Daysog 700CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink.
STATEMENT OF ECONOMIC INTEREST
COVER PAGE
A PUBLIC DOCUMENT
NAME OF FILER (LAST)
\-tisc34a
(FIRST)
0774
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Division, Board, Department, District, if applicable
ro tc
If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Your Position
Agency:
2. Jurisdiction of Office (Check at least one box)
0 State
Multi-County
City of 41----A-k-re3)4
Position:
Filirecei
JAN 2 2 2119
Wra
E1Judge or Court Commissioner (Statewide Jurisdiction)
['County of
II] Other
3. Type of Statement (Check at least one box)
0 Annual: The period covered is January 1, 2018, through III Leaving Office: Date Left / /
December 31, 2018. (Check one circle.)
The pe through
riod covered is / / 0 The period covered is January 1, 2018, through the date of
December 31, 2018. -or- leaving office.
lj#1 Assuming Office: Date assumed 1 1---/ / ti5/ Z-0/ A 0 The period covered is / / , through
the date of leaving office.
E] Candidate: Date of Election and office sought, if different than Part 1:
4. Schedule Summary (must complete) ■ Total number of pages including this cover page:
Schedules attached
-or-
El Schedule A-1 - Investments — schedule attached
0 Schedule A-2 - Investments — schedule attached
Schedule B - Real Properly — schedule attached
-or- LI None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
A-C 6147 ,
DAYTIME TELEPHONE NUMBER
( 7-7 — 2-2-0
Schedule C - Income, Loans, & Business Positions — schedule attached
Schedule D - Income — Gifts — schedule attached
ri Schedule E - Income — Gifts — Travel Payments — schedule attached
CITY
(31/--A--/-%.t-T7&
EMAIL ADDRESS
•—r-DAY5z)z4 ALA /--1-ai)A_C € oti
STATE ZIP CODE
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 forego! ue and correct.
Date Signed 1 / /24 1 9 f Signature
(month, day, year) ( : )
FPPC Form 700(2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
Page - 5
SCHEDULE B
Interests in Real Property
(Including Rental Income)
ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
oc,
CITY
AL-A, ockk C
FAIR MARKET VALUE
El $2,000 - $10,000
Lil $10,001 - $100,000
0 $100,001 - $1,000,000
0 Over $1,000,000
NATURE OF INTEREST
Ownership/Deed of Trust
0 Leasehold
IF APPLICABLE, LIST DATE:
.);
21//±/14;_ / 18
ACQUIRED DISPOSED
0 Easement
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0 $0 - $499
0 $500 - $1,000 teI $1,001 - $10,000
0 $10,001 - $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.
None
700
CALIFORNIA FORM
FAIR POLITICAL PRACTICES COMMISSION
Name
■ ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
El $2,000 - $10,000
0 $10,001 - $100,000
0 $100,001 - $1,000,000
0 Over $1,000,000
IF APPLICABLE, LIST DATE:
/ /_18_
ACQUIRED DISPOSED
NATURE OF INTEREST
0 Ownership/Deed of Trust 0 Easement
O Leasehold
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0 80 - $499
0 $500 - $1,000 0 $1,001 - $10,000
O $10,001 - $100,000 OVER 8100,000
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.
El None
You are not required to report loans from a commercial lending institution made in the lenderregular Oourse of
business oniermsavailable to rnem,bers 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)
None
HIGHEST BALANCE DURING REPORTING PERIOD
0 $500 - $1,000 El $1,001 - $10,000
0 $10,001 - $100,000 0 OVER $100,000
r
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE
El None
HIGHEST BALANCE DURING REPORTING PERIOD
TERM (Months/Years)
0 $500 - 81,000
0 810,001 - 8100,000
0 Guarantor, if applicable 0 Guarantor, if applicable
Comments:
LI 81,001 - 810,000
0 OVER $100,000
FPPC Form 700 (2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
Page - 11