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CALIFORNIA FORM 700 ;: FICE uF THE Ct>am €t_@W,_d,,
STATEMENT OF ECONOMIC INTERESTS 0 ,'J. XL AN&mcial Use Only
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE 14 AUG - 7 AM10: 06
Please type or print in ink.
NAME OF FILER (FIRST)
1/J(Jvtl/
J
(MIDDLE)r-
c;f7,to/L ,
... 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
0 Multi-County-----------------
~City of 0/l k. LAA!})
3. Type of Statement (Check at least one box)
O Annual: The period covered is January 1, 2013, through
December 31 , 2013.
-or·
The period covered is __j___j____, through
December 31, 2013.
0 Assuming Office: Date assumed __j___j_ _ __
0 Judge or Court Commissioner (Statewide Jurisdiction)
0 County o f - - - - - - - - - - - - - - - -
0 Other - - - - - - - - - - - - - - - -
0 Leaving Office: Date Left _____j__j_ _ __
(Check one)
0 The period covered is January 1, 2013, through the date of
leaving office.
0 The period covered is __j__j____, through
the date of leaving office.
Iii. Candidate: Election year -~2......£,._9_.../_L.f-}__ and office sought, if different than Part 1: ------------''-----::tr---
4. Schedule Summary
Check applicable schedules or "None." .,. Total number of pages including this cover page:
0 Schedule A-1 - Investments - schedule attached
~ Schedule A-2 - Investments - schedule attached
rg'Schedule B - Real Property- schedule attached
-or·
0 Schedule C • Income, Loans, &Business Positions - schedule attached
0 Schedule D - Income - Gifts - schedule attached
0 Schedule E - Income - Gifts - Travel Payments - schedule attached
0 None - No reportable interests on any schedule
5. Verification
CITY STATE ZIP CODE
rP4lc..l~JN.P Cf)-
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 ocument.
I certify under penalty of pe~ury under the laws of the State of California that th
Date Signed --...:c~+~-~...,;J.-I_~-----(month, day. yealj r filing official.)
FPPC Form 700 (2013/2014)
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)
Address (Business Address Acceptable)
Check one
0 Trust, go to 2 ~siness Entity, complete the box, then go to 2
FAIR MARKET VALUE
0 $0-$1 ,999
IF APPLICABLE, LIST DATE:
0 $2,000 - $10,000
~ $10,001 - $100,000
0 $100,001 - $1 ,000,000
0 Over $1,000,000 ·
NATURE OF INVESTMENT
___L_l__t_fl_
ACQUIRED
__j__j_fl_
DISPOSED
0 Partnership 191 Sole Proprietorship 0 ------,.,=-----1~ ther
YOUR BUSINESS POSITION ---'{)=---=A)-=----l)__;I(_IZ_-""'--------
.. 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)
0 $0-$499
0 $500 - $1 ,000
0 $1 ,001 - $10,000
&$10,001 - $100,000
0 OVER $100,000
.. 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10.000 OR MORE !Attach a separate sheet 11 necessary 1
0 None
.. 4 INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
~INVESTMENT 0 REAL PROPERIJ .
· c;;-~ ~t-Il vPrca-t ,ov cu.t a
Name of Business Entity, if Investment, Q(
Assessor's Pfrcel Number or Street Address of Real Property
v11-c.-trT,0 1) ~[!
Description of Business Activity Q(
City or Other Precise Location of Real Property
FAIR MARKET VALUE
IKI._$2,000- $10,000
[J$'10,001 - $100,000
0 $100,001 - $1 ,000,000
0 Over $1,000,000
NATURE OF INTEREST
IKJ,_Property Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
__j__j..n_ __j__j_fl_
ACQUIRED DISPOSED
0 Stock 0 Partnership
0 Leasehold
Yrs. remaining
0 Other----------
0 Check box if additional schedules reporting investments or real property
are attached
Name
Address (Business Address Acceptable)
Check one ·
0 Trust, go to 2 0 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
0 $0- $1 ,999
IF APPLICABLE, LIST DATE:
0 $2,000- $10,000
0 $10,001 - $100,000
0 $100,001 - $1 ,000,000
0 Over $1 ,000,000
NATURE OF INVESTMENT
.__j__j_fl_
ACQUIRED
__j__j_fl_
DISPOSED .
0 Partnership 0 Sole Proprietorship 0 -----,t,.,.he=-=r----
YOUR BUSINESS POSITION
.. 2 IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)
0 $0-$499
0 $500- $1 ,000
0 $1,001 - $10,000
0 $10,001 - $100,000
0 OVER $100,000
.. 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE 1Att;:~c~1 a separilte sheet 11 necessary
•
.. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
0 INVESTMENT 0 REAL PROPERTY
Name of Business Entity, if Investment, Q(
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity Q[
City or Other Precise Location of Real Property
FAIR MARKET VALUE
0 $2,000 - $10,000
0 $10,001 - $100,000
0 $100,001- $1 ,000,000
0 Over $1 ,000,000
NATURE OF INTEREST
0 Property Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
__j__j..n_ __j__j_fl_
ACQUIRED DISPOSED
0 Stock 0 Partnership
0 Leasehold
Yrs. remaining
0 Other----------
0 Check box if additional schedules reporting investments or real property
are attached
Comments:________________________ FPPC Form 700 (2013/2014} Sch. A-2
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
..
,
CALIFORNIA FORM 700
SCHEDULE B
Interests in Real Property
(Including Rental Income)
FAIR POLITICAL PRACTICES COMMISSION
FAIR MARKET VALUE
0 $2,000 - $10,000
0 $10,001 - $100,000
~ $100,001 - $1_,000,000
0 Over $1,000,000
NATURE OF INTEREST
~Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
0 Easement
0 Leasehold------ O------Yrs. remaining ol/1er
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0 $0 - $499 0 $500- $1 ,000 0 $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
~ ASSESSOR'S PARCEL NUMB
CITY
FAIR MARKET VALUE
0 $2,000- $10,000
0 $10,001 - $100,000
~ $100,001 - $1,000,000
0 Over $1 ,000,000
NATURE OF INTEREST
~ Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
__j__j_jl_ __j__j_jl_
ACQUIRED DISPOSED
0 Easement
D Leasehold------ 0------Yrs. remaining 0iher
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0 $0- $499 0 $500- $1 ,000 [gJ $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.
0 None
* You are not required to report loans from commercial lending institutions made in the lender's regular course of
business on terms available to members of the p·ublic 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•
Wii.-)/_, f,qa1o 8>t41llk
ADDRESS (Business Address Acceptable) . ~
P.o. 8"{ /III/I/ Ont ~luvo .S .JIJ_;o:sol - '3'{/J
BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER
(bl'}nk
INTEREST RATE TERM (Months/Years) INTEREST RATE TERM (Months/Years)
' ·3'JS'% 0 None t.tzJ--:1, 0 None
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
0 $500- $1 ,000 0 $1 ,001 - $10,000 0 $500- $1 ,000 0 $1 ,001 - $10,000
0 $10,001 - $100,000 I)'ovER $1oo.ooo 0 $10,001 - $100,000 5i:l OVER $100,000
0 Guarantor, if applicable .0 Guarantor, if applicable
Comments: ---------------------------------------------
FPPC Form 700 (2013/2014) Sch. B
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
CALIFORNIA FORM 700
SCHEDULE 8
Interests in Real Property
(Including Rental Income)
FAIR POLITICAL PRACTICES COMMISSION
.,.. ASSESSOR'S PARCEL NUMBER 0
CITY
FAIR MARKET VALUE
0 $2.000 - $10,000
IF APPLICABLE, LIST DATE:
0 $10,001 - $100,000
IE s1oo.oo1 - s1.ooo.ooo
0 Over $1,000,000
NATURE OF INTEREST
liJ Ownership/Deed of Trust
__j__j_j.l_ __j__j_j.l_
ACQUIRED DISPOSED
0 Easement
0 Leasehold------ 0-------Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0 $0-$499 0 $500 - $1 ,000 0 $1 ,001 - $10,000
til $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.
0 None
fZot3J t~J
... ASSESSOR'S PARCEL NUMBER Or STREET_['DDRESS
OIL,v' *L-
CITY
FAIR MARKET VALUE
0 $2,000 - $10,000
IF APPLICABLE, LIST DATE:
0 $10,001 - $100,000
~ $100,001 - $1,000,000
0 Over $1,000.000
__j__j_j.l_ __j__j_j.l_
NATURE OF INTEREST
lK! Ownership/Deed of Trust
0 Leasehold------
Yrs. remaining
ACQUIRED DISPOSED
0 Easement
0------Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0 $0-$499 0 $500-$1,000 Iii $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 $10,000 or more.
0 None
* You are not required to report loans from commercial lending institutions made in the lender's regular course of
business on terms available to members of the public without regard to your official status. Personal loans and
loans received not in a lender's regular course of business must be disclosed as follows:
NAME OF LENDER" NAME OF LENDER"
fC r Ltz..IIIQI=t/1..... 51Zn..VI C.ll$ rNc
ADDRESS (Business Address Acceptable)
f.().~ 2--?J?f) ~~t~-Ah,wt (,f!7-1JD1
BUSINESS ACTIVI , IF ANY, OF LENDER
Oec wlf-,J LtJIJN c;,IZ-V, (._J Nt t LL
ADDRESS (Business Address Acceptable)
P.0 .B'/2J.f?3 t6 'f.),;[/f~LMBltlk ( FL JJl/I(.
BUSINESS ACTIVITY, IF ANY, OF LENDER
Lotw c;;Zf41J'-"L#?
INTEREST RATE TERM (1lo{;ths/Years) INTEREST RATE TE M (Months/Years)
---"'--%0 None &.?Jo;, 0 None
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
0 $500- $1,000 0 $1,001 - $10,000 0 $500- $1,000 0 $1,001 • $10,000
0 $10,001 - $100.000 ~OVER $100,000 0 $10,001 - $100,000 ~ OVER $100,000
0 Guarantor, if applicable 0 Guarantor, if applicable
Comments: ---------------------------------------------
FPPC Form 700 (2013/2014) Sch. B
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
(
..
CALIFORNIA FORM 700
SCHEDULE 8
Interests in Real Property
(Including Rental Income)
FAIR POLITICAL PRACTICES COMMISSION
1> ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
PLt:Jcrt
CITY
ta4k/11AJf) CfJ- Cf'ftpJ-
FAIR MARKET VALUE
0 $2,000 - $10,000
0 $10,001 - $100,000
g$100,001- $1,000,000
0 Over $1,000,000
NATURE OF INTEREST
~ Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
__j__j...1l_ __j__j...1l_
ACQUIRED DISPOSED
0 Easement
0 Leasehold------ 0 - - - - - -Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0 $0-$499 0 $500- $1 ,000 0 $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
1> ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
0 $2.000- $10,000
0 $10,001 - $100,000
0 $100,001 - $1 ,000,000
0 Over $1,000,000
NATURE OF INTEREST
0 Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
__j__j...1l_ __j__j...1l_
ACQUIRED DISPOSED
0 Easement
0 Leasehold ______
0 - - - - - -Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0 $0-$499 0 $500- $1 ,000 0 $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.
0 None
* You are not required to report loans from commercial lending institutions 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•
hA.Jt'AJ1111
L Moniqr1-i'L GM;(Jd,. LJ
ADDRESS (Business Address Acceptable) ~A
1
/J.-'I~~P- l;),~l1tcl4n_8li)O S';,_~s,z ft~J-z..
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY,t ANY, OF LENDER
tv!(),;(qtf '1 "L Cot#(J~ ~--''(
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
?.r% 0 None
____%
0 None
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
0 $500 - $1 ,000 ·,. 0 $1,001-$10,000 0 $500- $1 ,000 0 $1 ,001- $10,000
0 $10,001 - $100.000 ... OVER $100,000 0 $10,001 - $100,000 0 OVER $100,000
0 Guarantor, if applicable 0 Guarantor, if applicable
Comments : - - - - - - - - - - - - -- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - -
FPPC Form 700 (2013/2014) Sch. B
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

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Nancy Sidebotham FPPC Form 700

  • 1. ... : It;:. C CALIFORNIA FORM 700 ;: FICE uF THE Ct>am €t_@W,_d,, STATEMENT OF ECONOMIC INTERESTS 0 ,'J. XL AN&mcial Use Only FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT COVER PAGE 14 AUG - 7 AM10: 06 Please type or print in ink. NAME OF FILER (FIRST) 1/J(Jvtl/ J (MIDDLE)r- c;f7,to/L , ... 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 0 Multi-County----------------- ~City of 0/l k. LAA!}) 3. Type of Statement (Check at least one box) O Annual: The period covered is January 1, 2013, through December 31 , 2013. -or· The period covered is __j___j____, through December 31, 2013. 0 Assuming Office: Date assumed __j___j_ _ __ 0 Judge or Court Commissioner (Statewide Jurisdiction) 0 County o f - - - - - - - - - - - - - - - - 0 Other - - - - - - - - - - - - - - - - 0 Leaving Office: Date Left _____j__j_ _ __ (Check one) 0 The period covered is January 1, 2013, through the date of leaving office. 0 The period covered is __j__j____, through the date of leaving office. Iii. Candidate: Election year -~2......£,._9_.../_L.f-}__ and office sought, if different than Part 1: ------------''-----::tr--- 4. Schedule Summary Check applicable schedules or "None." .,. Total number of pages including this cover page: 0 Schedule A-1 - Investments - schedule attached ~ Schedule A-2 - Investments - schedule attached rg'Schedule B - Real Property- schedule attached -or· 0 Schedule C • Income, Loans, &Business Positions - schedule attached 0 Schedule D - Income - Gifts - schedule attached 0 Schedule E - Income - Gifts - Travel Payments - schedule attached 0 None - No reportable interests on any schedule 5. Verification CITY STATE ZIP CODE rP4lc..l~JN.P Cf)- 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 ocument. I certify under penalty of pe~ury under the laws of the State of California that th Date Signed --...:c~+~-~...,;J.-I_~-----(month, day. yealj r filing official.) FPPC Form 700 (2013/2014) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
  • 2. , . SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) Address (Business Address Acceptable) Check one 0 Trust, go to 2 ~siness Entity, complete the box, then go to 2 FAIR MARKET VALUE 0 $0-$1 ,999 IF APPLICABLE, LIST DATE: 0 $2,000 - $10,000 ~ $10,001 - $100,000 0 $100,001 - $1 ,000,000 0 Over $1,000,000 · NATURE OF INVESTMENT ___L_l__t_fl_ ACQUIRED __j__j_fl_ DISPOSED 0 Partnership 191 Sole Proprietorship 0 ------,.,=-----1~ ther YOUR BUSINESS POSITION ---'{)=---=A)-=----l)__;I(_IZ_-""'-------- .. 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) 0 $0-$499 0 $500 - $1 ,000 0 $1 ,001 - $10,000 &$10,001 - $100,000 0 OVER $100,000 .. 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10.000 OR MORE !Attach a separate sheet 11 necessary 1 0 None .. 4 INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: ~INVESTMENT 0 REAL PROPERIJ . · c;;-~ ~t-Il vPrca-t ,ov cu.t a Name of Business Entity, if Investment, Q( Assessor's Pfrcel Number or Street Address of Real Property v11-c.-trT,0 1) ~[! Description of Business Activity Q( City or Other Precise Location of Real Property FAIR MARKET VALUE IKI._$2,000- $10,000 [J$'10,001 - $100,000 0 $100,001 - $1 ,000,000 0 Over $1,000,000 NATURE OF INTEREST IKJ,_Property Ownership/Deed of Trust IF APPLICABLE, LIST DATE: __j__j..n_ __j__j_fl_ ACQUIRED DISPOSED 0 Stock 0 Partnership 0 Leasehold Yrs. remaining 0 Other---------- 0 Check box if additional schedules reporting investments or real property are attached Name Address (Business Address Acceptable) Check one · 0 Trust, go to 2 0 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $0- $1 ,999 IF APPLICABLE, LIST DATE: 0 $2,000- $10,000 0 $10,001 - $100,000 0 $100,001 - $1 ,000,000 0 Over $1 ,000,000 NATURE OF INVESTMENT .__j__j_fl_ ACQUIRED __j__j_fl_ DISPOSED . 0 Partnership 0 Sole Proprietorship 0 -----,t,.,.he=-=r---- YOUR BUSINESS POSITION .. 2 IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) 0 $0-$499 0 $500- $1 ,000 0 $1,001 - $10,000 0 $10,001 - $100,000 0 OVER $100,000 .. 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE 1Att;:~c~1 a separilte sheet 11 necessary • .. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: 0 INVESTMENT 0 REAL PROPERTY Name of Business Entity, if Investment, Q( Assessor's Parcel Number or Street Address of Real Property Description of Business Activity Q[ City or Other Precise Location of Real Property FAIR MARKET VALUE 0 $2,000 - $10,000 0 $10,001 - $100,000 0 $100,001- $1 ,000,000 0 Over $1 ,000,000 NATURE OF INTEREST 0 Property Ownership/Deed of Trust IF APPLICABLE, LIST DATE: __j__j..n_ __j__j_fl_ ACQUIRED DISPOSED 0 Stock 0 Partnership 0 Leasehold Yrs. remaining 0 Other---------- 0 Check box if additional schedules reporting investments or real property are attached Comments:________________________ FPPC Form 700 (2013/2014} Sch. A-2 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
  • 3. .. , CALIFORNIA FORM 700 SCHEDULE B Interests in Real Property (Including Rental Income) FAIR POLITICAL PRACTICES COMMISSION FAIR MARKET VALUE 0 $2,000 - $10,000 0 $10,001 - $100,000 ~ $100,001 - $1_,000,000 0 Over $1,000,000 NATURE OF INTEREST ~Ownership/Deed of Trust IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED 0 Easement 0 Leasehold------ O------Yrs. remaining ol/1er IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0 - $499 0 $500- $1 ,000 0 $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 ~ ASSESSOR'S PARCEL NUMB CITY FAIR MARKET VALUE 0 $2,000- $10,000 0 $10,001 - $100,000 ~ $100,001 - $1,000,000 0 Over $1 ,000,000 NATURE OF INTEREST ~ Ownership/Deed of Trust IF APPLICABLE, LIST DATE: __j__j_jl_ __j__j_jl_ ACQUIRED DISPOSED 0 Easement D Leasehold------ 0------Yrs. remaining 0iher IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0- $499 0 $500- $1 ,000 [gJ $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. 0 None * You are not required to report loans from commercial lending institutions made in the lender's regular course of business on terms available to members of the p·ublic 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• Wii.-)/_, f,qa1o 8>t41llk ADDRESS (Business Address Acceptable) . ~ P.o. 8"{ /III/I/ Ont ~luvo .S .JIJ_;o:sol - '3'{/J BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER (bl'}nk INTEREST RATE TERM (Months/Years) INTEREST RATE TERM (Months/Years) ' ·3'JS'% 0 None t.tzJ--:1, 0 None HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD 0 $500- $1 ,000 0 $1 ,001 - $10,000 0 $500- $1 ,000 0 $1 ,001 - $10,000 0 $10,001 - $100,000 I)'ovER $1oo.ooo 0 $10,001 - $100,000 5i:l OVER $100,000 0 Guarantor, if applicable .0 Guarantor, if applicable Comments: --------------------------------------------- FPPC Form 700 (2013/2014) Sch. B FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
  • 4. CALIFORNIA FORM 700 SCHEDULE 8 Interests in Real Property (Including Rental Income) FAIR POLITICAL PRACTICES COMMISSION .,.. ASSESSOR'S PARCEL NUMBER 0 CITY FAIR MARKET VALUE 0 $2.000 - $10,000 IF APPLICABLE, LIST DATE: 0 $10,001 - $100,000 IE s1oo.oo1 - s1.ooo.ooo 0 Over $1,000,000 NATURE OF INTEREST liJ Ownership/Deed of Trust __j__j_j.l_ __j__j_j.l_ ACQUIRED DISPOSED 0 Easement 0 Leasehold------ 0-------Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0-$499 0 $500 - $1 ,000 0 $1 ,001 - $10,000 til $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. 0 None fZot3J t~J ... ASSESSOR'S PARCEL NUMBER Or STREET_['DDRESS OIL,v' *L- CITY FAIR MARKET VALUE 0 $2,000 - $10,000 IF APPLICABLE, LIST DATE: 0 $10,001 - $100,000 ~ $100,001 - $1,000,000 0 Over $1,000.000 __j__j_j.l_ __j__j_j.l_ NATURE OF INTEREST lK! Ownership/Deed of Trust 0 Leasehold------ Yrs. remaining ACQUIRED DISPOSED 0 Easement 0------Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0-$499 0 $500-$1,000 Iii $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 $10,000 or more. 0 None * You are not required to report loans from commercial lending institutions made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER" NAME OF LENDER" fC r Ltz..IIIQI=t/1..... 51Zn..VI C.ll$ rNc ADDRESS (Business Address Acceptable) f.().~ 2--?J?f) ~~t~-Ah,wt (,f!7-1JD1 BUSINESS ACTIVI , IF ANY, OF LENDER Oec wlf-,J LtJIJN c;,IZ-V, (._J Nt t LL ADDRESS (Business Address Acceptable) P.0 .B'/2J.f?3 t6 'f.),;[/f~LMBltlk ( FL JJl/I(. BUSINESS ACTIVITY, IF ANY, OF LENDER Lotw c;;Zf41J'-"L#? INTEREST RATE TERM (1lo{;ths/Years) INTEREST RATE TE M (Months/Years) ---"'--%0 None &.?Jo;, 0 None HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD 0 $500- $1,000 0 $1,001 - $10,000 0 $500- $1,000 0 $1,001 • $10,000 0 $10,001 - $100.000 ~OVER $100,000 0 $10,001 - $100,000 ~ OVER $100,000 0 Guarantor, if applicable 0 Guarantor, if applicable Comments: --------------------------------------------- FPPC Form 700 (2013/2014) Sch. B FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov (
  • 5. .. CALIFORNIA FORM 700 SCHEDULE 8 Interests in Real Property (Including Rental Income) FAIR POLITICAL PRACTICES COMMISSION 1> ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS PLt:Jcrt CITY ta4k/11AJf) CfJ- Cf'ftpJ- FAIR MARKET VALUE 0 $2,000 - $10,000 0 $10,001 - $100,000 g$100,001- $1,000,000 0 Over $1,000,000 NATURE OF INTEREST ~ Ownership/Deed of Trust IF APPLICABLE, LIST DATE: __j__j...1l_ __j__j...1l_ ACQUIRED DISPOSED 0 Easement 0 Leasehold------ 0 - - - - - -Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0-$499 0 $500- $1 ,000 0 $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 1> ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE 0 $2.000- $10,000 0 $10,001 - $100,000 0 $100,001 - $1 ,000,000 0 Over $1,000,000 NATURE OF INTEREST 0 Ownership/Deed of Trust IF APPLICABLE, LIST DATE: __j__j...1l_ __j__j...1l_ ACQUIRED DISPOSED 0 Easement 0 Leasehold ______ 0 - - - - - -Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0-$499 0 $500- $1 ,000 0 $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. 0 None * You are not required to report loans from commercial lending institutions 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• hA.Jt'AJ1111 L Moniqr1-i'L GM;(Jd,. LJ ADDRESS (Business Address Acceptable) ~A 1 /J.-'I~~P- l;),~l1tcl4n_8li)O S';,_~s,z ft~J-z.. NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY,t ANY, OF LENDER tv!(),;(qtf '1 "L Cot#(J~ ~--''( BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ?.r% 0 None ____% 0 None HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD 0 $500 - $1 ,000 ·,. 0 $1,001-$10,000 0 $500- $1 ,000 0 $1 ,001- $10,000 0 $10,001 - $100.000 ... OVER $100,000 0 $10,001 - $100,000 0 OVER $100,000 0 Guarantor, if applicable 0 Guarantor, if applicable Comments : - - - - - - - - - - - - -- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - FPPC Form 700 (2013/2014) Sch. B FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov