You are on page 1of 5

S\

STATEIiIIENT ~F ECONOMIC INTERESTS


Date Received

_, .'-~~=:.-~~:t\\/;·,l'.,,·
,'c ~ '" '-" " " ., A Public Document
- I PH 5: 05 COVER PAGE
® -'"
Official Use Only

L -_ _ _ _ _ _ _ _~~~
Please type or print ;n ink
NAME (LAST) (FIRST) (MIDDLE)

Wolk Lois Gloria


MAILING ADDRESS STREET CllY ZIP CODe

1. Full Name of Office Sought or Held, Agency 4. Schedule Summary


or Court: (Check applicable schedules or "No reportable interests.")

Fifth Senate District of California - During the reporting period, did you have any reportable
Division, Board, District, if applicable: interests to disclose on:
State of California Schedule A-1 DYes - schedule attached
Position: Investments (Less than 10% Ownership)

Senator Schedule A-2 DYes - schedule attached


Investments (Greater than 10% Ownership)
- If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary,) Schedule B DYes - schedule attached
Real Property
Agency: ____________________________________
Schedule C DYes - schedule attached
Income & Business Positions (Income Other than Loans, Gifts, and Travel)
Position Title: ________________________________
Schedule 0 ~ Yes - schedule attached
Income - Loans
2. Jurisdiction of Office (Check one box)
DYes - schedule attached
Schedule E
IRl State Income - Gifts
D County of _____________________________
Schedule F DYes - schedule attached
D City of ___________________________ Income - Travel Payments

D MUlti-County _ _ _ _ _ _ _ _ _ _ _ _ _ __ -or-
_ D No reportable interests on any schedule
D Other - - - - - - - - - - - - - - - - - -
Total number of pages completed including this
3. Type of Statement (Check at least one box) 2
cover page: _,..,;;;...._

D Assuming Officellnitial Date: ----1----1_ _

~ Annual: The period covered is January 1, 2001,


through December 31, 2001,
5. Verification
-or- I have used all reasonable diligence in preparing this
statement. I have reviewed this statement and to the best
O The period covered is ----1----1__ , through of my knowledge the information contained herein and in
December 31, 2001, any attached schedules is true and complete, I certify under
penalty of perjury under the laws of the State of California
D Leaving Office Date Left: ----1-----'_ _
that the foregoing is true and correct.
(Check one)
o The period covered is January 1, 2001, through
the date of leaving office, Date Signed -----l~'-~~'=_=!c1------------
-or- (c)(1)

O The period covered is ----1----1____, through


the date of leaving office,

D Candidate
FPPC Form 700 Amendment (2001/2002)
FPPC Toll-Free Helpline: 866/ASK-FPPC

You might also like