Daysog 700CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST)
A-•&D
1. Office, Agency, or Court
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
(FIRST)
Date Initial Filing Received
Cirnai USH Ooiy
Agency Name (Do not use acronyms)
City of Alameda
Or ALAMEDA
CITY CLERK'S .OFFICE
Division, Board, Department, District, if applicable
c
C
C177 tit--
Your Position
■ If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
L7 C_L
Position.
2. Jurisdiction of Office (Check at least one box)
State El Judge or Court Commissioner (Statewide Jurisdiction)
111 Multi-County E County of
City of Alameda Cl Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2015, through CI Leaving Office: Date Left
December 31, 2015. (Check one)
-or-
The period covered is I I , through 0 The period covered is January 1, 2015, through the date of
December 31, 2015. leaving office.
-or-
_
0 The pe / /
riod covered is , through
the date of leaving office.
El Assuming Office: Date assumed
Candidate: Election year and office sought, if different than Part 1:
14. Schedule Summary (must complete) Total number of pages including this cover page: ,1
Schedtlies attached
D Schedule A-1 - Investments — schedule attached *?2] Schedule C Income, Loans, & Business Positions — schedule attached
Schedule A-2 - Investments — schedule attached 0 Schedule 13 - Income — Gifts — schedule attached
Schedule 13 - Real Property — schedule attached 0 Schedule E Income — Gifts — Travel Payments — schedule attached
one -6a,,rep61-table inte'tea'fa car any rs
5. enfication
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
22g3-SantaSJaFa-Averrtre Alameda
CITY
STATE
CA
ZIP CODE
94501
DAYTIME TELEPHONE NUMBER
( 510 ) q-4-7g413€1.0
E-MAIL ADDRES
‘i 0
AL4AlvIEDACA.GOV
•
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 e and
Date Signed 2-, Cv Signature
(month, day, year)
ect.
(
official)
FPPC Form 700 (2015/2016)
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
L-00-0(1-
Name
144s, A/f frLt '4--
Address (Business Addresst-Atceptable)
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 $0 - $1,999
D $2,000 - 510,000 / I 1. / / 15
0 $10,001 - $100,000 ACQUIRED DISPOSED
5100,001 - 51,000,000
Over $1,000,000
NATURE OF INVESTMENT
0 Partnership fl Sole Proprietorship
Other
YOUR BUSINESS POSITION
110. 2, IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME IQ THE ENTITY/TRUST)
El $0 - $499
El $500 - $1,000
.$1,001 - $10,000
gg $10,001 - s100,000
0 OVER $100,000
to^ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.)
0 None or 0 Names listed below
'J
y-e 6ke aC 10-.3
A 4-) -7 g-/
LL
l.1-.
.1-10
I 'Ne
4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED -BY THE BUSINESS ENTITY OR TRUST
Check one box:
INVESTMENT
11KAL PROPERTY
Name of Busiffess Entity, if Irdest nt, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity
City or Other Precise Location of Real Property
FAIR MARKET VALUE
0 52,000 - $10,000
1E1;1.0001 -5100000 15 / / 15
curs-100,001 - $1,000,000 ACQUIRED DISPOSED
0 Over $1,000,000
NATURE OF INTEREST
Irroperty Ownership/Deed of Trust 0 Stock 0 Partnership
IF APPLICABLE, LIST DATE:
0 Leasehold 0 Other
Yrs. remaining
0 Check box if additional schedules reporting investments or real property
are attached
Comments'
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 MARKET VALUE
El $0 - $1,999
0 $2,000 - $10,000
O 510,001 - $100,000
LI 5100,001 - $1,000,000
O Over $1,000,000
IF APPLICABLE, LIST DATE:
/ / 15 / / 15
ACQUIRED DISPOSED
NATURE OF INVESTMENT
O Partnership 0 Sole Proprietorship D
Other
YOUR BUSINESS POSITION
2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME IQ THE ENTITY/TRUST)
Li $0 - $499
$500 - 51,000
El stool - 510,000
D 510,001 - $100,000
0 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
4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED THE BUSINESS ENTITY OR TRUST
Check one box:
O 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 a.
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
O $2,000 - $10,000
D 510,001 - 5100,000 / / 15 / / 15
El $100,001 - $1,000,000 ACQUIRED DISPOSED
O Over $1,000,000
NATURE OF INTEREST
O Property Ownership/Deed of Trust El Stock 0 Partnership
O Leasehold 0 Other
Yrs. remaining
El Check box if additional schedules reporting investments or real property
are attached
Oi-h) ve'sck_ -be? 14- JLr
FPPC Form 700 (2015/2016) Sch. A-2
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE B
Interests in Real Property
(Including Rental Income)
• ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
.7 061 ( 4c4
CITY
qC't
FAIR MARKET VALUE
0 $2,000 - $10,000
0 $10,001 - $100,000
-$100,001 - $1,000,000
Over $1,000,000
IF APPLICABLE, LIST DATE:
/
ACQUIRED DISPOSED
NATURE OF INTEREST
2RI Ownership/Deed of Trust 0 Easement
0 Leasehold
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0 $0 - $499 El $500 - $1,000 0 $1,001 - $10,000
IR$10,001 - $100,000 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 f $10,000 or more.
None
\P- \cD
st S2t -rd-
CALIFORNIA
NIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
• ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
0 $2,000 - $10,000
0 $10,001 - $100,000
0 $100,001 - $1,000,000
0 Over $1,000,000
NATURE OF INTEREST
0 Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
15 / / 15
ACQUIRED DISPOSED
0 Easement
0 Leasehold 0
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0 $0 - $499 0 $500 - $1,000
0 stool - $10,000
0 slog), - $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.
0 None
You are not required to report loans from commercial lending institutions 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
INTEREST RATE TERM (Months/Years)
% 0 None
HIGHEST BALANCE DURING REPORTING PERIOD
0 $500 - $1,000 0 stool - $10,000
0 $10,001 - $100,000 0 OVER $100,000
0 Guarantor, if applicable
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
0 None
HIGHEST BALANCE DURING REPORTING PERIOD
0 $500 - $1,000
0 $10,001 - $100,000
0 Guarantor, if applicable
0 stool - $10,000
0 OVER 5100,000
Comments:
FPPC Form 700 (2015/2016) Sch. B
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 700
FAIR POLITICAL PRACTICES COMMISSION
00• 1. INCOME RECEIVED 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
A-pd ed rRe_\,1
ADDRESS (Business Address Acceptable)
c ic c,(, -.%14-) (4. 4P--
BUSINESS ACTIVITY, IrANY, OF SOURCE
e C ve
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
fl $500 - $1,000 D Stool - $10,000
$10,001 - $100,000 ,OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary I:I Spouses or registered domestic partner's income
(For self-employed use Schedule A-2.)
0 Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
0 Sale of
(Real properly, car, boat, etc.)
El Loan repayment
111 Commission or Rental Income, list each source of $10,000 or more
(Describe)
El Other
(Describe)
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
Ej $500 - $1,000
El $10,001 - $100,000
$1,001 - $10,000
0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
0 Salary El Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.)
O Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
1=1 Sale of
(Real property, car, boat, etc.)
• Loan repayment
El Commission or
Rental Income, list each source of $10,000 or more
(Describe)
Other
(Describe)
Po. 2. 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 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
El $1,001 - $10,000
El $10,001 - $100,000
0 OVER $100,000
INTEREST RATE TERM (MonthslYears)
%
El None
SECURITY FOR LOAN
• None El Personal residence
El Real Property
Street address
City
El Guarantor
El Other
(Describe)
Comments'
FPPC Form 700 (2015/2016) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov