Daysog - 700CALIFORNIA FORM700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink.
STATEMENT OF ECONOMIC INTEREST
COVER PAGE
A PUBLIC DOCUMENT
ECEIVE
t..
Dat I1�7 i
e� l}ngt eive,,
Aelot�Fic�tr u6
CITY OF ALAMEDA
CITY CLERK'S OFFICE
NAME OF FILER (LAST)
DA>CSUC,
(FIRST) A
f)'1-t4
vim` , (MIDDLE)
rj{ 7 i�(T or -Y J `--r ot-'DA
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
C ��-� csF LA -.0) A --
Division, Board, Department, District, if applicable
6 1 -,
Your Position
► 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)
❑ State
❑ Multi -County
City of
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
{County of m -v -e024-
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2021, through ❑ Leaving Office: Date Left
December 31, 2021. (Check one circle.)
-or-
The period covered is r/ , through E The period covered is January 1, 2021, through the date of
leaving office.
-or-
The period covered is —J-1 , through
the date of leaving office.
Candidate: Date of Election i /i A „--2.„2._ and office sought, if different than Part 1'
4. Schedule Summary (must complete) , Total number of pages including this cover page:
Schedules attached
December 31, 2021.
❑ Assuming Office: Date assumed
❑ Schedule A-1 • Investments - schedule attached
] Schedule A•2 • Investments - schedule attached
Schedule B - Real Property - schedule attached
-Or.- ❑ None - No reportable interests on any schedule
(t.4Schedule C - Income, Loans, & Business Positions - schedule attached
Schedule D • Income - Gifts - schedule attached
Schedule E Income - Gifts - Travel Payments - schedule attached
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER
( 5/O)th—
CITY
EMAIL ADDRESS
STATE
ZIP CODE
AL-U4't,.e
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 i e and orrect.
Date Signedi) t I,) / Z�yZ
Print
(month, day, year)
Clear
Signature
FPPC Form 700 - Cover Page (2021/2022)
advice@fppc.ca.gov • 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
Via± dart c„,vt-r
CITY'
C �4�
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
0 $100,001 - $1,000,000
,Over $1,000,000
NATURE OF INTEREST
nership/Deed of Trust
❑ Leasehold
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Easement
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
j�( $10,001 - $100,000 ❑ OVER $100,000
TSOURCES 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
Net
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
0 $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
❑ Leasehold
ACQUIRED DISPOSED
❑ Easement
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $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 of $10,000 or more.
❑ None
* You are not required to report loans from a commercial lending institution 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)
°l° ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
E $500 - $1,000
❑ $10,001 - $100,000
❑ Guarantor, if applicable
❑ $1,001 - $10,000
❑ OVER $100,000
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $10,001 - $100,000
❑ Guarantor, if applicable
❑ $1,001 - $10,000
❑ OVER $100,000
Comments -
Print
Clear
FPPC Form 700 - Schedule B (2021/2022)
advice@fppc.ca.gov • 866-275.3772 • www.fppc.ca.gov
Page -11
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
10. I. INCOME RECEIVED
NAME OF SOURCE OF INCOME
`CtaNS t JLVA-`11tx J 1) 1•Jt- ''�Z7
ADDRESS (Business Address Acceptable)
3-1s— C7 -7c -44:v -H s7 0)5F i
BUSINESS ACTIVITY, IF ANY, OF SOURCE
l bh-4.� AEU
YOUR BUSINESS POSITION
EmPLOYSE
GROSS INCOME RECEIVED
$500 - $1,000
$10,001 - $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
]C$alary ❑ Spouse's or registered domestic partner's income
Ti (For self-employed use Schedule A-2.)
U No Income - Business Position Only
$1,001 - $10,000
E OVER $100,000
Partnership (Less than 10% ownership. For 10% or greater.use
Schedule A-2.)
E Sale of
(Real property, car, boat, etc.)
Loan repayment
Commission or Rental Income, list each source of $10,000 or more
(Describe)
► +1. INCOME RECEIVED
(CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
NAME OF SOURCE OF INCOME
Ott
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000
❑ $10,001 - $100,000
No Income - Business Position Only
$1,001 - $10,000
OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
E Salary E Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.)
Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
Sale of
(Real property, car, boat, etc.)
❑ Loan repayment
n Commission or
Rental Income, list each source of $10,000 or more
(Describe)
E Other ❑ Other
(Describe)
(Describe)
P. 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
* You are not required to report loans from a commercial lending institution, 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
❑ $500 - $1,000
$1,001 - $10,000
E $10,001 - $100,000
OVER $100,000
INTEREST RATE
None
SECURITY FOR LOAN
E None Personal residence
TERM (MonthslYears)
Real Property
Street address
City
Guarantor
Other
(Describe)
Comments'
Print
Clear
FPPC Form 700 - Schedule C (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 13