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Chen 700
CALIFORNIA FORM 0 70 STATEN/ENT CF E • • C INTERESTS Ti e FAIR POLITICAL PRACTICES COMMISSION ' — A A PUBLIC DOCUMENT covER „., „_ 2014 Please type or print in ink. — OF ALANI0A NAME OF FILER (LAST) (FIRST) CITY KS OFFICE C fit 61/11 -;--•-evA (c 1. OLce, Agency, or Court Agency Nan re (Do not use acronyrrs) fy /1 ()A- Division, Board, Cepartrrent, Dstrict, if applicable Your Pcsitiori e()V( erl eth keY it- . If ling for multiple positions, list below or on an attachrrent (Co not use acronyrrs) PgencY: Position: 2. Jurisdiction of OLce(Check at least one box) State 0 Judge cc Court Corrrrissioner(Statewide Juriscuction) IVLilti-County E County of City of 71/71 E-0/41 Pi Other 3. Type of Statement (Check at least one box) Ty-Annual: The period covered is January 1,2013,through El Leaving Of-ce. Date Left I I Decenter 31, 2013. (Check ore) -or- The period covered is / / ,through 0 The period covered is January 1,2013,through the date of Decanter 31, 2013. leaving of ite. El Assuming OLce: Date asst rhed / / 0 The period covered is / ,through the date of leaving ofite. [II Candidate: Becton year and of jce sought, if different than Part 1. 4. Schedule Summary Check applicable schedules or"None." Total number of pages including this cover page: 44 [11Schedule A-1-Investrru.ints—sdedule attached Schedule C-Incorre, Loans, &Business P chedule attached heclule A-2-Investments—schedule attad-eci gSchedule D-Inay-re—Gfts--schedule attached {11 Schedule B-Real Prqoerty—schedule attached I Schedule E-Income—Gifts—Travel Payments—schedule attached -or- Nbne-No reportable interests on any schedule 5. Veriication MAILING ADDRF_SS STREET CITY STATE ZIP CCCE (Business or Agency Address Rect7ttrended-Public Occurrent) i"(41 4,/,:f TIIVE TELEPHONE NUMBER E-MAIL ADDRESS(CFT1CNAL) ) 76,1 4-7;22 I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the test of my knoMedge the information contained herein and in any attached schedules is true and corrplete. I acknowledge this is a public dr:au-rent. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Sgned e,22721ififik/- Signature (month,4,Veer) (File the criginally signed staterrent Stith you_nng cfcid.) FPPC Form 700(2013/2014) Clear Page ; Print Form FFPCAdvice Ernail:advice@fppoca gov FPPC To I I-Free Helpline:866/275-3772 www,fppc.ca.gov SCHEDULE A-2 CALIFORNIA FORM 700 Investments, Income, and Assets FAIR POLITICALPRACTICES COMMISSION of Business Entities/Trusts -7-tir.ifeCr Citglil (Ownership Interest Is 10% or Greater) i; .-BUSINESS ENT1T?'OR TRUST .it BUSINESS ENTITY OR TRUST` 1' yr L COL - Name Name 03 47 i#_ �f r'1`tt rf( e Address(Business Address Acceptable) ( Address(Business Address Acceptable) Check one Check one ❑ Trust,go to 2 Business Entity,complete the box,then go to 2 ❑ Trust,go to 2 ❑ Business Entity,complete the box,then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 11 $0-$1,999 I L I $0-$1,999 ❑,$2,000-$10,000 / / 13 / / 13 I❑ $2,000-$10,000 / / 13 / / 13 ❑$10,001 -$100,000 ACQUIRED DISPOSED ❑ $10,001 -$100,000 ACQUIRED DISPOSED $100,001 -$1,000,000 0 $100,001 -$1,000,000 I Over$1,000,000 ❑ Over$1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ❑ ❑ Partnership ❑ Sole Proprietorship L II Other Other YOUR BUSINESS POSITION !I[YOUR BUSINESS POSITION w.Z IDENTIFY THE GROSSrINCOME RECEIVED(INCLUDE YOUR PRO RATA, 2 IDENTIFY THE GROSS INCOME RECEIVED,(INCLUDE YOUR PRO RATA. SHARE OF THE GROSS INCOME IQ;THE ENTITYITRUST SHARE OF THE GROSS.INCOME ig:..THE ENTITYITRUST) u $0-$499 0 $10,001 -$100,000 ❑ $0-$499 ❑ $10,001 -$100,000 ❑ $$00-$1,000 ❑ OVER$100,000 ❑ $500-$1,000 ❑ OVER$100,000 `nvj$1,001 -$10,000 ❑ $1,001 -S1Q000 ►--Si LIST THE NAME-OF EACH REPORTABLE SIN LESOURCEOF L,LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF IQOOaOR MORE(Attach-asrroarbtesdaetifaecessaty:3" INCOME OF SSOOOO OR MORE;f aeon e.separats sheet ttnecessaryp None ❑ None 10,AL INVESTMENTS AND INTERESTS IN REAL PROPERTY'HELD,OR F ' ..,:. ,v, I . ',s: " ' 1;'7..' •`•• e:•. LEASED;LY THE BUSINESS ENTITY OR TRUST LEASED,lam`THE BUSINESS ENTITY OR TRUST Check one box: Check one box: ❑ INVESTMENT ❑ REAL PROPERTY ❑ INVESTMENT 0 REAL PROPERTY Name of Business Entity, if Investment,or Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or Description of Business Activity or City or Other Precise Location of Real Property City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000-$10,000 ❑ $2,000-S10,000 ❑ $10,001 -$100,000 / / 13 / / 13 ❑ $10,001 -$100,000 / / 13 / / 13 ❑ $100,001 -$1,000,000 ACQUIRED DISPOSED ❑ $100,001 -$1,000,000 ACQUIRED DISPOSED ❑ Over$1,000,000 ❑ Over$1,000,000 NATURE OF INTEREST NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other ❑ Leasehold ❑ Other Yrs.remaining Yrs.remaining Check box if additional schedules reporting investments or real property ❑ Check box if additional schedules reporting investments or real property are attached are attached FPPCForm 700(2013/2014)&h.A-2 Comments: FPPCAdvice Email:advice@fppc.ca.gov F-FR Toll-Free Helpline:866/275-3772 www.fppc.c.gov Clear Page Print Form SCHEDULE C CALIFORNIA FORM 700 Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION Positions Name (Other than Gifts and Travel Payments) /;i1--Z5-7-41./.11cr ( ,7ij loort INCOME RECEIVED Ilw• L INCOME RECEIVED NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable) ( Pitfcr 9 (Al eiri(nei 1/114 Ar it BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY OF SOURCE YOUR BUSI ESS POSITION _ YOUR BUSINESS POSITION G..() 2017/51- (it 42) GROSS INCOME RECEIVED GROSS INCOME RECEIVED o $500-$1,000 o $1,001 -$10,000 o $500-$1,000 0 $1,001 -$10,000 V$10,001 -$100,000 0 OVER$100,000 0 $10,001 -$100,000 0 OVER$100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED .E_i Salary E Spouse's or registered domestic partner's income 0 Salary 0 Spouse's or registered domestic partner's income O Loan repayment 0 Partnership Loan repayment 0 Partnership 0 Sale of 0 Sale of (Real property,car,boat etc.) (Real property car.boat etc Commiamon or Rontal Income,hst each source of 010 000 or more Commmsmn or IT Rental Income, at eacl source ot S1O 000 or more ni Other 0 Other (Cescnbe) 0.-.)Z.-LOANS RECEIVED,OR OUTSTANDING DURING-THE-REPORTING PERIOD - 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 of_cial status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER* INTEREST RATE TERM(MonthsItears) % 0 None ADDRESS(Business Adcress Acceptable) SECURITY FOR LOAN BUSINESS ACTIVITY, IF ANY, OF LENDER El None 0 Personal residence 0 Real Property Street address HIGHEST BALANCE DURING REPORTING PERIOD O $500-$1,000 City 0 $1,001 -$10,000 El Guarantor 0 $10,001 -$100,000 {-11 OVER$100,000 0 Other (Describe) Comments: FPFCForm 700(2013/2014)Sch.C Clear Page Print Form ; FFPCAdvice Email:advice©fpoc.cagov FPFCTol I-Free Helpline:866/275-3772 www.fppc.ca.gov CALIFORNIA FORM, FAIR POLITICAL PRACTICES,COMMISSION _ Income — Gifts Name ► NAME OF SOURCE(Not an Acronym) ► NAME OF SOURCE(Not an Acronym) ADDRESS(Business Address"j Acceptable) ADDRESS(Business Address Acceptable) BUSINESS�ACTIVITY, ANY, SOURCE BUSINESS ACTIVITY, IF ANY OF SOURCE 'fs to /v-4:p 44-9ve(efaiitt pre (- DATE(mml /yy) VALUE DESCRIPTION!OF GIFT(S), DATE(mm/dd!yy) VALUE DESCRIPTION OF GIFT(S) day �// t / / -J /� $ I ► NAME OF SOURCE(Not an Acronym) ► 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 DATE(mm/ddtyy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) / / / / $ I / I g / I §' ► NAME OF SOURCE(Not an Acronym) ► 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 DATE(mm!dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) / / $ / / $ / / $ / / / / $ / / $ Comments: FPFC Form 700(2013/2014)Sch.D Clear Page Print Form FFPCAdvice Email:advice@fppc.ca.gov FFPCToII-Free Helpline:866/275-3772 www.fppcca.gov