Loading...
Daysog 700CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Please type or print in ink. STATEMENT OF ECONOMIC INTEREST COVER PAGE A PUBLIC DOCUMENT NAME OF FILER (LAST) \-tisc34a (FIRST) 0774 1. Office, Agency, or Court Agency Name (Do not use acronyms) Division, Board, Department, District, if applicable ro tc If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Your Position Agency: 2. Jurisdiction of Office (Check at least one box) 0 State Multi-County City of 41----A-k-re3)4 Position: Filirecei JAN 2 2 2119 Wra E1Judge or Court Commissioner (Statewide Jurisdiction) ['County of II] Other 3. Type of Statement (Check at least one box) 0 Annual: The period covered is January 1, 2018, through III Leaving Office: Date Left / / December 31, 2018. (Check one circle.) The pe through riod covered is / / 0 The period covered is January 1, 2018, through the date of December 31, 2018. -or- leaving office. lj#1 Assuming Office: Date assumed 1 1---/ / ti5/ Z-0/ A 0 The period covered is / / , through the date of leaving office. E] Candidate: Date of Election and office sought, if different than Part 1: 4. Schedule Summary (must complete) ■ Total number of pages including this cover page: Schedules attached -or- El Schedule A-1 - Investments — schedule attached 0 Schedule A-2 - Investments — schedule attached Schedule B - Real Properly — schedule attached -or- LI None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) A-C 6147 , DAYTIME TELEPHONE NUMBER ( 7-7 — 2-2-0 Schedule C - Income, Loans, & Business Positions — schedule attached Schedule D - Income — Gifts — schedule attached ri Schedule E - Income — Gifts — Travel Payments — schedule attached CITY (31/--A--/-%.t-T7& EMAIL ADDRESS •—r-DAY5z)z4 ALA /--1-ai)A_C € oti STATE ZIP CODE 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 forego! ue and correct. Date Signed 1 / /24 1 9 f Signature (month, day, year) ( : ) FPPC Form 700(2018/2019) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Page - 5 SCHEDULE B Interests in Real Property (Including Rental Income) ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS oc, CITY AL-A, ockk C FAIR MARKET VALUE El $2,000 - $10,000 Lil $10,001 - $100,000 0 $100,001 - $1,000,000 0 Over $1,000,000 NATURE OF INTEREST Ownership/Deed of Trust 0 Leasehold IF APPLICABLE, LIST DATE: .); 21//±/14;_ / 18 ACQUIRED DISPOSED 0 Easement Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0 - $499 0 $500 - $1,000 teI $1,001 - $10,000 0 $10,001 - $100,000 0 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. None 700 CALIFORNIA FORM FAIR POLITICAL PRACTICES COMMISSION Name ■ ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE El $2,000 - $10,000 0 $10,001 - $100,000 0 $100,001 - $1,000,000 0 Over $1,000,000 IF APPLICABLE, LIST DATE: / /_18_ ACQUIRED DISPOSED NATURE OF INTEREST 0 Ownership/Deed of Trust 0 Easement O Leasehold Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 80 - $499 0 $500 - $1,000 0 $1,001 - $10,000 O $10,001 - $100,000 OVER 8100,000 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. El None You are not required to report loans from a commercial lending institution made in the lenderregular Oourse of business oniermsavailable to rnem,bers 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 INTEREST RATE TERM (Months/Years) None HIGHEST BALANCE DURING REPORTING PERIOD 0 $500 - $1,000 El $1,001 - $10,000 0 $10,001 - $100,000 0 OVER $100,000 r NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE El None HIGHEST BALANCE DURING REPORTING PERIOD TERM (Months/Years) 0 $500 - 81,000 0 810,001 - 8100,000 0 Guarantor, if applicable 0 Guarantor, if applicable Comments: LI 81,001 - 810,000 0 OVER $100,000 FPPC Form 700 (2018/2019) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Page - 11