Beruflich Dokumente
Kultur Dokumente
,
Date Received
offidil Use Only ,
S1ATEMENJ OF ECONOMIC INTERESTS
::~~UF()QNI#\F{)RM,
tAift 'I'OUTlC",I{P.RA~:i!c~s.Cc)MMISSiO~>·:
1 p;; ~; ;'~)0 L I'~ :
-::r:s Cr ' COVER PAGE
. f:ff;D8~~~0:!1
. <';~,;,~.:...;-_;:" ::"·::c.:..;,;;>;",,_~:~~!fti,~~:~·;i;.···~};;·,;:
..;"·:-~·;'..i·-t',-·.'· .~;~:~-~.;~:; ....:~ .".
4. Schedule Summary
1. Office, Agency, or Court
11>- Total number of pages r-;
Name of Office, Agency, or Court:
-=--'=
?j?Y/V. of
~..".
C¥+I,
;; ,;,-,;-;acame:
including this cover page:
0 Yes
o City of ---------------- Schedule E
Income - Gifts - Travel Payments
- schedule attached
-or-
O The period covered is ~----1 __ , through
the date of leaving office.
Name
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE. LIST DATE:
'0
o
$2.000 - $10,000 o $2,000 - $10.000
$10,001 - $100,000 ---...1---108 ---...1---108 o $10.001 - $100.000 ---...1---...108 ---...1---...108
"0 $100.001 - $1,000,000 ACQUIRED DISPOSED o $100.001 - $1.000,000 ACQUIRED DISPOSED
DOver $1,000.000 DOver $1.000.000
NATURE OF INVESTMENT
~
0 Sole Proprietorship 0 Partnership 0 -------
Other
_ o
NATURE OF INVESTMENT
Sole Proprietorship 0 Partnership 0
Other
_
YOUR BUSINESS POSITION .,.- _
.. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF • 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE.!,::,c::, '.cpo"te '.hcrt" """P,wy) INCOME OF $10,OOI)'OR MORE (..,tach a -.rp3"'c ,""'" J r"Co',-.,,'/l
4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HElDm THE II> 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HElD BV THE
BUSINESS ENTITY OR TRUST BUSINESS ENTITY OR TRUST
PV" IV\ Ce VIt (I'a. vtT La. f1 e /1,)"14 IDWa A- ve. Un;-r l D.5
Name of Business Entity Q[ Name of Business Entity QC
Street Address or Assessor's Parcel Number of Real Property Street Address or Assessor's Parcel Number of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
o $2,000 - $10,000
---1---1 08 ---...1~8
o $2,000 - $10,000
---1---...1 08 ---1---1 08
0$10,001 - $100,000 Q $10,001 - $100,000
QS.$100,OOl - $1,000,000 .l\CQUIRED DISPOSED g$100,001 - $1,000,000 ACQUIRED DISPOSED
DOver $1,000,000 DOver $1,000,000
o Leasehold
"f rs. remaining
0 Other ----------- o Leasehold
'(rs. remaining
o Other ----------
f0f
i
Check box if additional
are attached
schedules reporting investments or real property ::8l Check box if additional
are attached
schedules reporting investments or real property
Ode.sS'cc
Name
Address Address
Check one Check one
$- Trust, go to :2 o Business Enoty, complete the box, thell go 10 2 o
Trust, go 10 2 o Business Entity, complete the box, then go to 2
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE. LIST DATE:
o $2.000 . $10.000 o $2,000 - $10.000
o $10.001 - $100.000 -1---108
ACQUIRED
-1-108
DISPOSED
o $10,001 - $100,000 -1-108
ACQUIRED
.--.1-108
DISPOSED
0$100.001 - $1,000.000 0$100.001 - $1.000,000
DOver $1.000.000 DOver $1,000.000
il
.. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOLJRCE OF ... 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
. INCOME OF $10,000 OR MORE :"''''c~ ., ""1'-''''. '.he'" ,I.",.,""Y) INCOME. ()F$10.000 OR MORE !."',ch 3 <,"F". ,...,.,
,I e",,,.,<,,,y}
.... 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE ... 4. INVESTIVIENTSANDINTERESTS IN REAL PROPERTY HElD BY THE
BUSINESS ENTITY OR TRUST BUSINESS ENTITY OR TRUST
Check one box: Check one box:
If:! 2sin§A~~ti~
Street Address or Assessor's
U U ~ 1
Parcel Number of Real Property
FAIR MARKET VALUE IF APPLICABLE. LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0$2.000 - $10,000 o $2.000 - $10,000
o $10,001 - $100,000 ---1---1 08 -1~8 o $10,001 - $100.000 .--.1---1 08 .--.1----..l 08
itt $100,001 - $1,000,000 ACQUIRED DISPOSED B$1oo,001 - $1,000,000 ACQUIRED DISPOSED
DOver $1,000,000 DOver $1,000,000
o Leasehold
Yrs. remaining
o9 ther ---------- o leasehold
'{ rs. remaining
o Other ----------
Name
of Business EntitieslTrusts
(Ownership Interest is 10% or Greater) ~fQ To~
1. BUSINESS ENTITY OR TRUST ~ 1. BUSINESS ENTITY OR TRUST
Name
Address
Check one
o BuSiness Entity, complete the box, then go to 2 oTrust, go to 2 o Business ~ntity. complete the box, {hen go to 2
!0
o
$10,001 - $100,000 --1--108 o $10,001 - $100,000 ---1---108 ---1--108
DOver
$100,001 - $1,000,000
$1,000,000
DISPOSED o $100,001 - $1,000,000 ACQUIRED DISPOSED
DOver $1.000,000
NATURE OF INVESTMENT
o Sole Proprietorship 0 Partnership 0 _ NATURE OF INVESTMENT
o Sole Proprietorship 0 Partnership 0 _
Other
Other
YOUR BUSINESS POSITION _
YOUR BUSINESS POSITION --'- __
3. LIST THE NAME OF EACH REPORTABLE SINGLE ,SOURCE OF ~ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE !.,~~cn
3 ·.rp.'.". ·.h ... , ,; n"'''....
·_'ryl .'INCOME OF $10;000 OR MORE!."ti<h , '",p.",!. ~""",.""'11 <""'" .,
~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD§Y THE ~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD.BY THE
BUSINESS ENTITY OR TRUST BUSINESS ENTITY OR TRUST
Check one box: Check one box:
o INVESTMENT ~ REAL PROPERTY o INVESTMENT ~ REAL PROPERTY
~~de.sh I CA q~-3sB
DeSCription of Business Activity Q.( De&cl'ipllon of Business Activity llr"
City or Other Precise Location of Real Property City or Other Precise Locatlon of Real Property
o Leasehold
Yrs. remaining
o Other --- _ o Leasehold - _ o Other - _
'frs. remaining
IEJ are
Check box if additional
attached
schedules reporting investments or real property
I2Sf Check box if additional schedules reporting investments or real property
are attached
Name
Interests in Real Property
(Including Rental Income) OdeS! tl So h I] $ oAf
10> STREET ADDRESSrfR PRECISE LOCATION 10> STREET ADDRESS OR PRECISE LOCATION
FAIR MARK[;T VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VAlUE IF APPLICABLE. LIST DATE:
o $2,000 - $10,000 o $2,000 - $10.000
o $10.001 - $100,000 --f--f 08 --f--f 08 o $10,001 - $100.000 --f--f 08 .--J--f 08
-bZ1 $100,001 - $1,000.000
ACQUIRED DISPOSED
Il§ $100,001 - $1.000,000 ACQUIRED DISPOSED
o Leasehold -------
Y r5. remaining
0-----Other o Leasehold -------
Yrs. remaining
0------
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED
o $0 - $499 0 $500 - $1,000 $$1,001 . $10.000 0$0 - $499 0 $500 - $1.000 0 $1.001 - $10,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of
income of $10.000 or more. income of $10,000 or more.
* You are not required to report loans from commercial lending institutions made in the lender's regular course
of business on terms available to members of the public without regard to your official status. Personal loans
and loans received not in a lender's regular course of business must be disclosed as follows:
ADDRESS ADDRESS
HIGHEST BAlANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
Comments: __
FPPC Form 700 (200812009) Sch, B
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
CALIFORNIA FORM 700
SCHEDULE B FAIR POLITICAL PRACTICES COMMISSION
Name
Interests in Real Property
(Including Rental Income) OciessC{ ~hYlso'1
~ STREET ADDRESS OR PRECISE LOCATION ~ STREET ADDRESS OR PRECISE LOCATION
o Leasehold --
Yrs. remalO1I1g
_ o Leasehold _
0------
Other Yrs. remaining Other
IF RENTAl PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY. GROSS INCOME RECEIVED
o $0 - $499 0 $500 - $1,000 0 $1,001 - $10.000 0$0 - $499 0 $500 - $1.000 0 $1,001 - $10.000
~ $10.001 - $100,000 0 OVER $100.000 ® $10,001 - $100,000 0 OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAl INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of
income of $10.000 or more. income of $10,000 or more.
"* You are not required to report loans from commercial lending institutions made in the lender's regular course
of business on terms available to members of the public without regard to your official status, Personal loans
and loans received not in a lender's regular course of business must be disclosed as follows:
ADDRESS ADDRESS
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
o $500 - $1.000 0 $1.001 - $10.000 0$500 - $1.000 0 $1,001 - $10,000
o $10,001 • $100,000 0 OVER $100,000 o $10.001 - $100,000 0 OVER $100,000
Comments: _
I
, I
Name
Interests in Real Property
(Including Rental Income) ~SOl JohnSClr)
... STREET ADDRESS OR PRECISE LOCATION ... STREET ADDRESS OR PRECISE LOCATION
o Leasehold -------
Yrs. remaining
0-----Other o Leasehold ----
Yrs. remaining
_ 0------
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED
o $0 - $499 0 $500 - $1,000 ng $1,001 - $10.000 0$0 - $499 0 $500 - $1,000 81 $1,001 - $10,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of interest. list the name of each tenant that is a single source of
income of $10,000 or more. income of $10,000 or more.
* You are not required to report loans from commercial lending institutions made in the lender's regular course
of business on terms available to members of the public without regard to your official status. Personal loans
and loans received not in a lender's regular course of business must be disclosed as follows:
ADDRESS ADDRESS
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
Comments: ___
FPPC Form 700 (2008l2009) Sch, B
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov