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Zuppan 700CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT Please type or print in ink. NAME OF FILER (LAST) STATEMENT OF ECONOMIC INTERES COVER PAGE (FIRST) Zuppan Lorre 1. Office, Agency, or Court Agency Name (Do not use acronyms) Planning Board Division, Board, Department, District, if applicable Your Position Member 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) fl State 0 Multi-County City of Alameda 3. Type of Statement (Check at least one box) Annual: The period covered is January 1, 2016, through December 31, 2016. -or- The period covered is December 31, 2016. El Assuming Office: Date assumed III Candidate: Election year through Position: .71 APR 0 3 2017 CITY OF ALAMEDA CITY CLERRLS OFFICE 0 Judge or Court Commissioner (Statewide Jurisdiction) 0 County of 0 Other E] Leaving Office: Date Left (Check one) 0 The period covered is January 1, 2016, through the date of leaving office. -or- 0 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 E3 E3 DI Schedule A•1 - Investments — schedule attached Schedule A-2 - Investments — schedule attached Schedule B - Real Property — schedule attached -o r- None - No reportable interests on any schedule Schedule C - Income, Loans, & Business Positions — schedule attached ['Schedule D - Income — Gifts — schedule attached EI Schedule E - Income — Gifts — Travel Payments — schedule attached 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) 2986 Southwood Dr. DAYTIME TELEPHONE NUMBER CITY Alameda E-MAIL ADDRESS STATE ZIP CODE CA 94501 ( 510 ) 749-6790 zuppan@branes.com 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 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. • NAME OF BUSINESS ENTITY Bank of America GENERAL DESCRIPTION OF THIS BUSINESS Banking FAIR MARKET VALUE 0 52,000 - $10,000 0 5100,001 - 51,000,000 510,001 - 5100,000 0 Over 51,000,000 NATURE OF INVESTMENT O Stock 0 Other (Descnbe) O Partnership 0 Income Received of $0 - $499 0 Income Received of 5500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 16 16 ACQUIRED DISPOSED • NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 52,000 - 510,000 0 5100,001 - 51,000,000 NATURE OF INVESTMENT O Stock 0 Other 0 $10,001 - 5100,000 0 Over $1,000,000 (Describe) O Partnership 0 Income Received of 50 - 5499 0 Income Received of 5500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: /__j 16 /_/ 16 ACQUIRED DISPOSED • NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 52,000 - $10,000 0 5100,001 - $1,000,000 0 510,001 - $100,000 0 Over 51,000,000 NATURE OF INVESTMENT O Stock 0 Other (Describe) O Partnership 0 Income Received of 50 - 5499 0 Income Received of 5500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / / 16 _/_/ 16 ACQUIRED DISPOSED Comments: CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Lorre Zuppan • NAME OF BUSINESS ENTITY Lam Research GENERAL DESCRIPTION OF THIS BUSINESS Technology FAIR MARKET VALUE 52,000 - 510,000 0 5100,001 - $1,000,000 0 510,001 - $100,000 El Over 51,000,000 NATURE OF INVESTMENT 0 Stock 0 Other (Describe) O Partnership 0 Income Received of 50 - 5499 0 Income Received of 5500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED • NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 52,000 - 510,000 0 $100,001 - 51,000,000 0 $10,001 - 5100,000 0 Over 51,000,000 NATURE OF INVESTMENT O Stock J Other (Describe) O Partnership 0 Income Received of $0 - 5499 0 Income Received of 5500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / / 16 __/_/ 16 ACQUIRED DISPOSED • NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 S2,000 - 510,000 FIJ 5100,001 - $1,000,000 IIIII si 0,001 - $100,000 0 Over 51,000,000 NATURE OF INVESTMENT O Stock 0 Other (Descnbe) 0 Partnership 0 Income Received of 50 - 5499 0 Income Received of S500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / / 16 /_/ 16 ACQUIRED DISPOSED FPPC Form 700 (2016/2017) 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) r 1. BUSINESS ENTITY OR TRUST branes, LLC Name 2986 Southwood Dr., Alameda, CA 94501 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: 0 so - $1,999 fl 52,000 - $10,000 / 16 / / 16 111 510,001 - $100,000 ACQUIRED DISPOSED 5100,001 - $1,000,000 0 Over $1,000,000 NATURE OF INVESTMENT 0 Partnership El Sole Proprietorship YOUR BUSINESS POSITION LLC Other ,a -0 a SHARE OF THE GROSS INCOME IQ THE ENTITY/TRUST) 9 0 $0 - $499 0 $500 - $1,000 El $1,001 - $10,000 0 510,001 - $100,000 OVER $100,000 • g - • INCOME MORE (Attaat, a sePara • $10 000 OR M El None or 0 Names listed below Lam Research Corporation, M Squared Consulting LEASED fa THE BUSINESS ENTITY OR TRUST I0 • ° Check one box: 111 INVESTMENT El REAL PROPERTY Name of Business Entity, if Investment, gr 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: El S2,000 - $10,000 0 510,001 5100,000 _/_/ 16 / / 16 LI 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 0 Check box if additional schedules reporting investments or real property are attached Comments" 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 Lorre Zuppan EJ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 0 50 - $1,999 0 $2,000 - $10,000 _/_/ 16 _/ / 16 0 $10,001 - $100,000 ACQUIRED DISPOSED 0 $100,001 - $1,000,000 Over 51,000,000 NATURE OF INVESTMENT El Partnership LI Sole Proprietorship YOUR BUSINESS POSITION Other SHARE OF THE GROSS INCOME IQ THE ENTITY/TRUST) El $0 - $499 0 $500 - 51,000 0 $1,001 - 510,000 • El 510,001 - $100,000 0 OVER $100,000 INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.) None or Names isted below 4. -t 1-- A - I - A 1., •- LEASED .);Iy. THE BUSINESS ENTITY OR TRUST Check one box: 0 INVESTMENT 0 REAL PROPERTY Name of Business Entity, if Investment, 121 Assessor's Parcel Number or Street Address of Real Property Description of Business Activity Di City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 0 $2,000 - 510,000 111 510,001 - $100,000 / / 16 / / 16 O 5100,001 - 51,000,000 ACQUIRED DISPOSED El Over 51,000,000 NATURE OF INTEREST O Property Ownership/Deed of Trust 0 Stock 0 Partnership El Leasehold El Other Yrs. remaining Check box if additional schedules reporting investments or real property are attached FPPC Form 700 (2016/2017) 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) • ASSESSORS PARCEL NUMBER OR STREET ADDRESS 2986 Southwood Dr. CITY Alameda, CA 94501 FAIR MARKET VALUE 510,001 - 5100,000 0 *100,o01 m1,000,000 0 Over 51,000,000 � NATURE OF INTEREST � Ownership/Deed of Trust 0 Leasehold Yrs. remaining IF APPLICABLE, LIST DATE: ---/ / 16 / /1G ACQUIRED DISPOSED 0 Easement Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED � 0 5500 51,000 0 51,001 510,000 0 510,001 - 5100,000 0 OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10m or greater interest, Iist the name of each tenant that is a single sour� of income of $10,000 or more. 0^onn n.a. CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Lorre Zuppan • ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE 0 52,000 -510,000 Dam.uo1'51uo,00m LJmnuo 1 51,000,000 0 Over 51,000,000 NATURE OF INTEREST Ownership/Deed of Trust 0 Leasehold IF APPLICABLE, LIST DATE / / 16 L L--1 16 ACQUIRED DISPOSED 0 Easement El Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 5 549 []5500 51.000 051.001 510,00 0 510,001 - 5100,000 0 OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 1O% or greater interest, Ust Ibe name of each tenant tha is a single source of income m$1o.nnuv,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 !oans 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 � o None TERM (Months/Years) HIGHEST BALANCE DURING REPORTING PERIOD []5500 51,000 []$1,0m1 510,000 0 510,001 - 5100,000 0 OVER 5100,000 0 Guarantor, if applicable Comments: NAME OF LENDER* ADDRESS (Business Address Acceptable) SUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) None HIGHEST BALANCE DURING REPORTING PERIOD o 550 51,00 []51.0o1 510,000 o 510,001 - 5100,000 OVER 5100,000 0 Guarantor, if applicable FPPC Form 700 (2016/2017) Sch. B FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Help line: 866/275-3772 wvm*xppc.cv.gvv SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) . . . . . CALIFORNIA FOIRM 700 FAIR POLITICAL PRACTICES COMMISSION Name Lorre Zuppan F I. INCOME RECEIVED .10- I. INCOME RECEIVED NAME OF SOURCE OF INCOME See schedule A-2. Spousal income not reportable. ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED 0 $500 - S1,000 El $10,001 - $100,000 No Income - Business Position Only LI $1,001 - $10,000 [i] OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary Ell 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 El Loan repayment El Commission or ▪ Other (Real property, car boat, etc.) El Rental Income, list each source of moo or more (Describe) (Describe) NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED El $500 - $1,000 Ej $10,001 - $100,000 E] No Income - Business Position Only El $1,001 - $10,000 El OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED El Salary El Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) 111 Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) 0 Sale of El Loan repayment 0 Commission or O Other (Real property, car, boat, etc.) 1:11 Rental Income, list each source of 510,000 or more (Describe) (Describe) LO, R 1 * OR 0 TA ®I U IN T - e IIIG ° ° OD * 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 S500 - $1,000 0 $1,001 - $10,000 ID $10,001 - $100,000 Lul OVER $100,000 Comments: INTEREST RATE % El None SECURITY FOR LOAN ▪ None D Personal residence TERM (MonthsfYears) II Real Property El Guarantor E] Other Street address City (Describe) FPPC Form 700 (2016/2017) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov