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White 700CALIFORNIA FORM700 FAIR POLITICAL PRACTICES COMMISSION Please type or print in ink. STATEMENT OF ECONOMIC INTERES COVER PAGE A PUBLIC DOCUMENT JFJCEIVE jecei xling 0 My CITY OF ALAMEDA CITY CLERK'S OFFICE NAME OF FILER (LAST) W h re, (FIRST) (MIDDLE) J- 1. Office, Agency, or Court Agency Name (Do not use acronyms) / Division, Bogl j Debartment, District, if applicable ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Your osition 004 fm e 411ae Agency: Position: 2. Jurisdiction of Office (Check at least one box) O State ❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) ❑Multi -County / 0 County of L?///l City of C ifnel4 0 Other 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2019, through 0 Leaving Office: Date Left December 31, 2019. (Check one circle.) •or- The period covered is , through 0 The period covered is January 1, 2019, through the date of December 31, 2019. -or• leaving office. ❑ Assuming Office: Date assumed [Candidate: Date of Election 0 The period covered is , through 1/ the date of leaving office. / 3 -2020 and office sought, if different than Part 1 4. Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached 0 Schedule A-1 - Investments - schedule attached Schedule A-2 - Investments - schedule attached Schedule B - Real Property - schedule attached -or- ❑ None - No reportable interests on any schedule ❑ Schedule C - Income, Loans, & Business Positions - schedule attached 0 Schedule D - Income - Gifts - schedule attached ❑ Schedule E • Income - Gifts - Travel Payments - schedule attached 5. Verification MAILING ADDRESS STREET CITY (Business or Ageng Address ,Recommended - Public Document) AYTI E TELEPHONE NUMBER STATE /9/ani eda C 9950 D EMAIL ADDRESS (W.r) g (06 41 ZIP CODE Orh.oS(aItIre.3Q. -kern 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. 1 certify under penalty of perjury under the laws of the State of California that ) FPPC Form 700 - Cover Page (2019/2020) advicel@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 5 SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) le 1. BUSINESS ENTITY OR TRUST � I1/`IG/S Lt.,,te Ifla,Vc7=71 Name t. 310 td esrll sL Ate, Iir33.03 Ak mea Z Y56 / 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 Mrkei# Co" c/r-ii FAIR • • NATURE • MARKET VALUE IF APPLICABLE, $0 - $1,999 $2,000 - $10,000 _/_ii2_ sio,00i - $100,000 $100,001 - $1,000,000 Over $1,000,000 OF INVTMENT Partnership Sole Proprietorship LIST DATE: _/_/_19_ ACQUIRED DISPOSED • YOUR Other BUSINESS POSITION tO(.r%nc YOUR Other BUSINESS POSITION ► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RAT, SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) • ■ $0 - $499 1500-11,000 1,001 - $10,000 • $10,001 - $100,000 ■ OVER $100,000 ► 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary) None or ❑ Names listed below • $10,001 - $100,000 • OVER $100,000 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary) None or • Names listed below P. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED THE BUSINESS ENTITY OR TRUST Check one box: MI INVESTMENT • REAL PROPERTY Name of Business Entity, if Investment, gr Assessor's Parcel Number or Street Address of Real Property Description of Business Activity gr City or Other Precise Location of Real Property FAIR MARKET VALUE ❑ $2,000 - $10,000 ID$10,001 - $100,000 _/_/139_ ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: NATURE OF INTEREST El Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold 0 Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION ► 1. BUSINESS ENTITY OR TRUST Name Address (Business Address Acceptable) Check one 0 Trust, go to 2 0 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR • i• • • • NATURE • MARKET VALUE $0 - $1,999 $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 OF INVESTMENT Partnership IF APPLICABLE, _/_/_11_ • Sole Proprietorship LIST DATE: _/_/_19_ ACQUIRED DISPOSED • YOUR Other BUSINESS POSITION 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RAT• SHARE OF THE GROSS INCOME TQ THE ENTITY/TRUST) IN • • $0 - $499 $500 - 11,000 $1,001 - $10,000 • $10,001 - $100,000 • OVER $100,000 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary) None or • Names listed below le 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED !SY THE BUSINESS ENTITY OR TRUST Check • one box: INVESTMENT • REAL PROPERTY Name Assessor's of Business Entity, if Investment, gr Parcel Number or Street Address of Real Property Description City FAIR • • • • NATURE III • of Business Activity gr or Other Precise Location of Real Property MARKET VALUE IF APPLICABLE, LIST DATE: $2,000 - $10,000 $10,001 - $100,000 -_J_/19_ _i_r_19_ $100,001 - 51,000,000 ACQUIRED DISPOSED Over $1,000,000 OF INTEREST Property Ownership/Deed of Trust • Stock • Partnership Leasehold • Other Yrs. remaining II Check box if additional schedules reporting investments or real property are attached Comments: FPPC Form 700 - Schedule A-2 (2019/2020) advicespfppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page -9