Chen 700CALIFORNIA FORM
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST)
STATEMENT OF ECONOMIC INTERE
COVER PAGE
(FIRST)
/1-bv ipf/A
1. Office, Agency, or Court
Agency Nam (Do not use acronyms)
fr Of At71/15-DA
Division, Board, Depa ment, District, if applicable Your Position
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)
State
0 Multi-County
City of
3. Type of Statement (Check at least one box)
D Annual: The period covered is January 1, 2013, through
December 31, 2013.
-0 r-
The period covered is
December 31, 2013.
0 Assuming Office: Date assumed
through
Position:
ECEIVE
Dote Receive
JUL 3 02Ot4E
CITY OF MAME A
- A
myoil, Per
▪ Judge or Court Commissioner (Statewide Jurisdiction)
El County of
ID Other
O Leaving Office: Date Left /
(Check one)
O The period covered is January 1, 2013, through the date of
leaving office.
O The period covered is / , through
the date of leaving office.
Vandidate: Election year (9° / and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." te. Total number of pages including this cover page:
Schedule A•1 - Investments — schedule attached
IT44chedule A-2 - Investments — schedule attached
ID Schedule B - Real Property — schedule attached
iTr(chedule C - Income, Loans, & Business Positions — schedule attached
DvS-c-hedule D - Income — Gifts — schedule attached
El Schedule E - Income — Gifts — Travel Payments — schedule attached
-or-
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency ,Address Recommtoded - Public Document)
0/i 9_5v /
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (OPTIONAL)
676) 7f7
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 foregoing is true and correct,
Date Signed
Signature
(File the originally signed statement with your filing official.)
-48911111.142=1.-
FPPC Form 700 (2013/2014)
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)
Address (Business Address Acceptable)
Check one 0 Trust, go to 2 014(siness Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 50 - 51,999
O $2,000 - 510,000
0 $ / 0,001 - $100,000
$100,001 - 51,000,000
E
Over 51,000,000
IF APPLICABLE, LIST DATE:
NATURE OF INVESTMENT
0 Partnership 0 Sole Proprietorship
ACQUIRED DISPOSED
LI
YOUR BUSINESS POSITION 34- g rn tor
Other
,SI-IARE:OP THE ,pRois 4NCONIE4g: THE EN11TY/712UST)
EIJ 50 - 5499
LI go - $1,000
LIJ'i,00i - $10,000
Li s10,001 - s100,000
0 OVER $100,000
".INCOME 0F410,000 ORMORE (aitact, sip'amt. sh..t4ft I;ecessarY4
None
tu4oNvgs!rytgttmimm1NTgRagrggttgagAtgeaogtgagitgtgotmk,,„:.:
anatjgAsaolavolgotAtiattsasgtrryrriogitrgasummaastalattlaalat,„
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 gi
City or Other Precise Location of Real Property
FAIR MARKET VALUE
El $2,000 - $10,000
0 510,001 - $100,000 / / 13
fl 5100,001 - $1,000,000 ACQUIRED
LI Ove• 51,000,000
NATURE OF INTEREST
LJ Property Ownership/Deed of Trust 0 Stock
IF APPLICABLE, LIST DATE:
/ / 13
DISPOSED
0 Partnership
O Leasehold 0 Other
Yrs remaining
0 Check box if additional schedules reporting investments or real property
are attached
Comment'
CALIFORNIA FORM 1. UJ
FAIR POLITICAL PRACTICES COMMISSION
N47- w4-&-r Cffm/
IyL
t3t.isiNgss Et4TITY OFt'TIZUST '
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 MARKET VALUE IF APPLICABLE, LIST DATE:
0 so - 51,999
El $2,000 - $10,000 13 / / 13
IL] $10,001 - $100,000 ACQUIRED DISPOSED
0 5100,001 - 51,000,000
El Over $1,000,000
NATURE OF INVESTMENT
O Partnership 0 Sole Proprietorship
YOUR BUSINESS POSITION
LI
Other
-8 ot - .1°
SHARE OF THE GROSS INC01111E,M THE 'ENTITYrfRUST)
El $0 - 5499
0 $500 - 51,000
$1,001 - $10,000
0 $10,001 - $100,000
0 OVER $100,000
INCOME OF $10,000 OR MORE (attach a separate sheet If neeessarY3
None
4. INVESTMENTS AND INTERESTS IN EAl_ PROPERTY HELD OR
LEASED BY THE BUSINESS ,ENTITY OR TRUST "
Check one box:
0 INVESTMENT
fl REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity g_r
City or Other Precise Location of Real Property
FAIR MARKET VALUE
0 $2,000 - $10,000
El $10,001 - $100,000
O $100,001 - $1,000,000
0 Over $1,000,000
IF APPLICABLE, LIST DATE:
/ / 13 / / 13
ACQUIRED DISPOSED
NATURE OF INTEREST
O Property Ownership/Deed of Trust 0 Stock El Partnership
0 Leasehold 0 Other
Yrs remaining
El Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (2013/2014) 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)
CALIFORNIA FORM
FAIR POLITICAL PRACTICES
. ,
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•.*11114Ng0ME1000,StpliiiiiiigillekitgliiialtillialAIN11111111111111111CligigicpMEIRgCEIMMEIMEIllellogingineggt:,iginglimigiggysig
NAME OF SOURCE OF 100ME?4,
b Pt Pef 'la _A 3
ADDRESS (Bilsiness Add ess Acceptable) ,
Add
BUSINESS ACTIVITY, IF ANY, OF SOURCt,
HA ( 64 co /
(YOUR BUSINES POSITION ,
R.ICIel) 1 c n trst ( sr w5-4 9
GROSS IN OME RECEIVED
0 p0 - 51,000 0 51,001 - s10,000
$10,001 - S100,000 0 OVER 5100,000
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
El S10,001 - $100,000
stool - $10,000
El OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED
O Salary 0 Spouse's or registered domestic partner's income E Salary El Spouse's or registered domestic partner's income
Loan repayment
O Sale of
El Partnership
(Real properly, car, boat. etc.)
ID Commission or 0 Rental Income, list each source of 510.000 or more
0 Other
(Describe)
0 Loan repayment
0 Sale of
111 Partnership
(Real property. car, boat, etc)
Ill Commission or Rental Income, list each source of 510.000 or more
E Other
(Describe)
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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
0 $500 - $1,000
E $1,001 - $10,000
El S10,001 - $100,000
fl OVER $100,000
Comments:
INTEREST RATE
% El None
SECURITY FOR LOAN
TERM (MonthsNears)
ID None E Personal residence
El Real Property
El Guarantor
0 Other
Street address
City
(Describe)
FPPC Form 700 (2013/2014) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE D
Income — Gifts
NAME OF SOURCE (Not an Acronym)
£ALIFORNIA FORM 7OO
FAIR POI-1119AL PRACTICES COMMISSION
. .
Name
67J;t4/A-4r c46,
■ NAME OF SOURCE (Not an Acronym)
C/10800 1861/4A/PCIR k 4 411( aqe413
ADDRESS (Business Address gcceptable) ADDRESS (Business Address Acceptable)
PrO 60 riff Of -.C,"et o/e176, Of 9414
BUSINESS ACTIVITY, IF ANY, OF SOUll'CE
0 010' "4-0/44a aPVIO )4,/ t; rf
D (mm/dd/yy) VALUE DESCRI TION OF GIFT(S)
- (cnixe
cotto&
R. NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
ffl
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE
/-
____I /
DESCRIPTION OF GIFT(S)
Ic• NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY; IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
__/ __J I
___I_I
p> 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)
Comments:
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
FPPC Form 700 (2013/2014) Sch. D
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov