Jim Gailey - Annual 2010
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
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Please type or print in ink.
NAME OF FILER
(LAST)
r;Q;/~ 1;:
(FIRST)
VGmer
(
)ft::J'Yir{ ..{. L
1. Office, Agency, or Court
VIe: chat;"'-
Your Position
'/cnVh"rh
.....
dHl~ 'ai1-~
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
o State
o Multi-County
lB.city of &i L rO 'f
3. Type of Statement (Check at least one box)
!R.Annual: The period covered is January 1, 2010, through December 31,
2010, .or.
The period covered is ----1----1_, through December 31,
2010.
o Judge (Statewide Jurisdiction)
o County of
o Other
o Leaving Office: Date Left ----1----1_
(Check one)
o The period covered is January 1, 2010, through the date of
leaving office.
o Assuming Office: Date ----1----1_
o The period covered is ----1----1_, through the date
of leaving office.
o Candidate: Election Year
Office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None."
~ Total number of pages including this cover page:
~
o Schedule A.1 . Investments - schedule attached
~ Schedule A.2 . Investments - schedule attached
gJ Schedule B . Real Properly - schedule attached
o Schedule C . Income, Loans, & Business Positions - schedule attached
o Schedule D . Income - Gifts - schedule attached
o Schedule E . Income - Gifts - Travel Payments - schedule attached
.or.
o None. No reportable interests on any schedule
MAILING ADDRESS STREET
(Business or Agency Address Recommended . Public Document)
"A.
STATE
9a'Zc)
ZIP CODE
5. Verification
E-MAIL ADDRESS
('I" )Pt', - 5O?z-
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 docum
I certify under penalty of perjury under the laws of the State of California that forego'
Date Signed 31 fJ'f D,r Jt, ?iJ II
(month, day, year)
Sig
FP Form 700 (2010/2011)
FPPC Toll-Free Helpline: 866 5-3772 www.fppc.ca.gov
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
~ 1. BUSINESS ENTITY OR TRUST
v,';" Gq I 'l-e~
Name I
,., ::r #'It qn Je" f!'
Address (Business Address Accep able)
Check one
o Trust, go to 2 IJit Business Entity, complete the box, then go to 2
Name
C4. k ZtJV
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
cr;;,..
Address (Business Address Acceptab/e)
Check one
o Trust, go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Cc./')L.s '" t1:itfll.+-- Pe vc ( v/'lfl~"" k-
.
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
o $2,000. $10,000
Ql $10,001 - $100,000
o $100,001 - $1,000,000
DOver $1,000,000
~~..1.!L
ACQUIRED
~~...1Q..
DISPOSED
NATURE OF INVESTMENT
Sole Proprietorship D Partnership D
Other
o $0 - $499
D $500. $1,000
lP<I $1,001 . $10,000
D $10,001 - $100,000
DOVER $100,000
D $0 . $499
D $500. $1,000
D $1,001. $10,000
~ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (A1l3C~1'-:) scp.:Jr3le sheet If IlCCCS53(Y)
~ ~F APPLICABLE, LIST DATE:
t'" ~~~ ~~~
I ACQUIRED DISPOSED
D
Other
o $10,001 . $100,000
DOVER $100,000
~ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Attiletl.-:) Scp,H3te sheet II ncccss:HY )
~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
Check one box:
D INVESTMENT
D REAL PROPERTY
Check one box:
D INVESTMENT
~ 4 INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
Name of Business Entity Q[
Street Address or Assessor's Parcel Number of Real Property
D REAL PROPERTY
Name of Business Entity Q[
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity Q[
City or Other Prl!'cise Location of Real Property
Description of Business Activity Q[
City or Other Precise Location of Real Property
FAIR MARKET VALUE
D $2,000 - $10,000
o $10,001 . $100,000
D $100,001 . $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
FAIR MARKET VALUE
D $2,000. $10,000
D $10,001 . $100,000
D $100,001 . $1,000,000
DOver $1,000,000
~~~ ~~..1.!L
ACQUIRED DISPOSED
NATURE OF INTEREST
D Property Ownership/Deed of Trust
D Partnership
NATURE OF INTEREST
D Property Ownership/Deed of Trust
D Stock
D Leasehold
o Other
D Leasehold
Yrs. remaining
Yrs. remaining
D Check box if additional schedules reporting investments or real property
are attached
D Check box if additional schedules reporting investments or real property
are attached
Comments:
IF APPLICABLE, LIST DATE:
~~-1Q.. ~~-1Q..
ACQUIRED DISPOSED
D Stock
D Partnership
D Other
FPPC Form 700 (2010/2011) Sch. A-2
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE B
Interests in Real Property
(Including Rental Income)
~ STREET ADDRESS OR PRECISE LOCATION
72"S R o.s'7"'~t; tJi-
CITY
G'WI7'f (1'1-.
FAIR MARKET VAL~E
o $2,000 - $10,000
o $10,001 - $100,000
~$100,001 - $1,000,000
DOver $1,000,000
?5ou
IF APPLICABLE, LIST DATE:
20<'3
---.I---.Ii!L ---.1---.1 i!L
ACQUIRED DISPOSED
NATURE OF INTEREST
C2\ Ownership/Deed of Trust
o Easement
o Leasehold
o
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0. $499 0 $500. $1,000 0 $1,001 - $10,000
Ql$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.
726S....,qecqy~ /172v/-~~fM~
r"12S?:r- A/ I/v,.,,.-a; /71. t.r 1 ~~r;6'f1 J~(
..,
Name
Vi';' GDr J<e.
~ STREET ADDRESS OR PRECISE LOCATION
/4 f S'-tIr J~
CITY
(;;tl;'Of (4.
FAIR MARKET VALUE
o $2,000 - $10,000
o $10,001 . $100,000
~ $100,001. . $1,000,000
QOver $1,000,000
'7 J Ol{)
IF APPLICABLE, LIST DATE:
---.1---.1 i!L ---.1---.1 i!L
ACQUIRED DISPOSED
NATURE OF INTEREST
181. Ownership/Deed of Trust
o Leasehold
o Easement
o
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
o $0 - $499 0 $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.
IJh r~ / r:'o~ ( !3t:?r/"cc~
.
* 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'
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
% 0 None
HIGHEST BALANCE DURING REPORTING PERIOD
o $500. $1,000 0 $1,001 - $10,000
o $10,001 . $100,000 0 OVER $100,000
o Guarantor, if applicable
Comments:
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (MonthslYears)
% 0 None
HIGHEST BALANCE DURING REPORTING PERIOD
0$500. $1,000 0 $1,001 - $10,000
o $10,001 . $100,000 0 OVER $100,000
o Guarantor, if applicable
FPPC Form 700 (2010/2011) Sch. B
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE 8
Interests in Real Property
(Including Rental Income)
CALIFORNIA FORM 700
fAIR POliTICAL PRACTICES COMMISSION
Name
Urn:
~ STREET ADDRESS OR PRECISE LOCATION
rt I '5 () /5 Y H QI'I/~'!t-__~_
CITY
G,lr".., CA. 7'J"d 7c) ____
FAIR MARKET VALUE
o $2,000. $10.000
o $10,001 . $100,000
0$100,001 . $1,000,000
DOver $1000.000
~.ilL
ACQUIRED
---.1---.1_1!L
DISPOSED
~ STREET ADDRESS OR PRECISE LOCATION
'12 L( () / Y f.{ if C) S- Q ,y W"4-?J':J-
CITY
h~lrr:J r- -.0-~u_9So~__~___._
FAIR MARKET VALUE IF APPLICABLE, LIST DATE
C $2,000 - $10000
C $10,001 - $100,000
~$100,001 . $1.000,000
DOver $1,000.000
~3-J.ilL ,-.1---.1.ilL
ACQUIRED DISPOSED
IF APPLICABLE. LIST DATE
NATURE OF INTEREST
~ Ownership/Deed of Trust
1 Easement
NATURE OF INTEREST
~ Ownership/Deed of Trust
C Easement
C Leasehold _ .
Yrs remalnmg
I' Leasehold
Other
Yrs. remaining
L__
Other
IF RENTAL PROPERTY. GROSS INCOME RECEIVED
0$0 - $499 0 $500 . $1.000 0 $1.001 . $10000
}XI $10.001 . $100.000 L! OVER $100000
IF RENTAL PROPERTY. GROSS INCOME RECEIVED
CJ $0 - $499
o $500 - $1000
C $1001 - $10000
I,l;;1 $10.001 . $100.000
COVER $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,
Ql5"O ---'I~~.J9_A-rt"IVoJ__ _____
7/S'f <<r;)r(y::.,~~
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.
7b.JJ -l?r,wd'cJtrJi
Tf2'(C( - /h~""cPd~__
* 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'
ADDRESS (Business Address Acceptable)
ADDRESS (Business Address Acceptable)
----_._._~---- ---_._-~- ~,._.._~-----
BUSINESS ACTIVITY. IF ANY. OF LENDER
BUSINESS ACTIVITY IF ANY. OF LENDER
INTEREST RATE
TERM (MonthsNears)
INTEREST RATE
TERM (Months/Y.ears)
-~%
C None
%
~ None
HIGHEST BALANCE DURING REPORTING PERIOD
0$500. $1000 [J $1001 . $10.000
o $10,001 . $100.000 OVER $100.000
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1000 C $1,001 . $10000
-~ $10.001 $100000 [J OVER $100.000
o Guarantor. if applicable
[' Guarantor. If applicable
Comments:
FPPC Form 700 (2010/2011) 5ch. B
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE 8
Interests in Real Property
(Including Rental Income)
.. STREET ADDRESS OR PRECISE LOCATION
$IdL[LS:LO ".-.pJ +~-t____~_
CITY
b l..-rr)y . _~ Y 5010
FAIR MARKET VALUE
0$2,000. $10.000
0$10,001 . $100,000
~$100,001 . $1.000000
DOver $1.000,000
IF APPLICABLE LIST DATE
'ZQ() 2. /~ ----.l_J~
ACQUIRED DISPOSED
NATURE OF INTEREST
~Ownershlp/Deed of Trust
j Easement
D Leasehold
Yrs. remaining
Other
IF RENTAL PROPERTY GROSS INCOME RECEIVED
o $0 - $499 0 $500 . $1000 [] $1001 - $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,
, (j"lt {- 8.eJrro,v'
~/2~IL~I"E:f- ___
Name
[J;~ Gq ,
.. STREET ADDRESS OR PRECISE LOCATION
I+p. "/nrv d;J-
,
2L~-9/-l14
CITY
_ G ~ trc/'f__ --C-4~2_'i([1Q_____
FAIR MARKET VALUE IF APPLICABLE, LIST DATE
o $2.000. $10000
D $10.001 . $100,000
D $100,001 . $1,000.000
~ Over $1.000.000
~~ ----.l----.l~
ACQUIRED DISPOSED
NATURE OF INTEREST
~Ownershlp/Deed of Trus1
Easement
Leasehold
L
Yrs remaIning
Other
IF RENTAL PROPERTY. GROSS INCOME RECEIVED
C $0. $499 0 $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.LLjO - /? lA i r
rz l'f'(=_ W( rkerSQ)1
* 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'
ADDRESS (BUSiness Address Accep/able)
BUSINESS ACTIVITY. IF ANY. OF LENDER
INTEREST RATE
TERM (MonthslYearsj
%
CJ None
HIGHEST BALANCE DURING REPORTING PERIOD
[J $500. $1000 $1001 . $10000
[J $10.001 - $100.000 OVER $100000
[] Guarantor, if applicable
Comments: _
NAME OF LENDER'
ADDRESS (Busmess Address Acceptable)
_._-~_._._._---~._-----------~
BUSINESS ACTIVITY IF ANY. OF LENDER
INTEREST RATE
TERM (Mon1hslYears)
%
CJ None
HIGHEST BALANCE DURING REPORTING PERIOD
$500 . $1000
$10.001 . $100,000
$1.001 - $10.000
[j OVER $100000
Guarantor, If applicable
FPPC Form 700 (2010/2011) Sch. B
FPPC TolI.Free Helpline: 866/275-3772 www.fppc.ca.gov
~ STREET ADDRESS OR PRECISE LOCATION
77 ~ '1--?nc7J1 ~{J~_
CITY
-(2~'1CA-. <(SrJ10
FAIR MARKET VALUE
o $2000. $10000
0$10,001 - $100000
o $100,001 . $1,000,000
~ Over $1,000,000
~ STREET ADDRESS OR PRECISE LOCATION
8"/5/ If, f rvV.e(jif-tfJ-
SCHEDULE B
Interests in Real Property
(Including Rental Income)
CITY
J!l5t;eJj]_
ACQUIRED
---.i_I ~
DISPOSED
G,L~+-~- ?..r~_
FAIR MARKET VALUE IF APPLICABLE.
U $2.000 - $10000 lOa,
0$10,001 - $100000 JJi'~.J!L
~ $100,001 . $1.000,000 ACQUIRED
DOver $1,000,000
LIST DATE
IF APPLICABLE. LIST DATE
_-1--.1.JQ.
DISPOSED
NATURE OF INTEREST
R Ownership/Deed of Trust
o Easement
NATURE OF INTEREST
t}l Ownership/Deed of Trust
Easement
o Leasehold ___._~___
Yrs remaining
,
----1
Other
'-' Leasehold
Yrs remalnmg
Other
IF RENTAL PROPERTY. GROSS INCOME RECEIVED
0$0. $499 0 $500. $1.000 0 $1.001 - $10000
~ $10.001 - $100.000 0 OVER $100000
IF RENTAL PROPERTY. GROSS INCOME RECEIVED
o $0 - $499 0 $500 . $1.000 [J $1001 . $10.000
~10.001 - $100.000 0 OVER $100.000
~k
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.
100 -t4'4I"C-e 1~-(/OCan+
,
'ZtfJ -r/AJ,y1r/ /2.:n1 -/'11~
- e~u.7-PJ=-IP';;;;;~ -------
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,
'Jp-h It-
-?15L=6f7,;VCZ.ds;J~
8YGI - St-t.rfc; r fe__
* 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'
&-e rJ rY:c . -u.::M--PH.~"'/
ADDRESS (Busi,,{,ss Address Acceptable)
7'7'(~Jth'!('!'V u_:t_
BUSINESS ACTIVITY. IF ANY. OF LENDER
fr'l/;Jr__~_ _ ____~.__
NAME OF LENDER'
ADDRESS (Business Address Acceptable)
~.....~---- ---_...~---- --- ..--....-----....----
BUSINESS ACTIVITY. IF ANY. OF LENDER
--_.__...-.,.__...~--------~--
INTE6T RATE
% 0 None
TERM (MonthsIYears)
_'?~p
~~------'--'--'-~.-. ----~-
INTEREST RATE
TERM (MonthslYears)
010 0 None
HIGHEST BALANCE DURING REPORTING PERIOD
0$500. $1.000 $1,001 - $10000
CJ $10.001 - $100.000
)l. OVER $100 000
HIGHEST BALANCE DURING REPORTING PERIOD
$500 - $1.000 CJ $1,001. $10000
.J $10001 $100.000 0 OVER $100000
:] Guarantor, if applicable
:= Guarantor. If applicable
Comments: ______
FPPC Form 700 (2010/2011) Sch. B
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE 8
Interests in Real Property
(Including Rental Income)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
a; -
.. STREET ADDRESS OR PRECISE LOCATION
!:l2!Cp O?JW4 ~.
CITY
Gt w,~ C?4. rr 50l-a
FAIR MARKE VALUE IF APPLICABLE.
o $2,000. $10,000
[J $10.001 - $100000
~$100.001 - $1.000.000
rJ Over $1.000,000
.. STREET ADDRESS OR PRECISE LOCATION
_ 7 5' ~J2.fffJ- ~ f1/ # f-1--
CITY
Gl [rUt Ci4. q5""~
FAIR MARKET VALUE
o $2,000. $10000
[J $10,001 . $100,000
!R $100.001 - $1.000,000
:J Over $1000.000
LIST DATE
IF APPLICABLE, LIST DATE
'~j!P-
ACQUIRED
__ J------.l1Q.
DISPOSED
~~ -.J-.J~
ACQUIRED DISPOSED
NATURE OF INTEREST
['j"Ownership/Deed ot Trust
Other
NATURE OF INTEREST
~ Ownership/Deed of Trust
C Leasehold
Easement
CJ Easement
o Leasehold_
Yrs. remainIng
c -----
Yrs. remaining
L.J
Other
IF RENTAL PROPERTY. GROSS INCOME RECEIVED
o $0 - $499
[] $500 . $1000
$1.001 - $10000
IF RENTAL PROPERTY. GROSS INCOME RECEIVED
c--.i $0. $499 r.J $500. $1.000 CJ $1001 - $10,000
. $10.001 - $100.000 [] OVER $100.000
~$10.001 . $100.000
::::J 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.
'72/(, A- - F-<?-- .iJ.Jr
-~_13..--=-J_y Q~f'i-..
SOURCES OF RENTAL INCOME If YDU own a 10% or greater
interest, list the name of each tenant that is a single source of
i~e Df $10,0.00 or m. ore.
- rl{/er'Je_~~ -I&.F/~pnc-r
* You are not required to repon 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'
ADDRESS (Business Address Acceptable)
.....------- "'-'~-. - - - ---------,. --.-
ADDRESS (Business Address Acceptable)
-_.._-------_.,~_.~-_._.._-_...-
BUSINESS ACTIVITY. IF ANY. OF LENDER
BUSINESS ACTIVITY. IF ANy OF LENDER
INTEREST RATE
TERM (MonthslYears)
INTEREST RATE
TERM (MonthslYears)
%
[] None
--.-.---_%
o None
------------_.~-~
HIGHEST BALANCE DURING REPORTING PERIOD
o $500 - $1.000 $1001 - $10000
C $10.001 . $100.000
OVER $100.000
HIGHEST BALANCE DURING REPORTING PERIOD
r-) $500 . $1.000 0 $1001 _ $10.000
, $10.001 - $100000 OVER $100.000
,''1 Guarantor. if applicable
Guarantor, If applicable
Comments: __
FPPC Form 700 (2010/2011) Sch. B
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE B
Interests in Real Property
(Including Rental Income)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTlCE~ COMr.lISSI0N
Name
Gi~ GQ/I
~ STREET ADDRESS OR PRECISE LOCATION
~ STREET ADDRESS OR PRECISE LOCATION
~8:~~Atl crdJ<.rr__.
CITY
0e &-1:/'( CIj;
FAIR MARKET VALUE
C $2.000 . $10000
0$10,001 . $100.000
<& $100.001 . $1000000
". Over $1.000.000
'7 2,fb I ,per. -.-dt~LJ:,i..[:r-___,_
,
CITY
G( tl'"U Y Ci4. . 9 'i" 0 ?'-O
FAIR MARKET VALUE
o $2.000. $10.000
0$10,001 - $100000
.Q{$100.001 . $1.000000
'J Over $1.000 000
IF APPLICABLE. LIST DATE
CJfi070
l?!lv 11.Q
ACQUIRED
IF APPLICABLE, LIST DATE
j .J1Q
DISPOSED
I.<:tILI .JQ.
ACQUIRED
_....J --.! JJL
DISPOSED
NATURE OF INTEREST
~ Ownership/Deed of Trust
o Leasehold
o Easement
NATURE OF INTEREST
t2\ Ownership/Deed of Trust
o Easement
Yrs. remainmg
c -..-'-
Other
o Leasehold --_ 0 ___ _'n__
Yrs. remaining Other
:~ PROPERTY. GROSS INCOME RECEIVED
)2J'$0. $499 CJ $500. $1.000 0 $1001 - $10,000
~$10001 - $100.000 'J OVER $100.000
IF RENTAL PROPERTY. GROSS INCOME RECEIVED
C $0 - $499
o $500 . $1000
'J $1001 - $10,000
P<$10.001 - $100.000
i . 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.
72FO -=~r-e?:-.n______
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.
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'Jf!(?-~.A1 C{!J.r?T"- ___ _____ __
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* 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 LENOER'
ADDRESS (Business Address Acceptable)
ADDRESS (Business Address Acceptable)
~---_._---.__._-~----~------- ---.~.__.,-----
BUSINESS ACTIVITY. IF ANY. OF LENDER
BUSINESS ACTIVITY. IF ANY. OF LENDER
INTEREST RATE
TERM (MonthsfYears)
INTEREST RATE
TERM (MonthsfYears)
--_%
[j None
_. %
=- None
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1,000 $1.001. $10000
HIGHEST BALANCE DURING REPORTING PERIOD
o $10.001 . $100.000
OVER $100000
[J $500 $1.000
$10.001 . $100.000
$1.001 . $10.000
...., OVER $100000
Guarantor. If applicable
...J Guarantor If applicable
Comments:_
FPPC Form 700 (2010/2011) Sch. B
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov