Daysog 700CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
STATEMENT OF ECONOMIC INTERE
COVER PAGE
Please type or print in ink.
N▪ AME OF FILER (LAST)
Daysog Anthony
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Alameda
Division, Board, Department, District, If applicable
City Council
—ase Filii
CITY OF AcAcitekbA
CITY CLEF104 PFFICE
(FIRST) (MIDDLE)
Your Position
City Councilmember
■ 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)
El State
11] Multi-County
City of Alameda
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2014, through
December 31, 2014.
-or-
The period covered Is
December 31, 2014.
El Assuming Office: Date assumed
El Candidate: Election year
4. Schedule Summary
Check applicable schedules or "None."
Ei Schedule A-1 - Investments — schedule attached
Schedule A-2 - Investments — schedule attached
Schedule B Real Property — schedule attached
, through
Position:
El Judge or Court Commissioner (Statewide Jurisdiction)
El County of
LI Other
(I( Leaving Office: Date Left
(Check one)
O The period covered Is January 1, 2014, through the date of
leaving office.
O The period covered is , through
the date of leaving office.
and office sought, if different than Part 1:
■ Total number of pages including this cover page:
Schedule C Income, Loans, & Business Positions — schedule attached
Schedule D - Income — Gifts — schedule attached
El Schedule E - Income — Gifts — Travel Payments — schedule attached
-or-
El - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER
( 510 ) 912-2490
.
cn-Y
Alameda
STATE
CA
E-MAIL ADDRESS
tdaysog@alamedaca.gov
ZIP CODE
94501
I have used all reasonable diligence in preparing 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 that the foregointrue and corre
04/01/2015
Date Signed
(month, day, year)
Signatu Ok,
APR
t
the origins ly signed statement with your Fling official.)
FPPC Form 700(2014/2015)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
• a ° ° S . 7 . a 1 °
INCOME OF $10,000 OR MORE (Attach a separate sheet it necessary)
-• None or N Names listed b
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
• 1. BUSINESS ENTITY OR TRUST
Resident and Landlord: 709 Haight Avenue
Name
Tony Daysog
Address (Business Address Acceptable)
Check one
0 Trust, go to 2
Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 $o - $1,999
Li $2,000 - $10,000 14
Li $10,001- $100,000 ACQUIRED
L 0 $100,001 - $1,000,000
0 Over $1,000,000
IF APPLICABLE, LIST DATE:
NATURE OF INVESTMENT
0 Partnership rg Sole Proprietorship Li
14
DISPOSED
Other
Resident\Honneownerlandlord
YOUR BUSINESS POSITION
- Is 'I
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)
0 $0 - $499
111 $500 - $1,000
$1,001 - $10,000
tti
CI $10,001 - $100,000
OVER $100,000
■ - -5 °
INCOME OF $10,000 OR MORE /Attach a separate sheet if neeessaty.)
0 None or El Names listed below
sk.) -ki-t,e0,1"-
/(9 e
v 4- 'Z'IcQCf
fL
--, I
v- --,
4,1 E M AND 1 T R S IN - AL • * - Y 0'
LEASED THE BUSINESS ENTITY OR TRUST
Check one box:
fl INVESTMENT
Tony Daysog
Name of Business Entity, if Investment, er,
Assessor's Parcel Number or Street Address of Real Property
709 Haight Avenue, Alameda, CA
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0 $2,000 - $10,000
0 $10,001 - $100,000
si 00,00i - $1,000,000 ACQUIRED DISPOSED
Li Over $1,000,000
ea
REAL PROPERTY
14 / / 14
NATURE OF INTEREST
Property Ownership/Deed of Trust EJ Stock LI Partnership
0 Leasehold El Other
Yrs. remaining
0 Check box If additional schedules reporting investments or real property
are attached
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Tony Daysog
1. BUSINESS ENTITY OR TRUST
Name
Address (Business Address Acceptable)
Check one
Trust, go to 2
0 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
Li $0 - $1,999
0 $2,000 - $10,000
0 $10,001 - $100,000 ACQUIRED DISPOSED
El $100,001 - $1,000,000
0 Over $1,000,000
NATURE OF INVESTMENT
El Partnership El Sole Proprietorship
YOUR BUSINESS POSITION
Li
Other
a,.-- ft 0, V a ta 'at°
SHARE OF THE GROSS INCOME IQ THE ENTITY/TRUST)
so - $499
0 $500 - $1,000
10 $1,001 - $10,000
0 $10,001 - $100,000
0 OVER $100,000
w
_
LEASED BY' THE BUSINESS ENTITY OR TRUST
"
Check one box:
Li INVESTMENT
fl REAL PROPERTY
Name of Business Entity, If Investment, gr
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity at
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
El $2,000 - $10,000
0 $10,001 - $100,000
Li $100,001 - $1,000,000 ACQUIRED DISPOSED
0 Over $1,000,000
NATURE OF INTEREST
0 Property Ownership/Deed of Trust El Stock Li Partnership
0 Leasehold Li Other
Yrs, remaining
Check box if additional schedules reporting Investments or real property
are attached
14 / / 14
Comment e• I own, reside at 709 Haight Ave., where I rent out 2 rooms
FPPC Form 700 (2014/2015) Sch. A-2
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE B
Interests in Real Property
(Including Rental Income)
• NUMBER OR STREET ADDRESS
709 Haight Avenue
CITY
Alameda, CA
FAIR MARKET VALUE
0 $2,000 - $10,000
ID $10,001 - $100,000
$100,001 - $1,000,000
0 Over $1,000,000
NATURE OF INTEREST
Ownership/Deed of Trust
LI
Leasehold
IF APPLICABLE, LIST DATE:
14 J l 14
ACQUIRED DISPOSED
Easement
0
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0 $0 - $499 $500 - $1,000 r2 $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.
None
Current tenants have not resided long enough to
amount to over $10,000 in rent
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Tony Daysog
• ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0 $2,000 - $10,000
0 $10,001 - $100,000 14 / 14
O $100,001 - $1,000,000 ACQUIRED DISPOSED
Ej Over $1,000,000
NATURE OF INTEREST
0 Ownership/Deed of Trust
0 Leasehold
0 Easement
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0 $0 - $499 0 $500 - $1,000 0 $1,001 - $10,000
El $10,001 - $100,000 0 OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, Ilst 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*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (MonthslYears)
UI None
HIGHEST BALANCE DURING REPORTING PERIOD
$500 - $1,000 0 $1,001 - $10,000
UI $10,001 - $100,000 0 OVER $100,000
0 Guarantor, if applicable
Comments:
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months(Years)
To
LI I-I
None
HIGHEST BALANCE DURING REPORTING PERIOD
0 $500 - $1,000
UI $10,001 - $100,000
0 Guarantor, if applicable
0 $1,001 - $10,000
0 OVER $100,000
FPPC Form 700 (2014/2015) Sch. B
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free 866/275-3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, 8 Business
Positions
(Other than Gifts and Travel Payments)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Tony Daysog
NAME OF SOURCE OF INCOME
Applied Development Economics
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
economic development consulting
YOUR BUSINESS POSITION
employee
GROSS INCOME RECEIVED
El $500'$1,000
OVER $100,000
CONSlDERTIQN FOR WHICH INCOME WAS RECEIVED
Salary 0 Spouse's or registered domestic partner's Income
(For self-employed use Schedule A-2.)
0 than 10% ownership. For 10% or greater use
Schedule A-2.)
1:2
El Sale of
Loan repayment
[] Commission m LI Rental Income, list east; source of $10,000 or more
(Reel property, car, boat, etc.)
Other
(Describe)
(Describe)
NAME OF SOURCE OF INCOM
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
0 $500 - $1,000
0 $1,001 m0,000
El OVER $100,000
CONSIDERATION FOR WHICH INCOM WAS RECEIVED
0 Salary D domestic partner's Income
(For self-employed use Schedule A-2.)
LI PartnershIp (Less than 10% ownershIp. For 10% or greater use
Schedule A-2.)
0 Sale m
El Loan repayment
Commission or
0 Other
(Real property, car, boat, etc.)
U Rental Income, list each source of $10,000 or more
(Describe)
(Describe)
You are no required to report loans from commercia 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 (Busines Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
0 $500'm,000
[]$1m01 - $10,00
LJ$m.ou1'$mo.ouu
0 OVER $100,000
Comments:
INTEREST RATE TERM (Months/Years)
% 0 None
SECURITY FOR LOAN
LJNone [] Personal residence
Real Property
0 Guarantor
0 Other
Street address
(Describe)
FPPC Form 700 (2014/2015) Sch. C
FPPC Advice Email: advIce@fppc.ca.gov
Fppc Toll-Free *o|pnne'000/urs-3zro www.fppc.ca.gov