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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