Daysog 700CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink,
NAME OF FILER (LAST)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
r J4, AV
6', 1.1...e
Division, Board, Department, District, if applicable
C-, A
If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
STATEMENT OF ECONOMIC INTERESTS
(FIRST)
COVER PAGE
Your (Position
Agency:
2. Jurisdiction of Office (Check at least one box)
• State
LI Multi-County
[1 City of
AAA
3. Type of Statement (Check at least one box)
7,1YI 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
• Candidate: Election year
Position .
IDDLE)
Judge or Court Commissioner (Statewide Jurisdiction)
['County of
Other
Leaving Office: Date Left / 1 / 2-1.5 t
(Check one)
ID The period covered is January 1, 2015, through the date of
leaving office.
-Or-
o The period covered is through
the date of leaving office.
and office sought, if different than Part 1:
4. Schedule Summary (must complete) ■ Total number of pages including this cover page:
Schedules attached
E] Schedule A-1 - Investments - schedule attached
El Schedule A-2 - Investments - schedule attached
0 Schedule B - Real Property - schedule attached
-or-
• None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER
E] Schedule C - Income, Loans, & Business Positions - schedule attached
0 Schedule D - Income - Gifts - schedule attached
Schedule E- Income - Gifts - Travel Payments - schedule attached
CITY
E-MAIL ADDRESS
STATE
CA
ZIP CODE
H
1 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
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statements.
0- NAME OF BUSINESS ENTITY
GENE AL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 52,000 - $10,00
LI 5-1 o,00i - 51 0 0 , 0 0 0
0
0 5100,001 - 51,0000 0 Over 51,000,000
\‘.
NATURE OF INVESTMENT
O Stock El Other
(Describe)
El Partnership Q Income Receive\dsqf 50 - 5499
0 Income Received dr.,.$500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
15 / 15
ACQUIRED DISPOSED
• NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 $2,000 - 510,000
0 $100,001 - $1,000,000
0 510,001 - 5100,000
El Over 51,000,000
NATURE OF INVESTMENT
0 Stock 0 Other
(Describe)
fl Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
15 / / 15
ACQUIRED DISPOSED
• NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 $2,000 - 510,000
0 $100,001 - $1,000,000
0 510,001 - 5100,000
0 Over $1,000,000
NATURE OF INVESTMENT
O Stock 0 Other
(Describe)
O Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
/ 15 / 15
ACQUIRED DISPOSED
Comments:
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
10 NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 52,000 - 510,000
O 5100,001 - 51,000,000
0 $10,001 - 5100,000
El Over 51,000,000
NATURE OF INVESTMENT
O Stock El Other
(Desclibe)
El Partnership 0 Income Received of $0 - 5499
0 Income Received of 5500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
/ / 15 __/_/ 15
ACQUIRED DISPOSED
10 NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 $2,000 - 510,000
• El 5100,001 - 51,000,000 El Over 51,000,000
0 $10,001 - $100,000
NATURE OF INVESTMENT
'1111 Stock 0 Other
(Describe)
O Partnership 0 Income Received of 50 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
_/_/ \IS / / 15
ACQUIRED DISPOSED
• NAME OF BUSINESS E
GENERAL DESCRIPTION 0
FAIR MARKET VALUE
El $2,000 - 510,000
0 $100,001 - $1,000,000
NATURE OF INVESTMENT
O Stock 0 Other
(Describ/1
O Partnership 0 Income Received of 50 - 5499
0 Income Received of $500 or More\(Report on Schedule C)
THIS BUSINESS
0
510 001 - $100,000
0 Over 1,000,000
IF APPLICABLE, LIST DATE:
/ / 15
ACQUIRED
_/_/ 15
DISPOSED
FPPC Form 700 (2015/2016) Sch. A-1
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)
■ 1. BUSINESS ENTITY OR TRUST
Name
(
j
(3 R4:2,
Address (Business AddresL'Acceptable)
Check one
Trust, go to 2
Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 50 - $1,999
0 52,000 - $10,000 15
111 sio,00l - 5100,000 ACQUIRED
$100,001 - $1,000,000
Over $1,000,000
IF APPLICABLE, LIST DATE:
NATURE OF INVESTMENT
0 Partnership
Sole Proprietorship 0
YOUR BUSINESS POSITION
CALIFORNIA FORM 700
FAIR pOLITicAL•pRACTICES COMMISSION
Name
1. BUSINESS ENTITY OR TRUST
Name
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
o so - $1,999
/ / 15 0 52,000 - 510,000
DISPOSED 0 510,001 - 5100,000
0 $100,001 - 51,000,000
0 Over $1,000,000
r I (1,4 -
Other
c .ssty;_c_a__ 4
1 1 or - c, ID 's • °",
SHARE OF THE GROSS INCOME :ILO., THE ENTITY/TRUST)
0 $0 - $499
0 $500 - 51,000
El stool - 510,000
$10,001 - 5100,000
O OVER 5100,000
INCOME OF $10,000 OR MORE (Attach a sePatate sheet 9 necessary)
None
or 1 1 Names listed below
LEASED THE BIJSINESS ENTITY OR TRUST
Check one box:
0 INVESTMENT
REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of of Business Aiivity
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0 52,000 - 510,000
O 510,001 - 5100,000 _i__/ 15 / / 15
5100,001 - $1,000,000 ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
Property Ownership/Deed of Trust 0 Stock 0 Partnership
0 Leasehold 0 Other
Yrs. remaining
0 Check box if additional schedules reporting investments or real property
are attached
CommentQ•
GA.,\ ciNk( 6T-e,
IF APPLICABLE, LIST DATE:
NATURE OF INVESTMENT
0 Partnership o Sole Proprietorship
YOUR BUSINESS POSITION
/ L1
ACQUIRED DISPOSED
Other
SHARE OF THE GROSS INCOME m THE ENTITY/TRUST)
0 50 - 5499
0 5500 - $1,000
O stool - 510,000
O 510,001 - 5100,000
O OVER $100,000
• ° •
INCOME OF $10,000 OR MORE (Attach a separate street if necessary.)
None or • Names listed below
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
0 INVESTMENT
0 REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity a
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0 52,000 - 510,000
O 5 / 15
Sio,00i - 5100,000 / 1
0 5100,001 - $1,000,000 ACQUIRED DISPOSED
0 Over 51,000,000
NATURE OF INTEREST
0 Property Ownership/Deed of Trust 0 Stock 0 Partnership
0 Leasehold 0 Other
Yrs. remaining
Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (2015/2016) 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)
P. ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
7
CITY
Asr C A
FAIR MARKET VALUE
El $2,000 - $10,000
$10,001 - $100,000
X$100,001 - $1,000,000
I=1 Over $1,000,000
IF APPLICABLE, LIST DATE:
_/_/ 15 / / 15
ACQUIRED DISPOSED
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
• ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
E1 $2,000 - $10,000
El $10,001 - $100,000 / / 15 / 15
fl 5100,001 - $1,000,000 ACQUIRED DISPOSED
1=1 Over $1,000,000
NATURE OF INTEREST NATURE OF INTEREST
Ownership/Deed of Trust Easement
El Leasehold
El Ownership/Deed of Trust E Easement
1:1 fl Leasehold
Yrs. remaining Other Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
1=1 50 - $499 El $500 - $1,000 E $1,001 - $10,000
E 510,001 - 5100,000 fl 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 810,000 or more.
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
El $0 - $499 $500 - $1,000 $1,001 - $10,000
El $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.
(CI None 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 (Months/Years)
% None
HIGHEST BALANCE DURING REPORTING PERIOD
0 $500 - $1,000
El $10,001 - $100,000
E] Guarantor, if applicable
Comments:
$1,001 - $10,000
El OVER $100,000
INTEREST RATE TERM (Months/Years)
% El None
HIGHEST BALANCE DURING REPORTING PERIOD
LI $500 - $1,000 El $1,001 - $10,000
El $10,001 - $100,000 LI OVER $100,000
E Guarantor, if applicable
FPPC Form 700 (2015/2016) Sch. B
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 PIRACTICES COMMISSION
Name
Ob. 1. INCOME RECEIVED
1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
ADDNESS (Business Address Acceptablei
\/ \/
--
��
� U_ '��� �
ouo/wsaoAcrxx4x IF ANY, SOURCE
� A ` b*
YOUR BUSINESS POSITION
C C�
GROSS INCOME RECEIVED
El 5500'$1,000
OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
E Salary El Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2,)
Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
[]Sale of
111 Loan repayment
El Commission or [] Rental Income, list each source ofo/«mmor more
(Real property, car, boat, etc.)
Other
(Describe)
NAME OF SOURCE OF INCOM
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
1=1 $5m'$1,000
[�51/001-510,000
OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
[]Salary 1=1 Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.)
El Partnership (Less than 1um ownership. For 1num greater use
Schedule A-2.)
LJ Sale of
LJ
Loan repayment
Commission or
El Other
(Real poperty,car, boat, atc.)
Rental source of 310,000 or more
* 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
eWbers of the public without regard to your official status. Personal Ioans and Ioans received not in a lender's
regular-course of business must be disclosed as follows:
NAME OF LENDER*
ADDRESS (BusThess Address
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
n500 'm1,00
El $1,001 'mm.ouo
LJ$10.001 »100,000
p OVER $100,000
Comments:
INTEREST RATE
% 1=1 None
SECURITY FOR LOAN
TERM (MomhsNears)
El None El Personal residence
El Real Property
Guarantor
11 Other
Street address
(Describe)
PPC Form 700 (2015/2016) Sch. C
~
• NAME OF SOURCE (Not an Acronym)
ADDRESS (Buiness Address Acceptable)
BUSINESS ACTIVITY, IFNANY, OF SOURCE
DATE (mm/dd/yy) VALUE
_J-
LJ
/
• NAME OF SOURCE (Not an Acronym)
SCHEDULE D
Income — Gifts
DESCRIPTION OF GIFT(S)
CAI.,IFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
• NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE
I
s
• NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S)
DATE (mm/dd/yy) VALUE
1 /
$
DESCRIPTION OF GIFT(S)
• NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE
Comments:
DESCRIPTION OF GIFT(S)
DATE (mm/dd/yy) VALUE
DESCRIPTION OF GIFT(S)
c
• NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE'
DATE (mm/dd/yy) VALUE
DESCRIPTION OF GIFT(S)
FPPC Form 700 (2015/2016) Sch. D
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE E
Income — Gifts
Travel Payments, Advances,
and Reimbursements
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
(
• Mark either the gift or income box.
• Mark the "501(c)(3)" box for a travel payment received from a nonprofit 501(c)(3) organization
or the "Speech" box if you made a speech or participated in a panel. These payments are not
subject to the $460 gift limit, but may result in a disqualifying conflict of interest.
• For gifts of travel that occurred on or after January 1, 2016, provide the travel destination.
• NAME OF SOURCE (Not an Acronym) 1 ■ NAME OF SOURCE (Not an Acronym)
ADDRESS (Bus) ess Address Acceptable)
CITY AND STATE
501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S): - AMT:
(If gift)
• MUST CHECK ONE:
O Made a Speech/Participated in a Panel
O Other - Provide Description
• If Gift, Provide Travel Destination
• NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
O 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
ADDRESS (Business Address Acceptable)
CITY AND STATE
El 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S): _/_/ - AMT:
(If gift)
• MUST CHECK ONE:
Gift -or- D Income
O Made a Speech/Participated in a Panel
o Other - Provide Description
• If Gift, Provide Travel Destination
DATE(S):_/_/_ - / AMT:
(If gift)
• MUST CHECK ONE:
D Gift -or- Income
O Made a Speech/Participated in a Panel
O Other - Provide Description
• If Gift, Provide Travel Destination
Comments:
• NAME OF SOURCE (Not an Acronym)
\ ADDRESS (Business Address Acceptable)
CITY AND STATE
El 501 ((3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S): \-- - ___/_/._ A MT: ,
gift)
• MUST CHECK ONE: 0 -or- D Income
O Made a Speech/Pa t
rticip ed in a Panel
\0 Other - Provide Description ,
l• If Gift, Provide Travel Destination
FPPC Form 700 (2015/2016) Sch. E
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov