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Burton 700CALIFORNIA FORM 7 11 R POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT Please type or print in ink. STATEMENT OF ECONOMIC INTERES--- Date Initial Filing Received Offi;:ia! Use Only COVER PAGE NAME OF FILER (LAST) Burton 1. Office, Agency, or Court (FIRST) David •-• -"' (rAIDDLe) joseph Agency Name (Do not use acronyms) City of Alameda Division, Board, Department, District, if applicable Planning Board Your Position Planning Board Member 11.- If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position. 2. Jurisdiction of Office (Check at least one box) 0 State E] Judge or Court Commissioner (Statewide Jurisdiction) El Multi-County Lil County of wi City of Alameda Lul Other 3. Type of Statement (Check at least one box) IZ Annual: The period covered is January 1, 2015, through 0 Leaving Office: Date Left December 31, 2015. (Check one) -or- The period covered is / / , through December 31, 2015. O Assuming Office: Date assumed • Candidate: Election year ,C Schedule Summary (must complete) Schedules attached -or- O The period covered is January 1, 2015, through the date of leaving office. -or- O The period covered is , through the date of leaving office. and office sought, if different than Part 1 ■ Total number of pages including this cover page: 0 Schedule A-1 - investments — schedule attached Schedule A-2 - investments — schedule attached E] Schedule B Real Property -- schedule attached Eli None - r/ortabie interest 5. Verification Schedule C income, Loans, & Business Positions schedule attached 0 Schedule 0 - Income -- Gifts -- schedule attached 0 Schedule E Income — Gifts — Travel Payments schedule attached MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) CITY Alameda STATE ZIP CODE CA 94501 DAYTIME TELEPHONE NUMBER ( 510 ) 865-0556 E-MAIL ADDRESS dburton©burtonarchitect.com I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the inforrnation contained herein and in any attached schedules is true and complete. I acknowledge this is a LgliLdocument. I certify under penalty of perjury under the laws of the State of California that Date Signed 04/06/2016 Signature (month, day year) (File the originally • statemer;( with your filing officiat) A FPPC Form 700 (2015/2016) • C 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) III. 1. BUSINESS ENTITY OR TRUST Burton Architecture Name 1913 Broadway, Suite A, Alameda, CA 94501 Address (Business Address Acceptable) Check one LJ Trust, go to 2 Z 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 0 52,000 - 510,000 / / 15 1 / 15 0 sio,00i - $100,000 ACQUIRED DISPOSED WI 5100,001 - $1,000,000 0 Over $1,000,000 NATURE OF INVESTMENT O Partnership Sole Proprietorship 0 Other YOUR BUSINESS POSITION lo• 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) 0 50 - 5499 0 $500 - 51,000 0 $1,001 - $10,000 0 $10,001 - $100,000 [Z) OVER 5100,000 10- 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 11. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED 131 THE BUSINESS ENTITY OR TRUST Check one box: 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 or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 0 52,000 - $10,000 0 510,001 - 5100,000 / 15 / / 15 111 sioo,00i - $1,000,000 ACQUIRED DISPOSED O Over $1,000,000 NATURE OF INTEREST O Property Ownership/Deed of Trust 0 Stock 0 Partnership 0 Leasehold 0 Other Yrs. remaining O 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 El Trust, go to 2 EJ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $0 - $1,999 0 $2,000 - $10,000 0 510,001 - $100,000 0 5100,001 - $1,000,000 0 Over $1,000,000 IF APPLICABLE, LIST DATE: NATURE OF INVESTMENT O Partnership 0 Sole Proprietorship / / 15 ACQUIRED DISPOSED Other YOUR BUSINESS POSITION 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME IQ THE ENTITYITRUST) 0 $0 - $499 0 5500 - $1,000 0 $1,001 - $10,000 0 $10,001 - 5100,000 0 OVER $100,000 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach 4 sehar i ate sheet if heeess .) None or 0 Names listed below PA- 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED 131 THE BUSINESS ENTITY OR TRUST Check one box: O INVESTMENT 0 REAL PROPERTY Name of Business Entity, if Investment, 12,E Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 0 $2,000 - $10,000 0 510,001 - 5100,000 (/ 15 / / 15 0 5100,001 - $1,000,000 ACQUIRED DISPOSED O Over $1,000,000 NATURE OF INTEREST O Property Ownership/Deed of Trust 0 Stock 0 Partnership O Leasehold 0 Other Yrs. remaining 0 Check box if additional schedules reporting investments or real property are attached Comments. FPPC Form 700 (2015/2016) Sch. A-2 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Help line: 866/275-3772 www.fppc.ca.gov