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,0} FICE pr THE ClT 'f CU:.;i<f)o.
CALIFORNIA FORM 700
0 1 1( l . ND Date R~ceived
STATEMENT OF ECONOMIC INTERESTS Official Use Only
"Tzt ~UG - 6 AMJO: I3~AIR POLIIICAI PRAC I ICrS COMMISSION
A PUBLIC DOCUMENT COVER PAGE _,-
Please type or print in ink.
NAME OF FILER . h (LAST)
M~~
.~
. (FIRST)
~~
1. Office, Agency, or Court
~~t tZ. #.
Your Position
~ If filing for multiple positions, list below ·or on an attachment. (Do not use acronyms)
Agency: ~
2. Jurisdiction of Office (Check at least one box)
0 State
0 Multi-County ~ Cit'J
~ityof ~-1? .
3. Type of Statement (Check at least one box)
0 Annual: The period covered is January 1, 2013, through
December 31 , 2013. ·
-or-
Position: )/;{4
0 Judge or Court Commissioner (Statewide Jurisdiction)
0 County of .£/,#~£¥'-
0 Other---------'---------
. 0 Leaving Office: Date Left ___]__j.____
(Check one)
The period covered is ___]___] , through 0 The period covered is January 1, 2013, through the date of
leaving office.December 31 , 2013.
0 Assuming Office: Date assumed ___]___] 0 The period covered is ___]___] , through
the date of leaving office.
(J{Candidate: Election year ,tpt/;;;oj~ and office sought, if different than Part 1:----------------
4. Schedule Summary
~
h k pplicable schedules or "None."
edule A-1 - Investments - schedule attached
r:;j s_pt{edule A-2 • Investments - schedule attached
[i)/schedule B • Real Property - schedule attached
-or-
..,.. Total nuy'ber of pages including this cover page: ....Q_
r;{Schedule C • Income, Loans, & Business Positions - schedule attached
O Schedule D - Income - Gifts - schedule attached
0 Schedule E - Income - Gifts - Travel Payments - schedule attached
O None • No reportable interests on any schedule
5. Verification
MAILING ADDRESS
(Business or Agency Address Recommended - Public Document)
E A I
c::J r {'19 &.--
I have used paring this statement. I have reviewed this statement and to the best of my knowledge the information contained
herein and in any attached schedules is true and complete. I acknowledge this is a public document. '
I certify under penalty of perjury under the laws of the State of California th
Date Signed h b ;):::?/¢"
(month. day, year)
Signat
FPPC Form 700 (2013/2014)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE A-1
Investments
CALIFORNIA FORM 700FAIR POLITICAL PRACTICES COMMISSION
Stocks, Bonds, .and Other Interests
(Ownership Interest is Less Than 10%)
Name
Do not attach brokerage or financial statements.
... NAME OF BUSINESS ENTITY
,l1ff1d/()U//·£¥
GENERAL DESCRIPTION OF THIS BUSINESS
A~&~l ~(//'s/pzb-rl
;tu;ARKET VALUE ' ·
0 $2,000- $10,000 ~$10,001 - $100,000
0 $100,001 - $1,000,000 0 Over $1 ,000,000 .
NATURE OF INVESTMENT
~ Stock 0 Other-------------
(Describe)
0 Partnership tilf lncome Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
~.d..J...J:L .J2i~..JL
ACQUIRED DISPOSED
... NAME OF BUSIN'7S ENTITY
~ ;;-~. E'#£?/~rr- ~IA_a..
GENERAL DESCruPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 $2,000 - $10,000
0 $100,001 - $1,000,000
~$10,001 - $100,000
0 Over $1 ,000,000
NATURE OF INVESTMENT t:::Jr~£) /' e12}Stock 0 Other (e/ )V'I
(Describe)
0 Partnership 0 Income Received of $0 - $499
9lncome Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
~.aL.i..JL
ACQUIRED
I d-t.MJ 13
DISPOSED
... NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 $2,000 - $10,000
0 $100,001 - $1,000,000
NATURE OF INVESTMENT
0 $10,001 - $100,000
0 Over $1 ,000,000
0 Stock 0 Other-------------
(Describe)
0 Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
__j__j..JL
ACQUIRED
__j__j..JL
DISPOSED
... NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS .
FAIR MARKET VALUE
0 $2,000- $10,000
0 $100,001 - $1,000,000
NATURE OF INVESTMENT
0 $10,001 - $100,000
[]Over $1 ,000,000
0 Stock 0 Other-------------
(Describe)
0 Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
__j__j..JL
ACQUIRED
__j__j_fl_
DISPOSED
... NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 $2,000 - $10,000
0 $100,001 - $1,000,000
NATURE OF INVESTMENT
0 $10,001 - $100,000
0 Over $1,000,000
0 Stock 0 Other-------------
(Describe)
0 Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
__j__j__j]_
ACQUIRED
__j__j..JL
DISPOSED
... NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 $2,000 - $10,000
0 $100,001 - $1,000,000
NATURE OF INVESTMENT
0 $10,001 - $100,000
0 Over $1 ,000,000
0 Stock 0 Other-------------
(Describe)
0 Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
__j__j__j]_
ACQUIRED
__j__j__j]_
DISPOSED
Comments: -----------------------------------------------
FPPC Form 700 (2013/2014)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/trusts
(Ownership Interest is 10% or Greater)- . ' .. '
CALIFORNIA FORM 700FAIR POLITICAL PRACTICES COMMISSION
Name
Check one
0 Trust, go to 2 0 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 $0- $1,999
IF APPLICABLE, LIST DATE:
0 $2,000 - $10,000
~001 - $100,000
0 $100,001 -$1 ,000,000
0 Over $1 ,000,000
NATURE OF INVESTMENT
__j__j.JL
ACQUIRED
__j__j.JL
DISPOSED
O Partnership 0 Sole Proprietorship 0 ther
YOUR BUSINESS POSITION---------------
.. 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)
0 $0-$499
0 $500 - $1,000
0 $1 ,001 - $10,000
0 $10,001 - $100,000
0 OVER $100,000
.. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10.000 OR MORE !Att.1ch .1 <;(>p.lr.liP -<.hPet d necp.;,s:Jry 1
0 None
.. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
0 INVESTMENT 0 REAL PROPERTY
Name of Business Entity, if Investment, 21:
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity 21:
City or Other Precise Location of Real Property
FAIR MARKET VALUE
0 $2,000- $10,000
0 $10,001 - $100,000
0 $100,001 - $1 ,000,000
0 Over $1 ,000,000
NATURE OF INTEREST
0 Property Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
___}___}~ __j__jJl_
ACQUIRED DISPOSED
0 Stock 0 Partnership
0 Leasehold
Yrs. remaining
0 Other----------
0 Check box if additional schedules reporting investments or real property
are attached
Address (Business Address Acceptable)
Check one
0 Trust, go to 2 0 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0$0-$1 ,999
IF APPLICABLE, LIST DATE:
0 $2,000 - $10,000
D s1o.oo1 - s1oo.ooo
0 $100,001 - $1 ,000,000
0 Over $1,000,000
NATURE OF INVESTMENT
__j__j.JL
ACQUIRED
__j__j.JL
DISPOSED
O Partnership 0 Sole Proprietorship 0 ther
YOUR BUSINESS POSITION
.. 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY'TRUSTI
0$0-$499
0 $500- $1 ,000
0 $1 ,001- $10,000
0 $10,001 - $100.000
0 OVER $100,000
.. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10.000 OR MORE 1At!;JC~1 ,, <iE'p.lr.llc <;heel 1l n('(:(>s$.lrJ 1
..-
.. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
0 INVESTMENT 0 REAL PROPERTY
Name of Business Entity. if Investment, 21:
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity 21:
City or Other Precise Location of Real Property
FAIR MARKET VALUE
0 $2,000 - $10,000
0 $10,001 - $100,000
0 $100,001 - $1 ,000,000
0 Over $1,000,000
NATURE OF INTEREST
IF APPLICABLE, LIST DATE:
___}___}~ __j__jJl_
ACQUIRED DISPOSED
0 Property Ownership/Deed of Trust 0 Stock 0 Partnership
0 Leasehold
Yrs. remaining
0 Other----------
0 Check box if additional schedules reporting investments or real property
are attached
Comments:__________________________
FPPC Form 700 (2013/2014) Sch. A-2
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
CALIFORNIA FORM 700
SCHEDULE B
Interests in Reai .Property
(Including Rental Income)
FAIR POLITICAL PRACTICES COMMISSION
Name
FAIR MARKET VALUE
0 $2,000 - $10,000
0 $10,001 - $100,000
~ $100,001- $1 ,000,000
0 Over $1,000,000
NATURE OF INTEREST
¢ ownership/Deed of Trust
~cg
IF APPLICABLE, LIST DATE:
Jl; "/,f(/ _j_j_j)_
AC~ED DISPOSED
0 Easement
0 Leasehold - - - - - - - 0 - - - - -Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0-$499 0 $500 - $1 ,000 0 $1 ,001- $10,000
0 $10,001 - $100,000 0 OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
o-· ~.~ 7~g;~??k~
~ ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
0 $2,000 - $10,000
0 $10,001 - $100,000
0 $100,001 - $1 ,000,000
0 Over $1,000,000
NATURE OF INTEREST
0 Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
_j_j_j)_ _j_j_j)_
ACQUIRED DISPOSED
0 Easement
0 Leasehold - - - - - - - 0 - - - - -Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0 $0- $499 0 $500 - $1 ,000 0 $1 ,001 - $10,000
0 $10,001 - $100,000 0 OVER $100,000
SOURCES OF RENTAL INCOME: If you.own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
0 None
* 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:
NAME OF LENDER* NAME OF LENDER*
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (MonthsNears) INTEREST RATE TERM (MonthsNears)
_____% 0 None _____·% 0 None
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
0 $500- $1,000 0 $1 ,001 - $10,000 0 $500- $1 ,000 0 $1 ,001 - $10,000
0 $10,001 - $100,000 0 OVER $100,000 0 $10,001 - $100,000 0 OVER $100,000
0 Guarantor, if applicable 0 Guarantor, if applicable
Comments: --------------------------------------------------------------------------------------
FPPC Form 700 {2013/2014) Sch. 8
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
-Positions
CALIFORNIA FORM 700FAIR POLIT ICAL PRACTICES COMMISSION
Name
(Other than Giftsand Travel Payments)
• 1. INCOME RECEIVED • 1. INCOME RECEIVED
ADDRESS (Busines:;/Addre
/bk'd- /7:37 S:N#&,&BUSINESS ACTIVITY, IF ANY, OF SOURCE
(u4~/ ·??:?'/
GROSS INCOME RECEIVED
0 $500- $1,000 0 $1 ,001 - $10,000
~10,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
~alary 0 Spouse's or registered dom~stic part~er's income
0 Loan repayment 0 Partnership
D Sale of (Real property, car. boat, etc.)
0 Commission or 0 Rental Income, list each ·souice of $10,000 or more
~ Other ,rP£/?~f(Describe)
• 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
NAME OF SOURCE OF INCOME£ . ·
!.2~c:.c . tkL-ot'~
ADDRESS 0 ness Address Afceptabl~ .' (o;rOt1;::/
-- TUA~E - ;:y~)/ ~/
YOUR clfor7 E-77 4r
GROSS INCOME RECEIVED
0 $500- $1,000 0 $1,001- $10,000
~0,001 - $100,000 D OVER $100,000 •
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
0 Salary 0 Spouse's or registered domestic partner's income
0 Loan repayment 0 Partnership
D Sale of (Real property, car, boat, etc.)
0 Commission or 0 Rental Income, list each source of $10,000 or more
·D other '5eB-A Srcw£'/rf(Describe)
* You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a
retail installment or credit card transaction, 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:
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
D $5oo - $1 .ooo
D $1 .oo1 - $1o.ooo
D $10.oo1 - $1oo.ooo
DOVER $100,000
Comments:
INTEREST RATE TERM (Months/Years)
_____% 0 None
SECURITY FOR LOAN
0 None 0 Personal residence
D Real Property street address
City
0 Guarantor---------------------
D Other (Describe}
FPPC Form 700 (2013/2014) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

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Charles Williams FPPC Form 700

  • 1. r1L£::u ,0} FICE pr THE ClT 'f CU:.;i<f)o. CALIFORNIA FORM 700 0 1 1( l . ND Date R~ceived STATEMENT OF ECONOMIC INTERESTS Official Use Only "Tzt ~UG - 6 AMJO: I3~AIR POLIIICAI PRAC I ICrS COMMISSION A PUBLIC DOCUMENT COVER PAGE _,- Please type or print in ink. NAME OF FILER . h (LAST) M~~ .~ . (FIRST) ~~ 1. Office, Agency, or Court ~~t tZ. #. Your Position ~ If filing for multiple positions, list below ·or on an attachment. (Do not use acronyms) Agency: ~ 2. Jurisdiction of Office (Check at least one box) 0 State 0 Multi-County ~ Cit'J ~ityof ~-1? . 3. Type of Statement (Check at least one box) 0 Annual: The period covered is January 1, 2013, through December 31 , 2013. · -or- Position: )/;{4 0 Judge or Court Commissioner (Statewide Jurisdiction) 0 County of .£/,#~£¥'- 0 Other---------'--------- . 0 Leaving Office: Date Left ___]__j.____ (Check one) The period covered is ___]___] , through 0 The period covered is January 1, 2013, through the date of leaving office.December 31 , 2013. 0 Assuming Office: Date assumed ___]___] 0 The period covered is ___]___] , through the date of leaving office. (J{Candidate: Election year ,tpt/;;;oj~ and office sought, if different than Part 1:---------------- 4. Schedule Summary ~ h k pplicable schedules or "None." edule A-1 - Investments - schedule attached r:;j s_pt{edule A-2 • Investments - schedule attached [i)/schedule B • Real Property - schedule attached -or- ..,.. Total nuy'ber of pages including this cover page: ....Q_ r;{Schedule C • Income, Loans, & Business Positions - schedule attached O Schedule D - Income - Gifts - schedule attached 0 Schedule E - Income - Gifts - Travel Payments - schedule attached O None • No reportable interests on any schedule 5. Verification MAILING ADDRESS (Business or Agency Address Recommended - Public Document) E A I c::J r {'19 &.-- I have used paring this statement. I have reviewed this statement and to the best of my knowledge the information contained herein and in any attached schedules is true and complete. I acknowledge this is a public document. ' I certify under penalty of perjury under the laws of the State of California th Date Signed h b ;):::?/¢" (month. day, year) Signat FPPC Form 700 (2013/2014) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
  • 2. SCHEDULE A-1 Investments CALIFORNIA FORM 700FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, .and Other Interests (Ownership Interest is Less Than 10%) Name Do not attach brokerage or financial statements. ... NAME OF BUSINESS ENTITY ,l1ff1d/()U//·£¥ GENERAL DESCRIPTION OF THIS BUSINESS A~&~l ~(//'s/pzb-rl ;tu;ARKET VALUE ' · 0 $2,000- $10,000 ~$10,001 - $100,000 0 $100,001 - $1,000,000 0 Over $1 ,000,000 . NATURE OF INVESTMENT ~ Stock 0 Other------------- (Describe) 0 Partnership tilf lncome Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ~.d..J...J:L .J2i~..JL ACQUIRED DISPOSED ... NAME OF BUSIN'7S ENTITY ~ ;;-~. E'#£?/~rr- ~IA_a.. GENERAL DESCruPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 - $10,000 0 $100,001 - $1,000,000 ~$10,001 - $100,000 0 Over $1 ,000,000 NATURE OF INVESTMENT t:::Jr~£) /' e12}Stock 0 Other (e/ )V'I (Describe) 0 Partnership 0 Income Received of $0 - $499 9lncome Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ~.aL.i..JL ACQUIRED I d-t.MJ 13 DISPOSED ... NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 - $10,000 0 $100,001 - $1,000,000 NATURE OF INVESTMENT 0 $10,001 - $100,000 0 Over $1 ,000,000 0 Stock 0 Other------------- (Describe) 0 Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: __j__j..JL ACQUIRED __j__j..JL DISPOSED ... NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS . FAIR MARKET VALUE 0 $2,000- $10,000 0 $100,001 - $1,000,000 NATURE OF INVESTMENT 0 $10,001 - $100,000 []Over $1 ,000,000 0 Stock 0 Other------------- (Describe) 0 Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: __j__j..JL ACQUIRED __j__j_fl_ DISPOSED ... NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 - $10,000 0 $100,001 - $1,000,000 NATURE OF INVESTMENT 0 $10,001 - $100,000 0 Over $1,000,000 0 Stock 0 Other------------- (Describe) 0 Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: __j__j__j]_ ACQUIRED __j__j..JL DISPOSED ... NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 - $10,000 0 $100,001 - $1,000,000 NATURE OF INVESTMENT 0 $10,001 - $100,000 0 Over $1 ,000,000 0 Stock 0 Other------------- (Describe) 0 Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: __j__j__j]_ ACQUIRED __j__j__j]_ DISPOSED Comments: ----------------------------------------------- FPPC Form 700 (2013/2014) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
  • 3. SCHEDULE A-2 Investments, Income, and Assets of Business Entities/trusts (Ownership Interest is 10% or Greater)- . ' .. ' CALIFORNIA FORM 700FAIR POLITICAL PRACTICES COMMISSION Name Check one 0 Trust, go to 2 0 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $0- $1,999 IF APPLICABLE, LIST DATE: 0 $2,000 - $10,000 ~001 - $100,000 0 $100,001 -$1 ,000,000 0 Over $1 ,000,000 NATURE OF INVESTMENT __j__j.JL ACQUIRED __j__j.JL DISPOSED O Partnership 0 Sole Proprietorship 0 ther YOUR BUSINESS POSITION--------------- .. 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) 0 $0-$499 0 $500 - $1,000 0 $1 ,001 - $10,000 0 $10,001 - $100,000 0 OVER $100,000 .. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10.000 OR MORE !Att.1ch .1 <;(>p.lr.liP -<.hPet d necp.;,s:Jry 1 0 None .. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: 0 INVESTMENT 0 REAL PROPERTY Name of Business Entity, if Investment, 21: Assessor's Parcel Number or Street Address of Real Property Description of Business Activity 21: City or Other Precise Location of Real Property FAIR MARKET VALUE 0 $2,000- $10,000 0 $10,001 - $100,000 0 $100,001 - $1 ,000,000 0 Over $1 ,000,000 NATURE OF INTEREST 0 Property Ownership/Deed of Trust IF APPLICABLE, LIST DATE: ___}___}~ __j__jJl_ ACQUIRED DISPOSED 0 Stock 0 Partnership 0 Leasehold Yrs. remaining 0 Other---------- 0 Check box if additional schedules reporting investments or real property are attached Address (Business Address Acceptable) Check one 0 Trust, go to 2 0 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0$0-$1 ,999 IF APPLICABLE, LIST DATE: 0 $2,000 - $10,000 D s1o.oo1 - s1oo.ooo 0 $100,001 - $1 ,000,000 0 Over $1,000,000 NATURE OF INVESTMENT __j__j.JL ACQUIRED __j__j.JL DISPOSED O Partnership 0 Sole Proprietorship 0 ther YOUR BUSINESS POSITION .. 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY'TRUSTI 0$0-$499 0 $500- $1 ,000 0 $1 ,001- $10,000 0 $10,001 - $100.000 0 OVER $100,000 .. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10.000 OR MORE 1At!;JC~1 ,, <iE'p.lr.llc <;heel 1l n('(:(>s$.lrJ 1 ..- .. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: 0 INVESTMENT 0 REAL PROPERTY Name of Business Entity. if Investment, 21: Assessor's Parcel Number or Street Address of Real Property Description of Business Activity 21: City or Other Precise Location of Real Property FAIR MARKET VALUE 0 $2,000 - $10,000 0 $10,001 - $100,000 0 $100,001 - $1 ,000,000 0 Over $1,000,000 NATURE OF INTEREST IF APPLICABLE, LIST DATE: ___}___}~ __j__jJl_ ACQUIRED DISPOSED 0 Property Ownership/Deed of Trust 0 Stock 0 Partnership 0 Leasehold Yrs. remaining 0 Other---------- 0 Check box if additional schedules reporting investments or real property are attached Comments:__________________________ FPPC Form 700 (2013/2014) Sch. A-2 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
  • 4. CALIFORNIA FORM 700 SCHEDULE B Interests in Reai .Property (Including Rental Income) FAIR POLITICAL PRACTICES COMMISSION Name FAIR MARKET VALUE 0 $2,000 - $10,000 0 $10,001 - $100,000 ~ $100,001- $1 ,000,000 0 Over $1,000,000 NATURE OF INTEREST ¢ ownership/Deed of Trust ~cg IF APPLICABLE, LIST DATE: Jl; "/,f(/ _j_j_j)_ AC~ED DISPOSED 0 Easement 0 Leasehold - - - - - - - 0 - - - - -Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0$0-$499 0 $500 - $1 ,000 0 $1 ,001- $10,000 0 $10,001 - $100,000 0 OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. o-· ~.~ 7~g;~??k~ ~ ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE 0 $2,000 - $10,000 0 $10,001 - $100,000 0 $100,001 - $1 ,000,000 0 Over $1,000,000 NATURE OF INTEREST 0 Ownership/Deed of Trust IF APPLICABLE, LIST DATE: _j_j_j)_ _j_j_j)_ ACQUIRED DISPOSED 0 Easement 0 Leasehold - - - - - - - 0 - - - - -Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0- $499 0 $500 - $1 ,000 0 $1 ,001 - $10,000 0 $10,001 - $100,000 0 OVER $100,000 SOURCES OF RENTAL INCOME: If you.own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. 0 None * 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: NAME OF LENDER* NAME OF LENDER* ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (MonthsNears) INTEREST RATE TERM (MonthsNears) _____% 0 None _____·% 0 None HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD 0 $500- $1,000 0 $1 ,001 - $10,000 0 $500- $1 ,000 0 $1 ,001 - $10,000 0 $10,001 - $100,000 0 OVER $100,000 0 $10,001 - $100,000 0 OVER $100,000 0 Guarantor, if applicable 0 Guarantor, if applicable Comments: -------------------------------------------------------------------------------------- FPPC Form 700 {2013/2014) Sch. 8 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
  • 5. SCHEDULE C Income, Loans, & Business -Positions CALIFORNIA FORM 700FAIR POLIT ICAL PRACTICES COMMISSION Name (Other than Giftsand Travel Payments) • 1. INCOME RECEIVED • 1. INCOME RECEIVED ADDRESS (Busines:;/Addre /bk'd- /7:37 S:N#&,&BUSINESS ACTIVITY, IF ANY, OF SOURCE (u4~/ ·??:?'/ GROSS INCOME RECEIVED 0 $500- $1,000 0 $1 ,001 - $10,000 ~10,001 - $100,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ~alary 0 Spouse's or registered dom~stic part~er's income 0 Loan repayment 0 Partnership D Sale of (Real property, car. boat, etc.) 0 Commission or 0 Rental Income, list each ·souice of $10,000 or more ~ Other ,rP£/?~f(Describe) • 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD NAME OF SOURCE OF INCOME£ . · !.2~c:.c . tkL-ot'~ ADDRESS 0 ness Address Afceptabl~ .' (o;rOt1;::/ -- TUA~E - ;:y~)/ ~/ YOUR clfor7 E-77 4r GROSS INCOME RECEIVED 0 $500- $1,000 0 $1,001- $10,000 ~0,001 - $100,000 D OVER $100,000 • CONSIDERATION FOR WHICH INCOME WAS RECEIVED 0 Salary 0 Spouse's or registered domestic partner's income 0 Loan repayment 0 Partnership D Sale of (Real property, car, boat, etc.) 0 Commission or 0 Rental Income, list each source of $10,000 or more ·D other '5eB-A Srcw£'/rf(Describe) * You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail installment or credit card transaction, 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: NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD D $5oo - $1 .ooo D $1 .oo1 - $1o.ooo D $10.oo1 - $1oo.ooo DOVER $100,000 Comments: INTEREST RATE TERM (Months/Years) _____% 0 None SECURITY FOR LOAN 0 None 0 Personal residence D Real Property street address City 0 Guarantor--------------------- D Other (Describe} FPPC Form 700 (2013/2014) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov