Over$100,000 ❑Over$100,000 NATURE OF INVESTMENT NATURE OF INVESTMENT Stock Stock ❑ Other ❑ Other IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: 98 _/_1 98 / 98 _/_/ 98 ACQUIRED DISPOSED ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY • FAIR MARKET VALUE FAIR MARKET VALUE ❑$1,000-$10,000 ❑$1,000-$10,000 ❑$10,001 -$100,000 ❑$10,001 -s100,000 ❑Over$100,000 ❑Over$100,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Stock ❑ Stock ❑ Other ❑ Other IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: 98 —/—/ 98 98 ACQUIRED DISPOSED ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE FAIR MARKET VALUE ❑$1,000-$10,000 ❑$1,000-$10,000 ❑$10,001 -$100,000 ❑$10,001 -$100,000 ❑Over$100,000 ❑Over$100,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Stock ❑ Stock ❑ Other ❑ Other • IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: 98 _�� 9 8 �_� 98 �_/ 98 ACQUIRED DISPOSED ACQUIRED DISPOSED Comments: FPPC Form 700 1998/99 Sch. A-1 Schedule B CALIFORNIA 1998/99 FORm 11 Interests in Real Property FAIR POLITICAL PRACTICES Comm. Name > STREET ADDRESS OR PRECISE LOCATION > STREET ADDRESS OR PRECISE LOCATION —57-5o,/- 13 Tu V yfi� CITY CITY A-T ASe tz o FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $1,000-$10,000 ❑ $1,000--$10,000 $10,001 -$100,000 —�--� 9 8 ---� /98 i_J 98 _/_J 9 8 ACQUIRED DISPOSED ❑ $10,001 -$100,000 ACQUIRED DISPOSED Over$100,000 ❑ Over$100,000 NATURE OF INTEREST NATURE OF INTEREST Rental Property xOwnership/Deed of Trust ❑ Easement ❑ Rental Property ❑Ownership/Deed of Trust ❑ Easement ❑ Leasehold ❑ E] Leasehold Yrs.remaining Other Yrs.remaining ❑ Other IF RENTAL PROPERTY,GROSS INCOME RECEIVED IF RENTAL PROPERTY,GROSS INCOME RECEIVED ❑$0-$249 ❑$250-$1,000 ;Q$1,001 -$10,000 ❑ Over$10,000 ❑$0-$249 ❑$250-$1,000 ❑$1,001-$10,000 ❑Over$10,000 SOURCES OF RENTAL INCOME: N you own a 10%or greater interest, SOURCES OF RENTAL INCOME: if you own a 105:or greater interest, see the instructions for reporting sources of rental income, see the instructions for reporting sources of rental income. • NAME OF LENDER NAME OF LENDER ADDRESS ADDRESS BUSINESS ACTIVITY OF LENDER BUSINESS ACTIVITY OF LENDER ❑ Financial Institution ❑Financial Institution ❑Other ❑Other INTEREST RATE TERM(Months/Years) INTEREST RATE TERM(Months/Years) % ❑None %s ❑ None;, HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD ❑$250-$1,000 ❑$1,001 -$10,000 -❑ Over$10,000 ❑$250-$1,000 ❑$1,001 -$10;000 ❑over$10,000 ❑Guarantor,It applicable ❑Guarantor,if applicable Check below if another loan is disclosed on Schedule D. Check below if another loan is disclosed on Schedule D. ❑Additional loan—refer to Sch. D. ❑Additional loan—refer to Sch. D. Comments: FPPC Form 700 (1998199) Sch. B Please return to: CITY CLERK ii nix, ` a' 6500 Palma Avenue is M �, is78—1 OCT 6 M r MI _ Room 208 CAD Atascadero, CA 93422 \ 5 � CITY OF ATASCADERO CITY CLERK'S OFFICE CITY OFATASCADERO CITY COUNCIL APPLICATION PLEASE NOTE: You must meet the minimum qualifications of being a registered voter and resident of the City. Minimum qualifications are subject to verification. Please fill out and attach a Statement of Economic iro-meAn ests, Form 700. NAME: J ir.:5h HOME ADDRESS: ae Home Phone: q�c 1-3 / MAILING ADDRESS (if different): Work Phone• T�"' Are you a resident of the City of Atascadero? CSS How Long? 5- .2Q,V'S Are you a registered voter? Yes No Social Security No OCCUPATION: t�WiCaJ ey'6C EMPL OYMENT: Present or last employer's name, address and phone number: rA GCnas4 &6:�QjITnC . �hns eu,L o3 rA- q5401 Saki kitis 0 B)SP6) I-11 Position held and length of employment: 14 V1 CL-6 Cr A U e64 EDUCATION: o A-r-f-5t, V1 �h c dos h (,t7 COY)Ca In�'Y-k 0-n f Yl -Z 6j &J -P—T--Li's �� n l c11 n Ic U vtc a"s l a City of Atascadero City Council Application, Page 2 Describe any relevant training, experience, certificates of training, licenses or professional registration: Describe involvement in community, volunteer, professional and/or academic organizations: r+�V(XYV 441-4 b�Lh+ Lhra &iMess 6 f e. v1n- /1 Gan, ( �j c�S ► VQ0.-via- -us (5s o cc a Describe membership on other city commissions, committees or boards you have previously or are currently serving on: Once this application is on file in the City Clerk's office, it will be considered a "public document" and will be available for review upon request. hereby certify, under penalty of perjury, that the information on this application are true and correct. Signature: �� Date: lQ S_ Date Received 99 FORM 700 STATEMENT OF ECONOMIC INTERESTS FAIR POLITICAL PRACTICES COMM. A Public Document Please type or print in Ink NAME ST) A RST) DAYTIME TELEPHONE NUMBER Ir(kMAILING ADDRESS ADD SS STREEj, � w � CITY�a�d ZIP CODE COVER PAGE 1. Office, Agency, or Court 4. Schedule Summary- ����j�Yl YYl L SS t2Q > During the reporting period, did you have any Division, Board, District, if applicable: reportable interests to disclose on: Schedule A-1 ❑ Yes – schedule attached Pon: Investments (Lass than 10% Ownership) 5VYL SSS/�►Q'►'' Schedule A-2 ❑ Yes – schedule attached Investments (Greater than 10% Ownership) > If filing an expanded statement list agency/position: (Attach a separate sheet i1 necessary) Schedule B ❑ Yes – schedule attached Real Property Schedule C 5'Yes – schedule attached Income & Business Positions (income Other then Loans. Gins,and Travel) Schedule D ❑ Yes -schedule attached Income – Loans 2. Office Jurisdiction (Check one) Schedule E ❑ Yes – schedule attached ❑ State 0 County of Income – Gilts ❑ City of Schedule F ❑ Yes – schedule attached ❑ Multi-County Income – Travel Payments ❑ Other > ❑ No reportable interests 3. Type of Statement (Check at least one box) > Total number of pages (including this cover page): ❑ Assuming Office/Initial Date:_/---J )Annual 5. Verification (Check one) I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best Q The period covered is January 1, 1998 through of my knowledge the information contained herein and in December 31, 1998. the attached schedules is true and complete. I certify under 0 The period covered is through penalty of perjury under the laws of the State of California December 31, 1998. that the foregoing is true eeyand correct. ❑ Leaving Office Date Left: �� Executed ono (Check one) (month,d ) (year) 0 The period covered is January 1, 1998 through . the date of leaving office. SIGNATURE 0 The period covered is _J—J through the date of leaving office. ❑ Candidate FPPC Form 700 (1998/99) For Technical Assistance: 916/322-5660 Schedule C Income & Business Positions (Income Other than Loans, Gifts, and �me Travel Payments) M Q(a. > OF S RCE > NAME OF SOURCE ct C_ A49��/ �Jv�r�SOi'1 a- ADDRESS C BUSINESS ACTT , IF ANY, F SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINE S POSITION BUSINESS POSITION 1, Pj a_ ep- GROSS INCOME REC VED GROSS INCOME RECEIVED ❑$250-$1,000 ❑$1,001 -$10,000 Over$10,000 ❑$250-$1,000 $1,001 -$10,000 ❑ ❑Over$10,000 [C NSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary ❑Spouse's Income ❑Loan repayment ❑Salary ❑Spouse's Income ❑Loan repayment ❑Sale of (Property,car,bat,arc.) ❑Sale Of (Property,car,boat,eta) ❑Commission or ❑Rental Income, list esoh'source of$fo,wo or more ❑Commission or ❑Rental income, hst each source or$10,000 or more ❑Other ❑Other > NAME OF SOURCE > NAME OF SOURCE ADDRESS ADDRESS BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS POSITION BUSINESS POSRIOM GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑Salary ❑Spouse's Income ❑Loan repayment ❑Salary ❑Spouse's Income ❑Loan repayment ❑Sale of (Property ca,bow,aa) C]sale of (Property,a,boat,era) ❑Commission or ❑Rental Income, ust each source or sfo,000 orlon ❑Commission or ❑Rental Income, Ilst each source of$10,000 or more ❑Other ❑Other Comments: r FPPC Form 700 (1998199) Sch. C For Technical Assistance: 916/322-5660 Please return to: CITY CLERK I' ' OCT 6500 Palma Avenue rias'q �,�! '978 I Room 208 CAD CITY OF ATASCADERO Atascadero, CA 93422 ��'� �0/ CITY CLERK'S OFFICE CITY OF ATASCADERO CITY COUNCIL APPLICATION PLEASE NOTE: You must meet the minimum qualifications of being a registered voter and resident of the City. Minimum qualifications are subject to verification. Please fill out and attach a Statement of Economic Interests, Form 700. NAME: Wendy Scalise HOME ADDRESS: 8935 Ortega Road Home Phone: 805-466-9252 MAILING ADDRESS (if different): Work Phone: 805-544-9626 Are you a resident of the City of Atascadero? yes How Long? 16 years Are you a registered voter? Yes xx No Social Security No OCCUPATION: owner/manager Mustang Moving & Storage, Inc. EMPLOYMENT: Present or last employer's name, address and phone number: Mustang ,Moving & Storage, Inc. 2885 So. Higuera St. San Luis Obispo, Ca. 93401 Position held and length of employment: owner/manager for 22 years EDUCATION: Pasadena College - 1 year Hancock College - 1z years City of Atascadero City Council Application, Page 2 Describe any relevant training, experience, certificates of training, licenses or professional registration: numerous management, employment, and public relations seminars and classes. Describe involvement in community, volunteer, professional and/or academic organizations: Member Church of the Nazarene, Atascadero, Ca. Member San Luis Obispo Co. Cattlewomens Member - California Moving & Storage Association Describe membership on other city commissions, committees or boards you have previously or are currently serving on: Currently Serving Chairman of Board - Sierra Vista Regional Medical Center, San Luis Obispo Board Member - San Luis Obispo Co. Red Cross Commissioner - San Luis Obispo Co. Civil Service Commission Once this application is on file in the City Clerk's office, it will be considered a "public document" and will be available for review upon request. I' hereby certify, under penalty of perjury, that the information on this application are true and correct. Signature: Date: 10/6/99 CALIFORNIADate Received •• FORM 700 STATEMENT OF ECONOMIC INTERESTS FAIR POLITICAL PRACTICES COMM. A Public Document Please type or pr/nt/n Ink NAME (LAST) (FIRST) DAYTIME TELEPHONE NUMBER SCALISE WENDY ( 805 ) 544-9626 MAILING ADDRESS STREET CITY ZIP CODE 8935 Ortega Road, Atascadero, Ca. 93422 COVER PAGE 1. Office, Agency, or Court 4. Schedule Summary- City Council > During the reporting period, did you have any Division, Board, District, if applicable: reportable interests to disclose on: Schedule A-1 ❑ Yes – schedule attached Position: Investments (Less than 10% Ownership) Schedule A-2 [y_� Yes – schedule attached Investments (Greater than 10% Ownership) > If filing an expanded statement list agency/position: (Attach a separate sheet it necessary) Schedule B ❑X Yes – schedule attached Real Property Schedule C ❑ Yes – schedule attached Income & Business Positions (Incorne Other then Loans,Gifts,and Travel) . Schedule D ❑ Yes – schedule attached Income Loans 2. Office Jurisdiction (Check one) Schedule E ❑ Yes – schedule attached ❑ State ❑ County of Income – Gifts City of Atascadero, CA Schedule F ® Yes – schedule attached ❑ Multi-County Income – Travel Payments ❑ Other > ❑ No reportable interests 3. Type of Statement (Check at least one box) > Total number of pages (including this cover page): 4 ❑ Assuming Office/Initial Date:—J—/ 5. Verification ❑ Annual Annuone) I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best Q The period covered is January 1, 1998 through of my knowledge the information contained herein and in December 31, 1998. the attached schedules is true and complete. I certify under O The period covered is through penalty of perjury under the laws of the State of California December 31, 1998. that the foregoing is true and correct. ❑ Leaving Office Date Left: Executed on nrtnhar 61 1x`39 (Check one) (month ay) (year) Q The period covered is January 1, 1998 through the date of leaving office. SIGNATIJ O The period covered is I through the date of leaving office. Candidate FPPC Form 700 (1998/99) For Technical Assistance: 916/322-5660 Schedule A-2 . -11,1 All Income, and Assets of Business Entities/Trusts Name (Ownership Interest is 10% or Greater) )0-1. BUSINESS ENTITY OR TRUST )P-4.(cont.) Lompoc Van & Storage, inc. Check one box: Name ❑ INVESTMENT 0.REAL PROPERTY 532 N. 8th St. Lompoc, Ca- 93436 Address Name of Business Entity gt Check we E]Trust,go to 2 ® Business Entity,complete the box, then go to 2 Street Address or Assessor's Parcel Number of Real Property GENERAL DESCRIPTION OF BUSINESS ACTIVITY corporation Description of Business Actively II[ FAIR MARKET VALUE IF APPLICABLE, LIST DATE: City or Other Precise Location of Real Property $1,000-$10,000 $10,001 -$100,000 —J� 98 —�—�98 ACQUIRED DISPOSED FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ®Over$100,000 $1,000-$10,000 NATURE OF INVESTMENT ❑$10,001 -$100,000 — /---/-9-8 -J—j 9 8 Corp. ❑Over$100,000 ACQUIRED DISPOSED Sole Proprietorship � Partnership � , Other BUSINESS POSITION Vice-Pres. NATURE OF INTEREST Property Ownership/Deed of Trust Stock Partnership • "• • ' • • '• Leasehold • • • • Yrs.remaining ❑$0-$249 ❑$250-$1,000 ❑$1,001 -$10,000 ]OVER$10,000 other )0-3.LIST EACH REPORTABLE SOURCE OF INCOME/LOANS OF$10,000 Salary/Lompoc Van/d.b.a Mustang Moving stock ownership 24.5 shares Check one box: INVESTMENT REAL PROPERTY PROPERTY30,4.INVESTMENTS Name of Business Entity 21 THE BUSINESS ENTITY TRUST• INTERESTS IN REAL • - Street Address or Assessors Parcel Number of Real Property OR Check one box: INVESTMENT REAL PROPERTY Description of Business Activity g City or Other Precise Location of Real Property Name of Business Entity gu Street Address or Assessor's Parcel Number of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: $1,000-$10,000 ❑$10,001 -$100,000 ��98 ---J—j 98 Over$100,000 ACQUIRED DISPOSED Description of Business Activity SU City or Other Precise Location of Real Property NATURE OF INTEREST Property Ownership/Deed of Trust ❑Stock ❑Partnership FAIR MARKET VALUE IF APPLICABLE, LIST DATE: $1,000-$10,000 ❑Leasehold _f—�98 _�_�98 Yrs.remaining $10,001 -$100,000 Over$100,000 ACQUIRED DISPOSED Other NATURE OF INTEREST E]Property Ownership/Deed of Trust Stock Partnership Leasehold Comments- Yrs.remaining Other FPPC Form 700 (1998/99) Sch. A-2 Schedule B CALIFORNIA 1998/99 FORM 700 i FAIR POLITICAL PRACTICES COMM. Interests in Real Property Name > STREET ADDRESS OR PRECISE LOCATION > STREET ADDRESS OR PRECISE LOCATION 8935 Ortega Road A0ascadero, Ca. CRY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $1,000-$10,000 98 ❑ $1,000—$1o,000 _JJ_ 98 _J_J98 ❑ $10,001 -$100,000 ACQUIRED DISPOSED ❑ $10,001 -$100,000 ACQUIRED DISPOSED Over$100,000 ❑ Over$100,000 NATURE OF INTEREST NATURE OF INTEREST ❑ Rental Property ❑Ownership/Deed of Trust ❑ Easement ❑ Rental Property ❑Ownership/Deed of Trust ❑Easement ❑ Leasehold ❑ E] Leasehold E—]yrs,remaining Other Yrs.remaining Other IF RENTAL PROPERTY,GROSS INCOME RECEIVED IF RENTAL PROPERTY,GROSS INCOME RECEIVED ❑$0-$249 ❑$250-$1,000 ❑ $1,001 -$10,000 ❑ Over$10,000 ❑$0-$249 ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 SOURCES OF RENTAL INCOME: if you own a 10%or greater interest, SOURCES OF RENTAL INCOME: If you own a 10%or greeter interest, see the instructions for reporting sources of rental income, see the instructions for reporting sources o/rental income. NAME OF LENDER NAME OF LENDER Washington Mutual ADDRESS ADDRESS BUSINESS ACTIVITY OF LENDER BUSINESS ACTIVITY OF LENDER Financial Institution ❑ Financial Institution ❑Other ❑Other INTEREST RATE TERM(Months/Years) INTEREST RATE TERM(Months/Years) 7'0% / ❑None 30 years / ❑None HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD ❑ $250-$1,000 ❑$1,001 -$10,000 -® Over$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 ❑Guarantor,If applicable ❑Guarantor,If applicable isCheck below if another loan is disclosed on Schedule D. Check below if another loan is disclosed on Schedule D. ❑Additional loan—refer to Sch. D. ❑Additional loan—refer to Sch. D. Comments: FPPC Form 700 (1998/99) Sch. B Schedule F ' CALIFORNIA ' Income — Gifts ORM FAIR POLITICAL PRACTICES COMM. Travel Payments, Advances, and Name Reimbursements NAME OF SOURCE >NAME OF SOURCE County of San Luis Obispo ADDRESS ADDRESS San Luis Obispo, Ca. . CITY AND STATE CITY AND STATE Civil Service Commission BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE TYPE OF PAYMENT: (check one) TYPE OF PAYMENT: (check one) ❑Gift XZ Income ❑Gift ❑ Income AMT:$ 175.00 DATE(S):_��_ _��_ AMT:$ DATE(S): (If applicable) (if applicable) DESCRIPTION: stipend per each day served DESCRIPTION: NAME OF SOURCE >NAME OF SOURCE Sierra Vista regional Medical Center Y8ESS ADDRESS Murray St. , San Luis Obispo, Ca. CITY AND STATE CITY AND STATE Board member BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF, SOURCE TYPE OF PAYMENT: (check one) TYPE OF PAYMENT: (check one) ❑ Gift )® Income ❑Gift ❑ income AMT:$ 300.00 DATE(S):_J_/_ _��_ AMT:$ DATE(S): (!1 applicable) (ll applicable) DESCRIPTION: -s}_ i nri per rnnlh DESCRIPTION: >NAME OF SOURCE >NAME OF SOURCE ADDRESS ADDRESS CITY AND STATE CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE TYPE OF PAYMENT: (check one) TYPE OF PAYMENT: (check one) ❑Gift ❑ Income ❑Gift ❑Income AMT:$ DATE(S):�_/� _J�- AMT:$ DATE(S): _,� (it applicable) (it applicable) DESCRIPTION: DESCRIPTION: Comments: FPPC Form 700 (1998199) Sch. F - ' • � F[OCT Please return to: ,CITY CLERK " 7 1599 9 6500 Palma Avenue r 1918 a 1979�1 • Room 208 CITY C ATS.,,;ERO Atascadero, CA 93422 CITY CLERK'S OFFICE CITY OF ATASCADERO CITY COUNCIL APPLICATION PLEASE NOTE: You must meet the minimum qualifications of being a registered voter and resident of the City. Minimum qualifications are subject to verification. Please fill out and attach a Statement of Economic Interests, Form 700. NAME: Ve,NNI J ��iNiyt l n� HOME ADDRESS: 19767C 6ANTA-I.06t�- F-b Home Phone: 4*60' MAILING ADDRESS (if different): Work Phone: 544', 327�Qj Are you a resident of the City of Atascadero? YG5 How Long? 1-�7 Are you a registered voter? Yes No Social Security No.!= OCCUPATION: r(,,PrN1g1k(& • EMPLOYMENT: Present or last employer's name, address and phone number: G l tM`fiFAI.11 C046rf N ►til L%�t�-�NF, fro IaU(/" y gopdo Position held and length of employment: N i rq EDUCATION: 0 i✓ prp--r6 Ull/ FO ut 6ktQ w►1, ONI,2po City of Atascadero ,City Council Application, Page 2 Describe any relevant training, experience, certificates of training, licenses or professional registration: u1A1 VN101✓WP(NP)NC, Or-- f6N - pis teA- ; AM SIL! N'i`t R At -(N i r\lb- 466001 AT o Itit ; �S64G1 LTi D d� �N�l112oNt�l�n(`(�� �►���� Describe involvement in community, volunteer, professional and/or academic organizations: Describe membership on other city commissions, committees or boards you have previously or are currently serving on: GITIUM 5 TYN 6?PV I ArTII* AVYI 67OPK COMM (e-;,�c0��, CIT-`( tr' Ar`(A6CAV C, COMM • r-lor-•ON T"4A45P0P'r - t Vt4 • 1 t t;-M (`I'" Ai ��U+ YD►L{ r5r-11-IN6- COMM , Once this application is on file in the City Clerk's office, it will be considered a "public document" and will be available for review upon request. hereby certify, under penalty of perjury, that the information on this application are true and correct. 5 Signature: �1� G��l Date: 01 Q(/J RI� Date Received 998/99 9 F - STATEMENT OF ECONOMIC INTERESTS FAIR POLITICAL PRACTICES COMM. A Public Document Please type or plfnt in Ink NAME (LAST) (FIRST) DAYTIME TELEPHONE NUMBER 6k�JYA- IWIOPr "A10 A'�Afx�A'p 1 �3�cab ) holo t�Y�25 MAILING ADDRESS STREET CITY ZIP CODE COVER PAGE 1. Office, Agency, or Court 4. Schedule Summary 61—ft,{ 0J'/pr''WP(()VM 61� CVUI`1f1(/ > During the reporting period, did you have any Division, Board, District, if applicable: reportable interests to disclose on: C(—Tq CD N(liy mr,m1?par_ Schedule A-1 ❑ Yes — schedule attached Position: Investments (Less then 10% Ownership) Schedule A-2 ❑ Yes — schedule attached Investments (Greater than 10% Ownership) > If filing an expanded statement list agency/position: (Attach a separate sheet it necessary) Schedule B ❑ Yes — schedule attached Real Property Schedule CP i6 ns Yes — schedule attached Income& Busine (Income Other than Loans, Gins,and Ttawo Schedule D ❑ Yes — schedule attached 02. Office Jurisdiction (Check one) Income — Loans Schedule E ❑ Yes — schedule attached ❑ State ❑ County of Income — Gifts ❑ City of GyTA66proyAo Schedule F E] Yes — schedule attached ❑ Multi-County Income — Travel Payments ❑ Other > ❑ No reportable interests 3. Type of Statement (Check at least one box) > Total number of pages (including this cover page): v ❑ Assuming Office/Initial Date: t 5. Verification ❑ Annual Th I have used all reasonable diligence in preparing this ( one) statement. I have reviewed this statement and to the best Q The period covered is January 1, 1998 through of my knowledge the information contained herein and in December 31, 1998. the attached schedules is true and complete. I certify under Q The period covered is _/_/ through penalty of perjury under the laws of the State of California December 31, 1998. that the foregoing is true and correct. ❑ Leaving Office Date Left: �_� Executed on Vffd oz_ 19qol_ (Check one) (month,day) (year) Q The period covered is January 1, 1998 through (� the date of leaving office. SIGNATURE TI Nt • Q The period covered is _J through the date of leaving office. Candidate �\ FPPC Form 700 (1998/99) For Technical Assistance: 916/322-5660 Schedule C . • . Income & Business Positions . (Income Other than Loans, Gifts, and Name Travel Payments) > NAME OF SOURCE > NAME OF SOURCE C041PP(Il COPS,-C �M6�►t� �tz►r�6- A/DDDjRESS�j, ADDRESS BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE civil/ ",�c1NJ�KtN�r I'v/�N NI!N� BUSINESS POS ION BUSINESS POSITION n/wM l(q&- GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑$250-$1,000 [:1$1,001 .$10,000 IaOver$10,000 ❑$2so-$1,000 [3$1,001 -$10,000 ❑Over$10,000 KK SIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED alary ❑Spouse's income [3Loan repayment ❑Salary E]spouse's Income C]Loan repayment ❑Sale of ❑Sale of (Property,car,boat,etc.) (Property,car,boat,etc.) ❑Commission or ❑Rental income, list each source of$10,000 or mora ❑Commission or ❑ Rental Income, list each source of$10,000 or more ❑Other ❑Other > NAME OF SOURCE > NAME OF SOURCE ADDRESS ADDRESS BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS POSITION BUSINESS POSITION GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑Salary ❑Spouse's Income ❑Loan repayment ❑Salary ❑Spouse's Income ❑Loan repayment ❑Sale of ❑Sale of (Property,car,boat,etc.) (Property,ear,boat,etc.) ❑Commission or ❑Rental Income, list each source of$10,000 or more ❑Commission or ❑ Rental Income, fist each source of$10,000 or more ❑Other ❑Other Comments: FPPC Form 700 (1998/99) Sch. C For Technical Assistance: 916/322-5660 r Please return to: cdAe, CITY CLERK rpljJT 8 1999 6500 Palma Avenue r lays q �s& j Room 208 DERO Atascadero, CA 93422 CITY OF S CITY CLERKS OFFICE CITY OF ATASCADERO CITY COUNCIL APPLICATION PLEASE NOTE: You must meet the minimum qualifications of being a registered voter and resident of the City. Minimum qualifications are subject to verification. Please fill out and attach a Statement of Economic Interests, Form 700. NAME: Adret,) J HOME ADDRESS:. 5-0 O -S-- Home Phone 6 54Z-OS32— MAILING ADDRESS (if different): Work Phone: GLS �l�i2-�S°3 Are you a resident of the City of Atascadero? mss' How Long? 2 rs Are you a registered voter? Yes_X No Social Security No. OCCUPATION: �:r�cr ��-yi%�y �out�tS���/�ts s�� ►/�NQS • EMPLOYMENT: Present or last employer's name, address and phone number: Zz Position held and length of employment: EDUCATION: City of Atascadero City Council Application, Page 2 Describe any relevant training, experience, certificates of training, licenses or professional registration: Describe involvement in community, volunteer, professional and/or academic organizations: 4 5 �� �fJ \G� `t r 1/0 U-44 t e ems / (✓e5 eit j TL4 Describe membership on other city commissions, committees or boards you have previously or are currently serving on: 4e Lt) Once this,application is on file in the City Clerk's office, it will be considered a "public document" and will be available for review upon request. I hereby certify, under penalty of perjury, that the information on this application are true and correct. Signature: Date: a Date Received CALIFORNIA 1,998/99 • - STATEMENT OF ECONOMIC INTERESTS FAIR POLITICAL PRACTICES COMM. A Public Document Please type or print In Ink NAME (LAST) / (FIRST) DAYTIME TELEPHONE NUMBER sm/. A h/?drre 'J ( SoS) 4167- -0S_Z MAILING ADDRESS STREET CITY ZIP CODE COVER PAGE 1. Office, Agency, or/Court 4. Schedule Summary > During the reporting period, did you have any reportable interests to disclose on: Division, Board, District, if applicable: Schedule A-1 ❑ Yes — schedule attached Position: Investments (Less than 10% Ownership) Schedule A-2 XYes — schedule attached Investments (Greater than 10% Ownership) > If filing an expanded statement list agency/position: (Attach a separate sheet it necessary) Schedule B ❑ Yes — schedule attached Rea/ Property Schedule C Yes — schedule attached Income& Business Positions (Income Other than Loans,Gifts,and Thwoo Schedule D ❑ Yes — schedule attached Income — Loans 02. Office Jurisdiction (Check one) Schedule E ❑ Yes — schedule attached ❑ State ❑ County of Income — Gifts City of , ><Q�CQ�>or� Schedule F ❑ Yes — schedule attached ❑ Multi-County Income — Travel Payments ❑ Other > ❑ No reportable interests 3. Type of Statement (Check at least one box) > Total number of pages (including this cover page): ❑ Assuming Office/Initial Date: 5. Verification ❑ Annual I have used all reasonable dill in preparing this (Check one) diligence P P 9 statement. I have reviewed this statement and to the best Q The period covered is January 1, 1998 through of my knowledge the information contained herein and in December 31, 1998. the attached schedules is true and complete. I certify under Q The period covered is _J—J through penalty of perjury under the laws of the State of California December 31, 1998. that the foregoing is true and correct. ❑ Leaving Office Date Left: Executed on 19-1—L— (Check one) (m nth,day) (year) Q The period covered is January 1, 1998 through 0 the date of leaving office. SIGNATURE Q The period covered is through the date of leaving office. Candidate FPPC Form 700 (1998/99) For Technical Assistance: 916/322-5660 Schedule A-2 CALIFORNIA Investments, Income, and Assets •• FORm FAIR POLITICAL PRACTICES COMM. of Business Entities/Trusts Name/ ` (Ownership Interest is 10% or Greater) N-1. BUSINESS ENTITY .- T/ p �L(�Igerli�g c��r ViC�� Check one box: !�J (.0 Name 13-S-0 6:( ❑ INVESTMENT ❑REAL PROPERTY Address Name of Business Entity 91 Check ons ❑Trust,Do ro 2 UBu•in•ss Entity,conrpl•0•Yr•box tlnn go to 2 Street Address or Assessors Parcel Number of Real Property GENERAL DESCRIPTION OF BUSINESS ACTIVITY �6GCYLSQi IVL ✓�c>° 7-h'o �C�%�1 ----��-- Description of Business Activity a[ FAIR MARKET VAL E IF APPLICABLE, LIS DATE:E: City or Other Precise Location of Real Property $1,000-$10,000 ❑$10,001 -$100,000 �(/ 98 --�98 FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ Over$100,000 ACQUIRED DISPOSED ❑$1,000-$10,000 NATURE OF INVESTMENT ❑$10,001 -$100,000 /—J—�98 —� 98 Sole Proprietorship [:]Partnership ❑ [3 Over$100,000 ACQUIRED DISPOSED Other BUSINESS POSITION NATURE OF INTEREST ❑Property ownership/Deed of Trust ❑Stock ❑Partnership • •• • • • •• ❑Leasehold • •• • • Yrs. remaining ❑$0-$249 ❑$250-$1,000 ❑$1,001-$10,000 CKOVER$10,000 ❑Other 3. LIST EACH REPORTABLE SOURCE OF INCOMEJLOANS OF S110,000 OR MORE(an-h a separate Sheet it riftessaq) / Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity gl 4. INVESTMENTS • INTERESTS IN REAL PROPERTY s - Street Address or Assessors Parcel Number of Real Property THE BUSINESS ENTITY OR Check one box: ❑ INVESTMENT ❑REAL PROPERTY Description of Business Activity 21 y /�GJ,/ // n City or Other Precise Location of Real Property Name of Business Entity Street Address or Assessors Parcel Number of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑$1,000-$10,000 ❑$10,001 -$100,000 __j 98 ❑Over$100,000 ACQUIRED DISPOSED Description of Business Activity g! City or Other Precise Location of Real Property NATURE OF INTEREST ❑Property Ownershtp/Deed of Trust ❑Stock ❑Partnership FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑$1,000-$10,000 ❑Leasehold ❑ —J—�98 —��98 Yrs.remaining $10,001 -$100,000 ❑Over$100,000 ACQUIRED DISPOSED ❑Other NATURE OF INTEREST ❑Property Ownership/Deed of Trust ❑Stock ❑Partnership ❑Leasehold Comments- Yrs. remaining ❑Other FPPC Form 700 (1998/99) Sch. A-2 For Technical Assistance: 916/322-5660 Schedule C , .. . .. 700 Income & Business Positions FAIR POLITICAL PRACTICES COMM. (Income Other than Loans, Gifts, and Name Travel Payments) Adr-eL) ,�_ > NAME OF SOURCE > NAME OF SOURCE ADDRESSADDRESSE l C'4rYJi`JO /'.%�/ /O5l ADDRESS .Q as d 641, 9�s�2z BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE Cb w0 BUSINESS POSITION BUSINESS POSITION GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑$250-$1,000 ❑$1,001 -$10,000 Over$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑Salary ,Spouse's Income ❑ Loan repayment ❑Salary ❑Spouse's Income ❑Loan repayment ❑Sale of AYA ❑Sale of (Property,car,boat,etc.) (Property,car,boat,etc.) ❑Commission or ❑Rental Income, list each source of$10,000 or more ❑Commission or ❑Rental Income, Gar each source o1$10,000 or more • ❑Other ❑Other > NAME OF SOURCE > NAME OF SOURCE ADDRESS ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS POSITION BUSINESS POSITION GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑$250-$1,000 ❑$1,001 -$10,000 Over$10,000 ❑$250-$1,000 ❑$1,001 -$10,000 ❑Over$10,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑Salary ❑Spouse's Income ❑Loan repayment ❑Salary ❑ Spouse's Income ❑Loan repayment ❑Sale of ❑ Sale of (Property,cel boat,etc.) (Property,car,boat,ate.) ❑Commission or ❑Rental Income, list each source of$10,000 or more ❑Commission or [:] Rental Income, list each source of slo,000 armors ❑Other ❑Other Comments• L YD �'ylif7r S� �r �� GLG° /r l/-/ !� . P,"."/ ,Z—, , is 'Jro4Z,-'e-e( 7hY6C(c 2l'/ /y/N /-fir Fe'f 0CGcI'4 7�/0h <SAg t` 5 --C- QrQp�s� FPPC Form 700 (1998/99) Sch. C For Technical Assistance: 916/322-5660 Please return to: CITY CLERKS' 6500 Palma Avenue 078e , LIC 1999 3 Room 208 ° r, -. Atascadero, CA 93422 CITY OF ATASCADERO CITY CLERK'S OFFICE CITY OF A TASCADERO CITY COUNCIL APPLICA TION PLEASE NOTE: You must meet the minimum qualifications of being a registered voter and resident of the City. Minimum qualifications are subject to verification. Please fill out and attach a Statement of Economic Interests, Form 700. NAME: WILLIAM J TMMERMAN HOME ADDRESS: 5225 Lomitas Rd. Atascaderpome Phone: 462-1518 MAILING ADDRESS (if different): Work Phone: None Are you a resident of the City of Atascadero? Yes How Long? 61 years Are you a registered voter? Yeses_ No Social Security No. OCCUPATION: City of Atascadero Planning Commissioner • EMPLOYMENT: Present or last employer's name, address and phone number: RPti rAd from Risk ancT lna��ranrP M�ng$ppiF,n} rhe of Administrative Office, County of Los Angeles Position held and length of employment: Division Chief (Retired 3-17-92 after 24 years. Cou EDUCATION: Master of Business Administration USC • -ILr v+ r o1scauero City Council Application, Page 2 Describe any relevant training, experience, certificates of training, licenses or professional registration: Describe involvement in community, volunteer, professional and/or academic organizations: City Planning Commissioner (former Chairman) ;. President, Lutheran Church of the Redeemer; SLO Juror, 1994-95 • Past Presid nt n Grand Jurors Association of SLO County- .and D Paddock Zoo. Describe membership on other city commissions, committees or boards you have previously or are currently serving on: See above • I BELIEVE I AM THE BEST QUALIFIED PERSON TO IMPARTIALLY SERVE THE CITY OF ATASCADERO AND MEET THE DIVERSE NEEDS OF ITS RESIDENTS. Once this application is on file in the City Clerk's office, it will be considered a "public document" and will be available for review upon request. I hereby certify, under penalty of perjury, that the information on this application are true and correct. .%'i � Signature: / Date: October 4, IggT William J. Zimmerman Date Received CALIFORNIA1998/99 FORM 700 STATEMENT OF ECONOMIC INTERESTS FAIR A Public Document Please type or print in Ink NAME (LAST) (FIRST) DAYTIME TELEPHONE NUMBER Zimmerman William J 462-1518 MAILING ADDRESS STREET CITY ZIP CODE 6225 Lomitas RD. Atascadero CA 93422 COVER PAGE 1. Office, Agency, or Court 4. Schedule Summary- City of Atascadero > During the reporting period, did you have any reportable interests to disclose on: Division, Board, District, if applicable: City Council Schedule A-1 ❑ Yes — schedule attached Investments (Less than 10%ownership) Position: ' _ Schedule A-2 ❑ Yes - schedule attached Applicant fnr ity l'n„nr-i 1 Investments (Gresrer than 109: Ownership) > If filing an expanded statement list agency/position: Schedule B ❑ Yes — schedule attached (Attach a separate sheet 71 necessary) Real Property Schedule C ❑ Yes — schedule attached Income 8c Business Positions (income other than Loans.Gins,and rrave,) Schedule D ❑ Yes — schedule attached Income — Loans 2. Office Jurisdiction (check one) Schedule E Yes - schedule attached ❑ ❑ State ❑ County of Income - Gifts ® City of Atasc Schedule F ❑ Yes — schedule attached Income - Travel Payments ❑ Multi-County ❑ Other No reportable interests 1 > Total number of pages (including this cover page): 3. Type of Statement (Check at feast one box) ❑ Assuming office/Initial Date: — 5. Verification ❑ Annual I have used all reasonable diligence in preparing this (Check one) statement. I have reviewed this statement and to the best 0 The period covered is January 1, 1998 through of my knowledge the information contained herein and in December 31, 1998. the attached schedules is true and complete. I certify under through penalty of perjury under the laws of the State of California 0 The period covered is �J---�) that the foregoing is true and correct. December 31, 1998. Executed on October 4 19_ (�re3..ar F1 Leaving office Date Left: _J_---� (month,day) (Check one) r 0 The period covered is January 1, 1998 through SIGNATURE / the date of leaving office. 0 The period covered is f---) through the date of leaving office. ( Candidate Applicant FPPC Form 700 (199819. For Technical Assistance: 9161322-86