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Burton 700CALIFORNIA FORM 700 POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT Please type or print in ink NAME OF FILER STATEMENT OF ECONOMIC INTERES COVER PAGE ECEIVE 1 2014 1. Office, Agency, or Court (LAST) i‘b(11)--oN Agency Name (Do not use acronyms) Cyr✓ ci= ALAM I: Division, Board, Department, District, if applicable ‘/ NNIH P7OA( ► If filing for multiple positions, list below or on an attachment (Do not use acronyms) Agency: Position. 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of t ❑ Other City of AL/A (4 Y/AS- 3. Type of Statement (Check at least one box) Annual: The period covered is January 1 2013 through ❑ Leaving Office: Date Left December 31, 2013. (Check one) -or- The period covered is / , through 0 The period covered is January 1; 2013. the date of December 31. 2013. leaving office. ❑ Assuming Office: Date assumed f 0 The period covered is / / through the date of leaving office. and office sought, if different than Part 1' ❑ Candidate: Election year 4. Schedule Summary Check applicable schedules or "None" ❑ Schedule A -1 - Investments - schedule attached Schedule A -2 - Investments - schedule attached ❑ Schedule B • Real Property - schedule attached Total number of pages including this cover page: Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule D • Income - Gifts - schedule attached ❑ Schedule E Income Gifts - Travel Payments - schedule attached -or• ❑ None • No reportable Interests on any schedule 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Publ DAYTIME TELEPHONE NUMBER ( o) 4 - °"-1- "O D CITY A L-A M-E DA STATE ZIP CODE E-MAIL ADDRESS (OPTIONAL) I have used all reasonable diligence in preparing this statement. 1 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'- puh1document. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and co Date Signed (month. day year) Signature your filing of FPPC Form 700 (2013/2014) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov • 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME =Q THE;ENTITY/TRUST) SCHEDULE A -2 Investments, Income, and Assets of Business Entities /Trusts (Ownership Interest is 10% or Greater) BUSINESS "ENTITY OR TRUST /� u -Fe.) c �{ ITELTO Name Address (Business Address Acceptable) Check one ❑ Trust, go to 2 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS �G >Fc�55fvi -AU SE-ZVICCE5•(fC,C}- 1,FTEC )IU FAIR MARKET VALUE j❑ $0 - $1,999 $2,000 - $10,000 $10,001 - $100,000 LLL��J $100,001 - $1,000,000 �❑ Over $1,000,000 IF APPLICABLE, LIST DATE: /13 _/�13 ACQUIRED DISPOSED (NATURE OF INVESTMENT ❑ Partnership Sole Proprietorship ❑ Other YOUR BUSINESS POSITION 6w CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION 1. BUSINESS ENTITY OR; TRUST Name Address (Business Address Acceptable) Check one ❑ Trust, go to 2 Business Entity; complete the box, then; go to 2 ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10.000 • 3. LIIST; THE NAME" OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.) ❑ None i tz--r2Pi S Am JoH N` A • 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED THE BUSINESS ENTITY OR TRUST Check one box ❑ INVESTMENT REAL PROPERTY Name of Business Entity. if Investment. or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE. LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 / / 13 / / 13 ❑ 9100,001 - 91,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached GENERAL DESCRIPTION OF THIS BUSINESS FA R MARKET VALUE $0 $1,999 $2,000 - $10,000 U $10,001 - $100,000 0 $100,001 - $1,000,000 ❑ Over $1.000,000 IF APPLICAB NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorsh E, LIST DATE: / / 13. / / 13 ACQUIRED DISPOSED P ❑ Other YOUR BUSINESS POSITION 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE. OF THE GROSS INCOME THE"ENTITYITRUST) ❑ 90 - $499 $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100.000 ❑ OVER 5100.000 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE', (Attach a separate sheet if necessary.) ❑ None 4. NVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR EASED BY THE BUSINESS ENTITY OR TRUST Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment. or Assessor's Parcel Number or Street Address of Real! Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE' ❑ $2,000 $10,000 ❑ $10,001 - $100 000 ❑ $100,001 - $1,000,000 ❑ Over $1,000009 IF APPLICABLE. LIST DATE: /_j 13 / / 13= ACQUIRED' DISPOSED NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ partnership ❑ Leasehold Yrs. remaining ❑ 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 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION, ■ 1. INCOME RECEIVED ►: °.1.' INCOME "RECEIVED : NAME OF SOURCE OF INCOME k 1TEG ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE 0LoR5S L©r)PsL S (&U1 7E-ct- JL YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - 01,000 ❑ $10,001 - 0100,000 $1,001 - $10,000 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary ❑ Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property, car boat etc) ❑ Commission or Rental Income, list each source of 010.000 or more Other (Describe) NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptab BUSINESS ACTIVITY, IF ANY OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $10,001 - 0100.000 ❑ $1,001 - .$10,000. ❑ OVER 0100 000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property, car boat, etc.) ❑ Commission or ❑ Rental Income. fist each source of $x0000 or ,0 ❑ Other (Describe) 2. LOAWS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD 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 ❑ $500 - $1,000 ❑ $1,001 $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 INTEREST RATE None TERM (Months /Years SECURITY FOR LOAN 0 None ❑ Personal residence ❑ Real Property Street address City ❑ Guarantor ❑ Other Deccribe) Comments• 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