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Matarrese 700gAktFcmRteq.Ec;sgmE7Go. 11111•Rgqtgt.wpamerstimelon Please r print in ink. NAME OF FILER (LAST) Matarrese STATEMENT OF ECONOMIC INTE 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Alameda Division, a rd, Department, District, if applicable City Council (FIRST) Francis COVER PAGE Your Position Councilmember If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position. CITY CLEF3Qh0FFICE 2. Jurisdiction of Office (Check at least one box) 0 State 0 Mufti-County City a Alameda 0 Judge or Court Commissioner (Statewide Jurisdiction) 0 County of 0 Other 3. Type of Statement (Check at least one box) DA Annual: The period covered is January 1, 2016, through December 31, 2016. -or- The period covered is December 31, 2016. O Assuming Office: Date assumed O Cand through : o Leaving Office: Date Left / (Check one) o The period covered is January 1, 2016, through the date of leaving office. -or- o The period covered is through the date of leaving office. Election year and office sought, if different than Part 1: 4. Schedule Summary (must complete ) Total number of pages including this cover Schedules attached El Schedule A-1 - Investments — schedule attached 0 Schedule A-2 - Investments — schedule attached 0 Schedule B - Real Property — schedule attached -Or- • None - No reportable interests on any schedule 2 El Schedule C - Income, Loans, & Business Positions — schedule attached 0 Schedule D - Income — Gifts — schedule attached 0 Schedule E - Income — Gifts — Travel Payments — schedule attached 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Pub& Document) 29 Courageous Court DAYTIME TELEPHONE NUMBER ( 510 ) 759-9290 CRY Alameda . STATE ZIP CODE CA 94501 E-MAIL ADDRESS fmatarrese@alamedaca.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 schedu :4 is true and complete. I acknowledge this is a public document. I cerfify tmder penalty of perjury under the of the State of California that the foregoing Is true and correct. FPPC Form 700(2016/2017) FPPC Advice Email: advi.- •P, •pc.cagov FPPC Toll-Free Helpline: /275-3772 www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) 10- 1, INCOME RECEIVED NAME OF SOURCE OF INCOME Penumbra, Inc ADDRESS (Business Address Acceptable) One Penumbra Place, Alameda CA 94502 BUSINESS ACTIVITY, IF ANY, OF SOURCE Medical Device Manufacturer YOUR BUSINESS POSITION Regulatory compliance consultant GROSS INCOME RECEIVED 0 $500 - $1,000 0 $10,001 - $100,000 0 No Income - Business Position Only [8] $1,001 - $1o,000 o OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED 0 Salary 0 Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) CI Partnership (I ess than 10% ownership. For 10% or greater use Schedule A-2.) Sale of 0 Loan repayment 0 Commission or 0 Rental Income, list each spume of $10,000 or more ig other Consulting fee (Real propmfy, car, boat, etc.) (Descabe) (Deschbe) ■ 1. INCOME RECEIVED CALIFORNIA FORM 700 FAIR POLITICAL PRACrIcEs cofor,Ilssiot4 Name Francis Joseph Matarrese NAME OF SOURCE OF INCOME WASC Senior College and University Commission ADDRESS (Business Address Acceptable) 985 Atlantic Avenue Alameda CA 94501 BUSINESS ACTIVITY, IF ANY, OF SOURCE Educational institution accreditation agency YOUR BUSINESS POSMON GROSS INCOME RECEIVED $500 - $1,000 181 slum - $100,000 0 No Income - Business Position Only 0 $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) 0 Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) 0 Sale of 0 Loan repayment 0 Commission or 0 Rental Income, 1st each source of 00,000 or more 0 Other (Real property, car, boat, etc) (Descnbe) (Describe) 10, 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD 14.`fe are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail in,.tallment or credit card transaction, made in the lender's regular course of business on terms available to members • I e public without regard to your official status. Personal loans and loans received not in a lender's regular course o • siness must be disclosed as follows: NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIWTY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD 0 $500 - $1,000 0 $1,001 - $10,000 o $10,001 sloo,000 OVER $100,000 Comments: INTEREST RATE % ED None SECURITY FOR LOAN N -001 TERM (Months/Years) Personal resirience Sheet address 0 Guarantor 0 Other FPPC Form 700 (20 6/2017) Sch. C FPPC Advice Emaikadvic `7. •pc.ca .gov FPPC Toll-Free Helpline: /275-3772 vnvw.fppc.ca.gov