Cavanaugh 700CALIFORNIA FORM 700
FAIR POLITICAL 1312ACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST)
Cavanaugh
t Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Alameda, CA
Division, Board, Department, District, if applicable
Planning Board
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
(FIRST)
I LIF
JAN 03 2018
CITY OF ALAMEDA
CITY CLERK'S OFFICE
(MIDDLE)
Jeffrey David
s if filing for multiple positions, list below or on an attachment.
Agency:
2. Jurisdiction of Office (Check at least one box)
[I] State
0 Multi-County
city of Alameda
E3
3. Type of Statement (Check at least one box)
0 Annual: The period covered is January 1, 2016, through
December 31, 2016.
-or-
The period covered is
December 31, 2016.
E3
12 5 2017
Assuming Office: Date assumed /
0 Candidate: Election year
)4. Schedule Summary (must complete)
Schedules attached
0 Schedule A-1 - Investments — schedule attached
Your Position
Board Member
(Do not use acronyms)
through
Position:
0 Judge or Court Commissioner (Statewide Jurisdiction)
0 County of
0 Other
11 Leaving Office: Date Left
(Check one)
o The period covered is January 1, 2016, through the date of
leaving office.
-or-
0 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:
Schedule A-2 - Investments — schedule attached
0 Schedule B - Real Property — schedule attached
-or-
0 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
2263 Santa Clara Ave
DAYTIME TELEPHONE NUMBER
( 510 ) 301-0897
Schedule C - Income, Loans, & Business Positions — schedule attached
[1] Schedule D - Income — Gifts — schedule attached
[1] Schedule E - Income — Gifts — Travel Payments — schedule attached
CITY
Alameda
STATE ZIP CODE
CA 94501
E-MAIL ADDRESS
jcavanaugh@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 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 Califomia that the
12/26/2017
Date Signed Signature
(month, day, year)
(File the originally signed statement with your Ring official.)
FPPC Form 700 (2016/2017)
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)
Os 1. BUSINESS ENTITY OR TRUST
Mallard Farms LLC
Name
336 Oleander Ave Alameda CA 94502
Address (Business Address Acceptable)
Check one
0 Trust, go to 2
E Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
Consulting
FAIR MARKET VALUE
0 $0 - $1,999
El $2,000 - $10,000
$10,001 - $100,000
0 $100,001 - $1,000,000
El Over $1,000,000
El
IF APPLICABLE, LIST DATE:
NATURE OF INVESTMENT
El Partnership 0 Sole Proprietorship
/ 16
ACQUIRED
E3
LLC
YOUR BUSINESS POSITION Managing Member
/ /16
DISPOSED
Other
D 4 efi'.
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)
0 $0 - $499
0 $500 - S1,000
$1,001 - $10,000
0 $10,001 - $100,000
0 OVER $100,000
INCOME OF $10,000 OR MORE (Attach a separate sheet if ttreessary.)
Ei
None
or 0 Names listed below
'.IV STM NTS AND INTEREST IN REA PRO -ERTY °-
LEASED 13Y THE BUSINESS ENTITY OR TRUST
Check one box:
0 INVESTMENT
0 REAL PROPERTY
Name of Business Entity, if Investment, Qr
Assessor's Parcel Number or Street Address of Real Property
Environmental Consulting
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
$10,001 - $100,000 / / 16 / 1 16
Sioo,00i - st000,000 ACQUIRED DISPOSED
0 Over $1,000,000
NATURE OF INTEREST
Property Ownership/Deed of Trust 0 Stock El Partnership
othe, LLC
El Leasehold
Yrs. remaining
Check box if additional schedules reporting investments or real property
are attached
1:3
Commentg•
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Na
e
V
1\V ech
1. BUSINESS ENTITY OR TRUST
Suisun Conservation Properties LLC
Name
336 Oleander Ave Alameda CA 94502
Address (Business ,Address Acceptable)
Check one
El Trust, go to 2
g Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
Consulting
FAIR MARKET VALUE
$0 - $1,999
0 $2,000 - 510,000 / / 16
0 $10,001 - $100,000 ACQUIRED
El $100,001 - $1,000,000
0 Over $1,000,000
El
IF APPLICABLE, LIST DATE:
NATURE OF INVESTMENT
0 Partnership J Sole Proprietorship
E3
LLC
YOUR BUSINESS POSITION Managing Member
Li
DISPOSED
Other
-THE f
;HARE OF THE GROSS 'ENTITYrfRI.IST)
tos 'so
El
$0 - $499
0 $500 - $1,000
0 $1,001 - $10,000
0 $10,001 - $100,000
El OVER $100,000
ta
INCOME OF $10,000 OR MORE toitisoil s separate sheet ir necessary.)
None or
Names listed below
• IN ME • 0 IN ER $ IN -EAL P- OP H LO OR
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
El
INVESTMENT
0 REAL PROPERTY
Name of Business Entity, if Investment, ar
Assessor's Parcel Number or Street Address of Real Property
Environmental Consulting
Description of Business Activity or
City or Other Precise Location oi Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0 52,000 - $10,000
D $10,001 - sioo,000 _i / 16 __/____/ 16
El sioo,00i - st000,000 ACQUIRED DISPOSED
0 Over $1,000,000
NATURE OF INTEREST
0 Property Ownership/Deed of Trust
0 Leasehold
Yrs. remaining
0 Check box if additional schedules reporting investments or real property
are attached
13
El Stock El Partnership
LLC
Other
FPPC Form 700 (2016/2017) 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)
FAIR POLITICAL PRACTICES COMMISSION
Name
\
.".C_m\t-h¥w��
.1. INCOME RECEIVED
t INCOME RECEIVED
NAME OF SOURCE OF INCOME
Vino Volo, Taste INC
ADDRESS (Business Address Acceptable)
360 22nd Ave Ste 640 Oakland CA 94612
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Rootunont/Retai|
YOUR BUSINESS POSITION
Server
GROSS INCOME RECEIVED
U$500'$1,000
S10,001 - $100,000
Ej No Income Business Position Only
LJ51.»»1'sm,00m
0 OVER $100,000
C0NSDERATI0N FOR WHICH INCOME WAS RECEIVED
Salary Li Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.)
[] Partnership (Less than 10% ownership. For 1num greater use
Schedule A-2.)
LJSale of
El Loan repayment
• Commission or 11 Rental Income, Iist each source mm0,000=more
(Real property, car, boat, etc.)
0 Other
NAME OF SOURCE OF INCOME
Mallard Farms LLC
ADDRESS (Busines Address Acceptable)
336 Oleander Ave Alameda CA 94502
SUSINESS ACTIVITY, IF ANY, OF SOURCE
Environmental Consulting
YOUR BUSINESS POSITION
Consultant
GROSS INCOME RECEIVED
[]$5o - S1,000
0 y10,001 w100,000
0 No Income - Business Position Only
0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
E3
Salary 0opouse or registered income
(For self-employed use Schedule A-2.)
[] than 10% ownership. For 1n»m greater use
Schedule A-2.)
El Sale of
O Loan repayment
• Commission or Rental Income, Iisf each source *m«wo=more
(Real property, car. boat, etc.)
(Describe)
+ You are not required to report Ioans 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 Ioans and Ioans received not in a Iender's
regular course of business must be disclosed as foliows:
NAME OF LENDER
ADDRESS (Busines Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGt-iEST BALANCE DURING REPORTING PERIOD
El $50 51.000
LJ*1/01 $10,000
[�$1o,001'mo0,000
0 OVER $100,000
Comments:
INTEREST RATE TERM (Months/Years)
� 0 None
SECURITY FOR LOAN
[] None Personal residence
0 Real Property
0 Guarantor
Other
Street address
FPPC Form 700 (2016/2017) Sch. C
Fppc Advice Email: auwc@, nc.ca.gow
pppc Toll-Free xe|p|ine'ooa/z7s-37ra www.fppc.ca.mm