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Matarrese 7004. Schedule Summary (must compete) Schedules attached LI Schedule A-1 - Investments — schedule attached El Schedule A-2 - Investments— schedule attached Kl Schedule B - Real Property — schedule attached -or- Total number of pages including this cover page: RI Schedule C - Income, Loans, & Business Positions — schedule attached El Schedule D » Income — Gifts — schedule attached El Schedule E Income — Gifts — Travel Payments — schedule attached one No reportable interests on any schedule CALIFORNIA FORM 70 0 FAIR POLITICAL PRACTICES COIAMISSION A PUBLIC DOCUMENT Please type or print in ink. STATEMENT OF ECONOMIC INTERESTS COVER PAGE 7111 iri !al Hin Received Ofltcial Use Only MAR 2 '2, 2016 CITY OI ALAMEDA RKS OITICE NAME OF FILER (LAST) Matarrese (FIRST) Francis LI I Joseph 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Alameda Division, Board, Department, District, if applicable City Council Your Position Vice Mayor 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) 0 State 0 Multi-County LZI City of Alameda 0 Judge or Court Commissioner (Statewide Jurisdiction) 0 County of 0 Other 3. Type of Statement (Check at least one box) yi Annual: The period covered is January 1, 2015, through December 31, 2015. -or- The period covered is / , through December 31, 2015. O Assuming Office: Date assumed _/ O Candidate: Election year I=1 Leaving Office: Date Left (Check one) o The period covered is January 1, 2015, through the date of leaving office. -or- C) The period covered is , through the date of leaving office. and office sought, if different than Part 1: 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) 2263 Santa Clara Avenue CITY Alameda STATE CA ZIP CODE 94501 DAYTIME TELEPHONE NUMBER ( 510 ) 759-9290 E-MAIL ADDRESS fmatarrese@alamedaca.gov 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 foregoing is true and correct. Date Signed 3 2S(2.0162 (month, day year) Signature ( ) FPPC Form 700 (2015/2016) 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) • ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 2221 Harbor Bay Parkway CITY Alameda CA 94502 FAIR MARKET VALUE 0 $2,000 - $10,000 El $10,001 - $100,000 0 0100,001 - $1,000,000 Ej Over $1,000,000 NATURE OF INTEREST Ownership/Deed of Trust IF APPLICABLE, LIST DATE: / / 15 11 03 is ACQUIRED DISPOSED El Leasehold 0 Easement Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0 - $499 0 0500 - $1,000 D stool - slum IZ $10,001 - $100,000 El 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 Boost Healthcare Consulting LLC t CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Francis Joseph Matarrese • ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE 0 $2,000 - 510,000 0 $10,001 - $100,000 0 5100,001 - 51,000,000 0 Over $1,000,000 NATURE OF INTEREST 0 Ownership/Deed of Trust 0 Leasehold IF APPLICABLE, LIST DATE: 15 ACQUIRED DI OSED D Eas ent Yrs. remaining Other IF RENTAL PROPERTY, GROSS I 0 E RECEIVED 0 $0 - $499 0 $500 - ,000 D 51,001 - 510,000 0 510,001 - 5100,000 0 OVER 5100,000 SOURCES OF RENT INCOME: If you own a 10% or greater interest, list the e of each tenant that is a single source of income of $10 el0 or more. D None * You are not required to report loans from commerci ending institutions made in the lender's regular course o business on terms available to members of the p is without regard to your official status. Personal loans d loans received not in a lender's regular course r business must be disclosed as follows: NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM onths/Years) % 0 None HIGHEST BALANCE DU G REPORTING PERIOD 0 $500 - $1,000 0 01,001 - 010,000 El $10,001 - $10$ 400 0 OVER 5100,000 0 Guarantor if applicable NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF L DER INTEREST RATE TERM (Months/Years) None HIGHEST BA ICE DURING REPORTING PERIOD 0 $500 - ,000 0 $1,001 - 510,000 11 sOl - $100,000 0 OVER $100,000 lei Guarantor, if applicable Co ments: FPPC Form 700 (2015/2016) Sch. B FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 860275-3772 www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) CALIFORNIA: FORM 700 PAIR POLITICAL PRACTICES COMMISSION Name Francis Joseph Matarrese t INCOME RECEIVED 1. INCOME RECEIVED NAME OF SOURCE OF INCOME Penumbra, Inc ADDRESS (Business Address Acceptable) 1500 Harbor Bay Parkway Alameda CA 94502 BUSINESS ACTIVITY, IF ANY, OF SOURCE Medical Device Manufacturing YOUR BUSINESS POSITION Quality Assurance Consultant GROSS INCOME RECEIVED 0 $500 - $1,000 0 $10,001 - $100,000 ZI $1,001 - $10,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED 0 Salary Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) 0 Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) 0 Sale of (Real property, car, boat, etc.) 0 Loan repayment Commission or Rental Income, list each source of S10,000 or more Other Consulting fee (Describe) (Describe) NAME OF SOURCE OF INCOME WASC Senior College and University Commission ADDRESS (Business Address Acceptable) 985 Atlantic Avenue Suite 100 Alameda CA 94501 BUSINESS ACTIVITY, IF ANY, OF SOURCE Educational accreditation YOUR BUSINESS POSITION Commission support (employee) GROSS INCOME RECEIVED 0 $500 - $1,000 11 $10,001 - $100,000 0 $1,001 - $10,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED D Salary [Z1 Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) 0 Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) 0 Sale of (Real property, car, boat, etc.) 0 Loan repayment 111 Commission or Rental Income, list each source of $10,000 or more (Describe) 0 Other (Describe) 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD You are not required to report loans from commercial lending institutions, or any indebtedness created as retail installment or credit card transaction, made in the lender's regular course of business on term members of the public without regard to your official status. Personal loans and loans receive. - • 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 El $500 - $1,000 0 stool - w.00° 0 vox, - swum 0 OVER $100,000 INTEREST RATE S • -ITY FOR LOAN None rt of a ailable to in a lender's TERM (MonthsNears) 0 None 0 Personal residence 0 Real Property Street address City 0 Guarantor 0 Other (Describe) M ents• FPPC Form 700 (2015/2016) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov