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Burton 700CALIFORNIA FORM 700 FAIR POLITICAL PFIACTICES'CONIMISSION A PUBLIC DOCUMENT Please type or print in ink. NAME OF FILER (LAST) STATEMENT OF ECONOMIC INTERESTS (FIRST) Burton David Joseph COVER PAGE CITY OF ALAmpli2A CITY Ct°ERK'S OFFICE 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Alameda Division, Board, Department, District, if applicable Your Position Planning Board Board Member N. 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) El State LI Multi-County Alameda City of 3. Type of Statement (Check at least one box) Annual: The period covered is January 1, 2016, through December 31, 2016. The period covered is /_/ December 31, 2016. -or- El Assuming Office: Date assumed [7] Candidate: Election year 4. Schedule Summary (must complete) Schedules attached through 111 Judge or Court Commissioner (Statewide Jurisdiction) 1=I County of CI Other ID 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: ■ Total number of pages including this cover page: LI Schedule A-1 - Investments — schedule attached Schedule A-2 - Investments — schedule attached LI Schedule B - Real Property — schedule attached -or- LI - No reportable interests on any schedule E3 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) 2263 Santa Clara Avenue DAYTIME TELEPHONE NUMBER ( 510 ) 747-7400 CITY Schedule C - Income, Loans, & Business Positions — schedule attached El Schedule D - Income — Gifts — schedule attached Schedule E - Income — Gifts — Travel Payments — schedule attached Alameda STATE ZIP CODE CA 94501 E-MAIL ADDRESS dburton@burtonarchitect.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 ,%•'lit document. I certify under penalty of perjury under the laws of the State of California 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) P 1. BUSINESS ENTITY OR TRUST, Burton Architecture Name 1913 Broadway, Suite A, Alameda, CA 94501 Address (Business Address Acceptable) Check one 0 Trust, go to 2 El Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Architecture FAIR MARKET VALUE O 50 - 51,999 0 52,000 - 510,000 510,001 - 5100,000 0 $100,001 - $1,000,000 0 Over 51,000,000 E3 NATURE OF INVESTMENT IF APPLICABLE, LIST DATE: _/_/ 16 _/_/ 16 ACQUIRED DISPOSED 0 Partnership El Sole Proprietorship Owner YOUR BUSINESS POSITION LI Other SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) 111 50 - $499 0 $500 - $1,000 Lil $1,001 - $10,000 $10,001 - 5100,000 El OVER 5100,000 INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.) None or El Names listed below r 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED tly, THE BUSINESS ENTITY OR TR1JST 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 or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: El 52,000 - 510,000 0 $10,001 - $100,000 0 $100,001 - $1,000,000 0 Over 51,000,000 NATURE OF INTEREST O Property Ownership/Deed of Trust 0 Stock LI Partnership 0 Leasehold 0 Other Yrs. remaining 0 Check box if additional schedules reporting investments or real property are attached / 16 / 16 ACQUIRED DISPOSED Comment CALIFORNIA FORM FAIR POLITICAL PRACTICES COMMISSION Name 1., BUSINESS ENTITY OR ,TRUST Name Address (Business Address Acceptable) Check one EJ 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: El $0 - $1,999 0 52,000 - 510,000 / / 16 / / 16 O sio,00i - $100,000 ACQUIRED DISPOSED O $100,001 - $1,000,000 0 Over $1,000,000 NATURE OF INVESTMENT El Partnership 0 Sole Proprietorship YOUR BUSINESS POSITION Other - a t es 'el- --•-• • SHARE OF THE GROSS INCOME 1'0 THE ENTITY/TRUST) LI $0 - $499 0 5500 - $1,000 0 $1,001 - $10,000 0 $10,001 - $100,000 0 OVER $100,000 INCOME OF $10,000 OR MORE (Attica a separate sheet It necessary.) El None or 01 Names listed below 4 INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED 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 or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 0 52,000 - $10,000 0 $10,001 - 5100,000 / / 16 _/ / 16 0 5100,001 - 51,000,000 ACQUIRED DISPOSED 0 Over $1,000,000 NATURE OF INTEREST 0 Property Ownership/Deed of Trust 0 Stock 0 Partnership El Leasehold 0 Other Yrs. remaining 0 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 C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) FAIR POLITICAL PRACTICES COMMISSIONI Name —7 / 10.. 1. INCONIE RECEIVED. 10: '1. INCOME RECEIVED NAME OF SOURCE OF INCOME KTGY Group, Inc. ADDRESS (Business Address Acceptable) 58O Second Street, Suite 2UO. Oakland, CA04O07 BUSINESS ACTIVTY, IF ANY, OF SOURCE Architecture YOUR BUSINESS POSITION Executive Director GROSS INCOME RECEIVED []5500 51,00 0 510,001 - 5100,000 E3 No Income Business Position only OVER 5100,000 NAME OF SOURCE OF INCOME ADDRESS (Busines Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED []a500 51,00 0 No Income - Business Position only LJ 51.001 510,000 0 OVER 5100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary 0 Spouse's or registered domestic partner's income 0 Salary 0 Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) (For self-employed use Schedule A-2.) LI Partnership (Less than 10% ownership. For 10% or greater use � LI Partnership (Less than 10% ownership. For 10% or greater Schedule A-2.) Schedule A-2.) O Sale of LJ Loan repayment • Commission or Other (Real property,car boat, °tc.) LJ Rental Income, list each source mx,0,0o or more O Sale of (Real properly.car, boat, otc.) LJ Loan repayment [] Commission n, 0 Rental Income, list each ,""rre.'w^ovoormore 0 Other (Describe) * 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 Ioans and Ioans received not in a lender's regular course of business must be disclosed as foliows: NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD El $500 51.000 0 51,001 '510,000 0 m10/01 s100,00 0 OVER 5100,000 Comments: INTEREST RATE TEmw(months/Years) m El None SECURITY FOR LOAN 0 None El Personal residence El Real Property O Guarantor O Other Street address City FPPC Form 700 (20 6/2017) Sch. C FPPC Advice Email: advice@fppc.ca.gov Fppc Toll-Free *e|pxnc:uaa/ars'a77z www.fppc.ca.gov