Jim Gailey - Annual 2009
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
,
~\
Dg}~ia~ft;2010
C!1Y CLERKS OF; l.~"
STATEMENT OF ECONOMIC INTERESTS
G~i,Rrj~:
COVER PAGE
Please type or print in ink.
A Public Document
NAME
(LAST)
(FIRST)
"., -CS
CITY
1. Office, Agency, or Court
Name of Office, Agency, or Court:
(',1-", c+' G; [yet T-
D!", Bla'd, D',trd, if appli".ble.
d .11/";", C~"'''''r.r.r~;''''
Your Position:
ChQ~;" ht-.v .. P/lfwr';l ('<I'" '" ,;..- 1
~ If filing for multiple positions, list additio al agencY(les)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
o State
o County of
I&s=ityof G /l"., r
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Office/Initial
Date: -----1-----1_
~ Annual: The period covered is January 1, 2009,
through December 31, 2009.
-or-
a The period covered is -----1-----1_, through
December 31, 2009.
o Leaving Office Date Left: -----1-----1_
(Check one)
a The period covered is January 1, 2009, through the
date of leaving office.
-or-
a The period covered is -----1-----1_, through
the date of leaving office.
o Candidate Election Year:
(MIDDLE)
DAYTIME TELEPHONE NUMBER
MQY'"s1t C1' II
STATE ZIP CODE
(~ )Y'1'6 -?UtiZ
OPTIONAL: E-MAIL ADDRESS
q Ei d.l. ()
4. Schedule Summary
~ Total number of pages (;>>
including this cover page: ---4-
~ Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A-1 0 Yes - schedule attached
Investments tLess than 70% Ownership)
Schedule A-2 ~ schedule attached
Investments (70% or Greater Ownership)
Schedule B ~- schedule attached
Real Property
Schedule C 0 Yes - schedule attached
Income, Loans, & Business Positions (Income Other than Gifts
and Travel Payments)
Schedule D 0 Yes - schedule attached
Income - Gifts
Schedule E 0 Yes - schedule attached
Income - Gifts - Travel Payments
-or.
o No reportable interests on any schedule
5. Verification
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 certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
Name
dO
Address (Business Address Acceptabl )
Check one
D Trust, go to 2 ~ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
IJi $10,001 - $100,000
0$100,001 - $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
------1------1 09
ACQUIRED
------1------1 09
DISPOSED
NATURE OF INVESTMENT
o Sole Proprietorship 0 Partnership 0
YOUR BUSINESS POSITION aU/Nt: f'(
Other
~ 1. BUSINESS ENTITY OR TRUST
Name
Address (Business Address Acceptable)
Check one
D Trust, go /0 2 0 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
o $10,001 - $100,000
0$100,001 . $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
------1------1 09
ACQUIRED
------1------1 09
DISPOSED
NATURE OF INVESTMENT
o Sole Proprietorship 0 Partnership 0
Other
YOUR BUSINESS POSITION
o $0 - $499
0$500 - $1,000
~1,001 - $10,000
o $10,001 . $100,000
DOVER $100,000
~ 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (attach a sep,Hdte 5t1f'''t If ne( ('ssary)
~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
Check one box:
o INVESTMENT
o REAL PROPERTY
Name of Business Entity ill
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity ill
City or Other Precise Location of Real Property
FAIR MARKET VALUE
o $2,000 . $10,000
o $10,001 - $100,000
o $100,001 - $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
------1------1 09 ------1------1 09
ACQUIRED DISPOSED
NATURE OF INTEREST
o Property Ownership/Deed of Trust
o Stock
o Partnership
o Leasehold
o Other
Yrs. remaining
o Check box if additional schedules reporting investments or real property
are attached
Comments:
o $0 . $499
o $500 - $1,000
0$1,001 - $10,000
o $10,001 - $100,000
DOVER $100,000
~ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Jtll{h d separi1\p shp('\ If n\({,>""ry)
~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
Check one box:
o INVESTMENT
o REAL PROPERTY
Name of Business Entity ill
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity ill
City or Other Precise Location of Real Property
FAIR MARKET VALUE
o $2,000 - $10,000
o $10,001 - $100,000
0$100,001 . $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
------1------1 09 ------1------1 09
ACQUIRED DISPOSED
NATURE OF INTEREST
o Property Ownership/Deed of Trust
o Stock
o Partnership
o Leasehold
o Other
Yrs. remaining
o Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (2009/2010) Sch. A-2
FPPC Toll-Free Helpline: 866/ASK.FPPC www.fppc.ca.gov
CALIFORNIA FORM 700
fAm PO\.lllCAL PRACTlCLS COMMISSION
SCHEDULE B
Interests in Real Property
(Including Rental Income)
~ STREET ADDRESS 01< PRECISE LOCAl ION
_r:L2 ~ ~ f1 ()~Q'V~__J"1:_______________
CITY
~f~~__r-/l. _f~~~ ~__________________
FAIF, MARKET VAlliE 11- APPliCABLE. LIST DATI
0$2,000. $10,000 '20fJ ~
o S10,001 - $100,000 -- __L__)Jl9~ - ~/___.JJl!L
~ $100,001 . $1,000,000 AC:OIJIf<ED DISI'()S[D
[lOver $1,000,000
NATURE OF INTEF~EST
!2\..OwnershipJDeed of Trust
[] Easement
o Leasehold
o -~---~
Other
Yrs. remaining
IF RENTAL f'ROPEf<TY, GROSS INC:OME f~LC[IV[[)
o $0 - $499 0 $500 $1.000 [J $1.(lOl - $10,000
~ $10.001 $100,000 0 OVlI~ $lOO,OOO
SOURCES OF RENTAL INCOME. If you own a 10% or greater
interest, list ttle name of each tenant that is a single source or
income of $10,000 or more.
72'S- -B~~I-!12'tL.':__~~~_~
72.S'"r -PI6v,~ / '7"l. Y1 CO,..-.b.. /friL
V
Name
(::I(~-~q(-'l~T
... SIF,FFI AIJilPr ss elf., PRf'C1SC IOCf\TION
_____I'fl_ _~~JI-
CIIY
------G!i~~1-L~:- _'l~~_________ ________
lAir, M!lfiKr I VAl L11- IF AI'I'IICABLE. LIST DATE
o ROOO $lO,OOO
[] $10,001 $100000
[~$1 00 ,OOl \,1. 000 000
[J Ovel $10000()O
j H JQ.~ ____L_ LQ"L
!I.COIJlHIIJ DISPOSFD
NATlIPE 01 INlE I<fsr
l2\ Ownership/Deed of Trust
o EaselTlf"H
o leasehold --------- [J ------
Yrs remaining O!her
IF PENTAL Pf~OPFHTY, C;F,OSS INCOME PECEIVED
0$0. $4')9 [] $500 - $1000 [] \1.001 . $10,000
~ $10.001 $100000 [] OVER $lOOOOO
SOURCES 01 F,LNTAL INCOME If you own a 10% or greater
interest, list the name of each teniJnt that I~, a single source of
income of $10,000 or more
_I1L,~-e l~~L~~~J~__n_
*
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'
ADDRFSS (Busmess Address AccepralJloj
BUSINESS ACTIVITY, IF ANY. OF LENDEr,
INTEREST RATE
T E I,M (Montlls/Years)
__..___~('l'o
o None
HIGHEST BALANCE DURING REPORTING IJERIOD
o S500. $1,000 0 Sl,OOl - $10,000
o S10,OOl . $100,000 0 OVER $100,000
o Guarantor, if applicable
Comments: _________________.._~________________
AUDPE so. (Busmess Arldress AccepliJ/Jlo;
[-JUSINESS ACl!VtTY. II ANY OF LEND[ I~
INTEREST I,AI E
f L I~M (MontllS/Years)
"
_____~_._____. In
[J Non,;
HIGHEST BALANCE DURING f<EPORTING PERIOD
[J i,500 - $1.000
o $10,001 - $lOOOOO
o nOO1 . $10.000
DOVER $100,000
[J C;uaranw!. If ilppirciltJle
FPPC Form 700 (2009/2010) Seh. B
FPPC TolI-Fwe Helpline: 866/ASK-FPPC www.fppc.ca.gov
CALIFORNIA FORM 700
fAIIl POl/HeAl Pf<A\;f1ClS COMMISSION
SCHEDULE B
Interests in Real Property
(Including Rental Income)
... STREIT ADDPESS Of, PF,EClSI LOCAl ION
_,!J /60 L['-t_ 'ftq~~~,_~___ ".,_ ___.'
CITY
G,Lrf/'1 La. 96020
FAil, MAPKU VALUF
o ROOO . $10,000
o $10001 . $100,000
[J $100001 ' $l,OOO{)OO
[J Over $1,000.000
II APPLICABL E. LIST DArE
LCJt63JJJ~_.J.._Jr19
ACOLJlf,ED DISPOSFIl
NATLJPF OF INTEPf:ST
fD( OwnershiplOeed of Trust
o Easement
o Leasehold ______ [] ~'___'___"_"'_"'_
Yrs remaining Other
IF I'<ENTAL f'POf)FPIY. Gf<ClSS INCOMF PECIIVED
o $0, $499 0 $500 ' $1.000 0 $1,001 ' $10,000
~ $10,001 ' $100,000 0 OVER $100.000
SOURCES Or- 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.
~D T=ert'.rfl J1.ye~J
7/Pt ((~~f;tlf'~
Nallle
__;:51;'" _Gq,'1
... STRFU ADDI,rSS Of, ['f,fUSE LOCAl ION
,7 ?....( oLI-jIf.ffr.)_Sf!l'K/I('f?_f!lf:~ _____
UTY
_C;-tk.I""~1-__C/4.. -"._~lS!?'.!::!L_______ _.____
fAIF, MAI<Kf I VAIUI II API'IICABII. LIST DAf F
[J $2.000 ' $10,000
[J $10001 ,,10uoOn
[boI:.I, 1(JO 00 1 $ 1 noD. noo
[] (}oje, ,1 000 oon
2~$_I_illL __ J ',. _,J _Q,9_
NOUIPI D DISPOSEr)
NAllJl,L Of 11.1 L h~1 S I
[] Ownership/Deed of Trust
Easenlent
o U~i1...f-'110ld -____
Yrs refllaHWl~l
Other
If f<ENTAL I'POPUHY. CliOSS INCOML f<FCf-IV[I)
[J $0 ' $499 [J ,,500
0$10001 $l()().OOO
$1.000 0 $1.001 ' $10,000
[] OVER S100,OOO
SOUPCE S or Re N IAL INCOMF If you own a 10% or greater
Interest, list tile name of each tenant that is a <;il1gle source of
income of $10,000 or more
~,o/o._=__&"J- ~..__.__n__________,
'l?-"'f'f=_l!t~",_~~ ~
*
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'
NAML Of rENDU,'
ADDRESS (Business Address AcwfJlalJ/e)
A[)ORFSS (Business Arldress Acn'fJ(illlle)
BUSINESS ACTIVITY. IF ANY, OF ITNDER BUSINESS ACTIVITY IF ANY or rENDFf,
INTEREST RATE
T F RM (MonthslYears)
%
o NOlle
HIGHEST BALANCE DURING RFPORTlNG PEHIOD
0$500. $1,000 [J $1,001 $10.000
o $10,001 ' $100,000 0 OVeR $100,000
o Guarantor if applicable
INTLRtST RATE
'I E RM (MornhslYears)
"
~_~.__/O
o NOlle
HIGHEST BALANCE DURING REPORTING PERIOD
o "fiOO $1000 $1001 $10000
[] $10,001 $100000 [J OVLR $100.000
[] CUnl'af1tor, if applicahle
Comments: -~--__.____________, ---------_________n___ __
FPPC Form 700 (2009/2010) Sch. B
FPPC TolI.Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
SCHEDULE B
Interests in Real Property
(Including F<ental Income)
CALIFORNIA FORM 700
r AIR POLITICAL PkAC ncl.s COMMISSION
'\
Name
(;J~l~__~-r1:Lf!.
.. STREET ADDFiESS Of, pr~ECISF lOCATION
__g~11_... F(j1~~~_~~____
CITY
__Gft..t"Q~a!L__ 9SJ(?~JJ___________ _
FAIl', MARKET VrfLLJE IF IIF'PLlCAHLE. IIS1 DAlI
o $2.000 . $10,000
o $10,001 . $100,000
~ $100.001 . $1.000,000
DOver $1.000,000
____L_.J ..1]_9_
ACOUIRFD
___J ___J ~i!_
DISf'OSED
.. smEET ADI)PFSS OR Pf<FCISF LOCAl ION
___2JL.ft? _i~'f.~~~~__
(TIY
___GI.. L t":~~fc.(f~ _7_~O"l. 0
FAir, MAPI<II V/II UF II' API'lleAl,1 r LIST DME
),?OOO $10.000
$10.001 j, 1 O().ooo
P{ $100.0i)1 $10()O.OOO
[] Ovel j,10(JU(J!I()
'-UfjJl~_
ACOUlf<r D
_.__.L._L!)9
DISPOSED
NATURE or INTERESl
~OwnershiplDeed of Trust
[] E ilsemC'nt
NATur<L OF INl Lf<1 SI
~ OwnershiplDeHd of Trust
[] Easement
o Leasehold
o
Yrs remaining
Olhel
II Le~seliolcl .--. ',_______
Vrs, relllatnifig
enhf:1
IF RENTAL PROPERTY, GROSS INCOME RECEIVE.D
0$0. $499 0 $500. $1,000 0 $1,001 -- $10,000
(&$10,001 . $100,000 0 OVER $100,000
II' RENTAL PfiOPFRTY (;fiOSS INCOME fiECEIVED
[] $0 . $499 [] $500 . $1,000 0 $1,001 -- $10,000
[] $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.
_ fj'l /1- 13 el., +",,1'1/
82'S- - .(i",+-i~~
SOURCES Of REN1AL 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
_7L'f!_~_&_Li:...______________
!]/~~k,~('/c~~________
* You are not required to report loans from commercial lending institutions made in tile 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"
ADDRESS (Business Address Acceptable)
ADDI~ESS (Busifle~~ Address Acceprabie)
BUSINESS ACTIVITY. IF ANY, OF I F.NDER
BUSINESS ACflVITY IF ANY. OF [[NDFfi
INTEREST RATE
TE RM (MonttlslYears)
INTeREST f~ATF
TE RM (MorllhslYears)
%
o None
____~_ 0/0
[] None
HIGHEST BALANCE DURING REPORTING F)EI<IClD
o $500 - $1.000 0 $1,001 . $10,000
0$10,001 -- $100,000 0 OVER $100,000
fllCHESf HAL I\NCF DURING REPORTING f'f I~IO[J
[] $500 . $1.000
[] $10,001 . $100,000
[J nOD1 . $10.0()()
[] OVER $100.000
[J Guarantor. if applicable
Guarantor if appllci1tJle
Comments:
FPPC Form 700 (2009/2010) Scll. B
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
CALIFORNIA FORM 700
FAm POllllCAL PRACTICES COMMISSION
SCHEDULE B
Interests in Real Property
(Including Rental Income)
Ii> STREET ADonESS 01< Pf<ECISE LOC:ATION
-!:l'1ftLr_m~~~_t.f~_
CITY
_6, l!'J}*ClL__'lf ()'-~___~_____ _______
FAIl< MARKeT VALUE II Af)PIICAHLt. IISI [JAI[
[J ROOO $10,000
[J $10.001 $100.000
[1 $100.001 - $1000,000
~ Over $1,000000
1'1!iI!JQ9_
ACOUII<[:D
_ __J _. JQ9
DISPOSEr)
NAwnE OF INnnESl
l~Ownership/Deed of Trust
[J Easement
f:J Leasellold _______ [J __________
Yrs remainIng Other
IF RENTAL PROPERTY, GROSS INCOME r"ECEIVED
0$0. $499 0 $500 - $1,000 0 $1.001 - $10,000
o $10,001 - $100,000 0 OVER $100,000
Name
--r - ~ /:e.
--VJ1!'1__--.!..2t:U____ __~ ___
Ii> SI PEl r ADD!!I S'; em Pf<FCI:~F tOCA/IUN
_<if S{/6L_nF~~~
UIY
(;,t,..O'),,: .0+. 2_~()~_____ _________
IAlfi Mi\IIi'.11 (;\IlJf II Af'PIICA.HLF LISI DAll
j,?ClOil ,111 (\(JI)
[J $11! 00; j 1(111 000
~!OO.O()1 $ll)[)OU()(1
[J CJvel $-1.00(J.Cl()()
lttS._lQ.9_
M:()UIRIIJ
- -- . I..__l .Q!l_
DISPOSED
NATUf!E 01 INlEl~IS I
~ Ownership/Deed of Trus!
[J Easefllenr
II LeilSeholrJ_________._ [] _________
Yrs remainIng Other
IF I<ENTAI PROPFfHy GROSS INCOME [<ECEIVED
[J $0 - $4(19
[] $500
[] $10,001 $100000
$1,000 [J $1,001
LJ OlfF R $100000
$10.000
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. S-"'( i-t
S~,k-- L<l~:;'la ~:.~ -:VO~U..+:___
S~l.~-~L(J - ~~:Jr~ I!!f--------..-
Af'''+~ A- - ~i-e~ - ~~
* You are not required to report loans from commercial lending institutions made in the lender's regular COUFse
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'
G ~d~--,--t:~ bf-~!..~__________u___
ADDRESS (Bus!,ess Address AcceplahleJ
!J "'10/;)
~ ""'-~~_!d::_________________
BUSINESS ACTIVITY IF ANY, OF LENDIR
Pv, v,,~h
INTEREST RATE
_____L%
T E PM (Montl1slYears)
o None
__:lILy~_________
HIGHEST 13ALANCE DURING REPOR1INC PI PlOD
[J $500 - nOOO 0 $1.001 $10000
o $10,001 . $100,000 6l. OlfER $100000
CJ Guarantor, if applicable
Comments; ________._____________
SOIJRCr-S 01 ,<tNIAL INCOME If you own a 10% or greater
interest, list Ihe name of each tenant that is a single source of
Income of $10,000 or more.
1flSI =-6r~~tL5I~_'_____________
tf7Jl--~-.fi,v_itf!!L"4-------------
NAME OF LEND!.:I".
_._--~-----_.,~-----,-_.._---_._._---_._--~-"---------~--- _._--_._---~
ADDI<FSS (Bus!fJess Address Acceptable)
BUSINESS ACTllflTY IF ANY OF II NDE R
INTEREST RAT[
.1 F RM (MonthslYears)
"
___._________.___ If)
[J None
filCHES 1 RAI ANCF DUf?INC; REI'OPTING 1'1 RIOD
$500 l-1.000
[J $10001 . $100UOO
'\1001 l-1lI.000
[J Olfli, $100000
[] Guarantor if npplicable
FPPC Form 700 (2009/2010) Sch. B
FPPC TolI.Free Helpline: 866/ASK.FPPC www.fppc.ca.gov
CALIFORNIA FORM 700
I AIIl POllllCAl PRACTICES COMMISSION
SCHEDULE B
Interests in Real Property
(Including F~ental Income)
~ STREEJ ADDI,ESS em PRECIS! LOCAl ION
--7-~l~----Q~~ti!bt--_~ ____________
CITY
G J L~r_C4_____~r;~_____________
FAIR MARKET VALUE If M'PIICAHIF, llS1 DAI f
o $2,000 . $10.000
o $10,001 - $100.000
Ql $100,001 - $1,000,000
[J Over $1,000,000
_lrr3bmL
ACOUIRED
___J____JQ~..
DISPOSED
NATURE Of INTEREST
l2. Ownership/Oeed of Trust
o Easement
o leasellOld
0---------------
Othcl
Yrs remaintng
IF RENTAL PROPERlY, GROSS INCOME RECFIVED
o $0 . $499 0 $500 - $1,000 0 $1,001 . $10000
~$1O,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.
f]"2I'H - F~ 4.r!!(________________
--!!.--L3-=--::r~~________
Name
fLJ,;!1---Ci~L~l~l!---- _
,
.. STW,T IlllI)",'," UR PRICISF LOCATION
.75:~~ _ Jh!fI;'~~~f:_
(IIY
__G_t_~_r:~'(- __ _ C~L__<i~Q~_____ _______
I All, MAI,K,I VAIUI IF API)IICARIF. LlSI DATE
[J $?OO(l $1O(l0(j
[J $10.001 $100000
[J $100001 $1000.000
~Ovel $1.0(J(JO(JO
ICf~5:; JllL
__.I__LillL
DISPOSE D
ACOUII~I D
NATur<t Of IN1U<ESI
~ Ownership/Deed of Trust
[J Easement
o Leasel10lrJ --------- 0 --____________
Yrs remaining Olher
I, I~ENTAI F'1,OPEfHY (;I,OSS II~COM[- RrCEIVED
$0 . $4~J9
[] $500
$1.000 $l.IXl1 . $10,000
DOVER $100000
$10.001 $100.000
SOURCES Of PENIAl 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
__I!~a_Jt'1t~L_I?_l!.J'.'__~_~a.____________
* You are not required to report loans from commercial lending institutions made in tile 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 LENDEP.
NAME OF LENDER'
ADDRESS (Blls/lless Address Accepta/Jle) ADDRESS (BlIs/Iless Ar1l1ress AcceplailleJ
tlUSINESS ACTIVITY, IF ANY, OF l FNDf[,
INTEREST FMTE
TERM (Morllhs/Years)
---~%
CJ None
HIGHEST BALANCE DURING REPORTING !)EI<lOD
0$500. $1,000 0 $1,001 - $10,000
o $10,001 - $100,000 0 OVEP $100,000
o Guarantor. if applicable
Comments:
BUSINess AClIVIIY, Ie ANY, OF LENDE!~
INTI PES T f~AH
IF PM (Montfls/Years)
---------- %
[] None
HIGHEST RALANCt DURING PEPOFiTlNG 1'[ PlOD
o $500 . $1000 CJ $1,ODl . $10,000
o $10,001 - $100000 [] OVEr< $100,000
CI Guarantor. If applicable
FPPC Form 700 (2009/2010) Sch. B
FPPC Toll-Free Helpline: 866/ASK.FPPC wwwJppc.ca.gov
SCHEDULE B
Interests in Real Property
(Incluc!lllD Pelllal Income)
CALIFORNIA FORM 700
fAIR POLI1lCAI I'IIACTlCLS COMMISSION
Name
0/- G
....JI"'l_ _ .~r.! '-
.. STREET ADDI,ESS UP PI,ECISE LOCMION
__7 2~ /&':Y-_-Ch_CI'_rsd1~__.._______
CITY
IAIC:::/:;~-- ~~~~~~T UATE
[J $2.000 $10,000
o $10,001 $100,000
~$100001 - $1,000,000
[J Over $l,OOO,Ooa
.. S II<[ IT AIlIlI./ISC, or~ PI![ U',F LOU,llON
_r-z~~Jt ..C!t'!l~c!tJ~__
CIW
- _GI t~<!..'(_f'!L!_.. 96-f)M~____..________
FAil, MAliKF I VAl ur II APPLICABLr LIS I DATI
[J $lOOO $10.000
[J $10001 $100.000
[0( $100001 . $l.OOOOOCi
CJ Over $lOOn 000
LC'::f!i~_Q.!L
ACOlllkfD
. _J_ _J JJJL
DISPOSE D
l~f-'L;JlJL
ACQUIRED
----~ __...J Jl~..
DISPOSFD
NATUI,E OF INTERESl
[J Ownership/Deed of Trust
[] Easemenl
r.ATUr,L m INTERFSl
If&.. Ownership/Deed ot Trust
[] EasenlHlt
o Leasehold
[J --~_..-..------
Olhel
1p<!S(-!lo/(1
Yrs remaining
Yrs rernalnlng
OTtK'1
II f,ENTAL PROPERTY. GROSS INCOME PECEIVID
o $0 . $499 0 $500 - $1.000 0 $1,001
[J $10,001 - $100,000 [] DVm $100,000
II I,ENIAI PROPf-RlY. e;I<OSS INCOME- f!lCLIVfD
$10.000
$(J - >~99 $bO()
f(!' $ 10 001 $ 100 ODD
$1.000
[J $1001
$10.000
lJ OVLR $100.000
SOURCES OF RENTAL INCOME If you own a 10% or greater
interest. list the name of each tenant tllat is a single source of
income of $10,000 or more.
']21tJ- ~~~
.. 7~- IB!JA t,~ M... 1'Vc#~
SOURCFS Of r,ENlAL INCOME If you own a 10% or greater
interest. list the name of each tenant that is a single SOl/rce of
income of $10,000 or more
!1G'~() _:::_1J_~____________
f)tftf2-~J.r-e 1ltL~
* You are not required to report loans from commercial lending institutions made in tile 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 I ENDER"
--~--------._-_._-_._..-._.__._-------~_.~
ADDRESS (Business Andress Acceprallle)
ADDPFSS (LJUSII/!'S'; Ad,1res5 Acceprable)
BUSINESS f,CTIVITY. IF ANY, OF I.FNDU<
BUSIN!','; ;\CIIVITy Ii- ANY 01- IINUIR
._--~---~------~"--_..._------------_._-~--------
INTEREST RATE
T E PM (MontllslY(~ars)
IN Ie REST I~ATE
TERM (Moflll1slYears)
-~-_%
o None
"
-~__/(')
o None
HIGHEST BALANCE DURING REPORTING PEf<lOD
0$500 - $1,000 0 $1,001 . $10000
[J $10,001 - $100,000 0 OVER $100,000
HIGHEST BALANCE DURING r,EPOPTING 1'1.1'1100
[J $500 $1,000 [J $1.001 - $10000
0$10,001 $100000 [J ovm $100000
o Guarantor, if applicable
[J GUdrantur, if applicilble
_._-_._.~-~---------_.---_._.~-_.~--- ----.---.----.--.------------..---.---
Comments: ______________.____________._.____________.
r PPC Farm 700 (2009/2010) Seh. B
FPPC TolI.Free Helpline: 866/ASK-FPPC www.fppc.ca.gav