Jim Gailey - Assuming Office 2005
,. l'
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Date Received
OfIicia/ Use Only
STATEMENT OF ECONOMIC INT
COVER PAGE
Please type or print in ink
A Public Docum
NAME
(FIRST)
JC(n?eJ
CITY
1. Office, Agency or Court
Name of Office, Agency or Court:
Division, Board, District, if applicable:
Bti { IJr;'q f?Jbrc! d+ 1I--fl/'t'It (r
Your Position: ,
/11-e"Yl bev
_ If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
o State
o County of
~CityOf G; L rOl
o Multi-County
o Other
3. Type of Statement (Check at least one box)
/J{ Assuming Officellnitial Date: ---.LJ-L-i~
o Annual: The period covered is January 1, 2003,
through December 31, 2003.
-or-
e The period covered is -----1-----1_, through
December 31, 2003.
o Leaving Office Date Left: -----1-----1_
(Check one)
e The period covered is January 1, 2003, through
the date of leaving office.
-or-
e The period covered is -----1-----1_, through
the date of leaving office.
o Candidate
4. Schedule Summary
(Check applicable schedules or "No reportable interests."
_ During the reporting period, did you have any reportable
interests to disclose on:
Schedule A-1 0 Yes - schedule. attached
Investments (Less than 10% OwnetShip]
Schedule A-2 'kl Yes - schedule attached
Investments (10% or ~ Ownernhip]
Schedule B ~ Yes - schedule attached
Real Property
Schedule C 0 Yes - schedule attached
Income & Business Positions (Income Other /han Loans, Gills. and Tra""]
Schedule D 0 Yes - schedule attached
Income - Loans
Schedule E 0 Yes - schedule attached
Income - Gifts
Schedule F 0 Yes - schedule attached
Income - Travel Payments
-or-
_ 0 No reportable interests on any schedule
Total number of pages
completed including this cover page:
g
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.
FPP orm '700 (200312004)
FPPC TolI.Free Helpline: 866IASK.FPPC
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
~
~ 1, BUSINESS ENTITY OR TRUST
JI;"" r; r:u ? r 7 ("L) nJ"f (,f..:r f <::f'" fkrl,
Name , .
rz~ b-t- 111 iWl ~ f''7 Jt- J"'v. .If l vi)
Address I
Check one
o Trust, go to 2
~ness Entity, complete the box, then go to 2
GENERAL DESCRIPTIO~ OF BUSINESS ACTIVITYf
Co "1""'" (f, 'l~ - ('O€ ;,"( {oJ" v1A e '"
FAIR MARKET VALUE' IF APPLlCAILE, LIST DATE:
~ $2,000 - $10,000
0$10,001 - $100,000 ----1---.1 03 ----1----1~
D $100,001 _ $1,000,000 ACQUIRED DISPOSED
DOver $1,000,000
NATU~FINVESTMENT
IJl.&le Proprietorship 0 Partnership 0
YOUR BUSINESS POSITION () l.V'.r1/ 15' (2...
Other
CALIFORNIA FORM 700
I
FAIR POLITICAL PRACTICES COMMISSION
Name
6~i f.
{Ih\
~ 1 BUSINESS ENTITY OR TRUST
Name
Address
Check one
o Trust, go to 2
o Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
IF APPLICABLE, LIST DATE:
FAIR MARKET VALUE
D $2,000 - $10,000
D $10,001 - $100,000
0$100,001 - $1,000,000
DOver $1,000,000
NATURE OF INVESTMENT
D Sole Proprietorship 0 Partnership
----1---.1 03
ACQUIRED
----1----1 03
DISPOSED
o
Other
YOUR BUSINESS POSITION
D $0 - $499
D $500 - $1,000
0$1,001 - $10,000
Q$10,001 - $100,000
E,OVER$1oo,000
~ 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10.000 OR MORE (attach a separatlOo sheet If necessary)
G 'J ~
~'V4 Sc.f"UJ/'trpr
~ 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 2!:
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity 2!:
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
NATURE OF INTEREST
o Property Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
----1---.1 03 ----1---.1 03
ACQUIRED DISPOSED
o Stock
o Partnership
D Leasehold
o Other
Yrs. remaining
o Check box if additional schedules reporting investments or real property
are attached
Comments:
o $10,001 - $100,000
DOVER $100,000
D $0 - $499
D $500 - $1,000
o $1,001 - $10,000
~ 3, LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10.000 OR MORE (attach a separa.e shee' If necessary)
~ 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 Q!:
Street Address or Assessor's Parcel Number of Real Property
Description 01 Business Activity 2!:
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
DOver $1,000,000
NATURE OF INTEREST
o Property Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
----1---.1 03 ----1---1 03
ACQUIRED DISPOSED
D Stock
D Partnership
o Leasehold
o Other
Yrs. remaining
o Check box if additional schedules reporting investments or real property
are attached .
FPPC Form 700 (2003/2004) Sch. A-2
FPPC Toll-Free Helpline: 866/ASK-FPPC
,.
SCHEDULE B
Interests In Real Property
)0 STI&;T. ADDRESS~~Sf \.:OCI!.llOlI
Il.-!I rr
CITY /'
6 . toJr..~ rI!L'lJI)'1i)
FAIR tmtlCETvJUE
o $2.UOO-ttQ,ODO
o "0.a01 . '\IIO.OOD
~ '100.001 . S1,lIOO.1IlO
00.- 5t,DOO.IlOO
IF Af'f'IJCAlIl,E. UST 0IlTE:
'2,..CW
___L_...1. --1~A
.. UISPOSEO
NATURE OF INTEREST
o tt.nI8lf'nlPMy ~l\lplPeed d TIVI1 0 Euemwnl
o ....,..,aId
o
0ihIr
"d.. ,."...,..
If RENm. NtOPERlY. GfiOS6 JNQ)NJ: RECBYG
o SII- "" 0 S!iII9 -..stJDJ 0 $1.081 9$10.000
o '10,oD1 . $101l,DClO 0 O~ "GO.ooo
SOUI'tCES Of RENrH..ftIGONE; If you own . 10110 nr e-*'
lnt.185t. list 1M name cf eadl termnt 111. Is a mp &Ollroll of
IIICOOIllI or $10.000 or ~
NAUE OF tamER
ADDRESS
aUSlNESS ACTMTY 01' I.DIfJER
INTEREST RATE TeRM~)
% 0 NunI
WISHEST BALANCE DUlUJ/G AEPORTlHG PERIOD
o $500 - "~ID) 0 iUD1 - StOo_
D $10.00) - $1.lIIl.IIOO 0 ovat 5100.GllO
o Guatanfc'" If .JlIII1c8bRo
)> SlAEET-HlPRESS oR PRECISE.1.OCA11ON
f'Jz 6 S ~ ~'.J'., ~ .s ,}r-
em
CL:z
FotR u.t.RWET
o S2.llOO - $10.0a0
o ,'0,DO'l - $10?.?oo
iii $1OO"ODt . $"0IIII,lIIl0
o 0- ,',l1GO.011O
IF AflPI,.ICAIII.E UST DATE:
--l-'A -' I D3
ACCUIAED OISPQSS)
NATURE (lJ' INTEREST
. J'kIrQJ PrapIdf 0 ~ CII Trust 0 &Hruat
O~ 0
1ft. IIIQIIIIIlIv Olllat
IF REJ(TM.~. GROSS ~ Rf!C!NED
0$0. "'99 0 $SOD - S1,ouo 0 ",8l11 - $10.m0
~ SUUlO1 - $1DO,Ol1O 0 OVER $1110._
SOURCES Of RENTAL INCOME: If you own . 1Mt. or .-.
lnlBnlSt, 1st !he na.... ffI e8CtJ IeII;Int Ihat III a sklal8 IOUI'CIt af
1/lCIIImt~ or marw. ,
A/~~~ ~ .1>-; J3.e ceVl""ll
NAME Of' 1.SfOEft
ADDRESS
DUSJNESS -=nwrv OF teroER
IHfEREST RAlE TON(~)
:'I. 0 -
HIGHEST 8AlANCE DtJHING .REPORTING PERIOD
o SSOD -$t'- 0 ""Gll1 . $1?.?oo
o $10,QDt - S100.(IlIl) 0 OVER S111O,lIIO
o GuamDr. . 'appllAI*
comm.nts:
FPPC Form 700 (2OO3I28tM) Bdl. B
FPPC l'ol~ttD Hllpll".: MflAIK-RtPC
,
SCHEDULE B
Interests In Real Property
) s~ ADDRESS OR PRECISE lOCAT~
~ / 5 (J f114-tVW'"Jf- J-J.-
CITY
6: (/;-~
FAIR MARKET V,i;E
o $2.000 . $10,000
o $10,001 - $100,000
fI $100,001 - $1,000.000
lJ Over $1,000,000
IF APPLICABLE. UST DAlE:
--'---1 03 --,--'Ja..
ACQUIRED DISPOSED
NATURE Of INTEREST
o Rental Property 0 Ownerslllp/Peed of Trust 0 Easement
o Luseho1d 0
"'fA. ......inlrv Other
IF RENTAl PROPERlY. GROSS INCOME RECEIVED
0$0 - $4" 0 $500 . $1.000 0 $1,001 - $10,000
..'10,001 . $100,000 0 OVER $100,000
SOURcaI OF RENTAL INCOME: If you own a 10lll. or greatilll'
Inler:esl. list the name of each tenant that Is a singh! SOUrt:8 of
income or $10,000 or more.
jh.PvtZiq /lye fl/qr
Lur/~Lw (;'.'He"r~,^,
NAME Of LENDER
ADDRESS
BUSINESS ACTMTY 01' LENDER
INTEREST RATE TERM (McmtllsIYear.l)
% 0 None
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1,000 0 $1.001 . $10.000
0$10,001 . $100,000 0 OVER $100,000
o GUlllranlor. If applicable
) STREET ADDRESS OR PRECiSE LOCATJO\'I
72 Y u f< ,,>J .,. 4/jY"<f Ji-
CITY
6 {ore..../ CI'1- <1 Silt ..
{
F.AlR MARKET VAluE
o $2.000 - $10.000
o $10.001 . $100,000
. $100,001 . $1,000.011O
o Owf $1,000.000
IF APPUCABLE. LIST DATE:
-'.-1A .-1-1 D3
ACQUIRED OISPOSED
NATURE OF INTEREST
. Rental Property 0 OwnershlplOeed 01 Trust 0 Eannwn\
o LolIseholcl 0
Vre. rllfll8lRil'Q OIlier
IF RENTAl PROPEfHY. GROSS lNCOfE RECEIVED
o SO . $499 0 S500 - $1.000 0 $1.001 - $10,lIOO
o $10.001 - $100.lIOO 0 OVER $100,000
SOURCES OF RENTAL INCOME: If you own 8 10% or greater
interest, isl Ihe name of each tenant that IS a single source of
income 01 $10.000 or l\'U8,
C'(.( V',,-.e,., +1... tA vtel pr
if. -
eel., ~ YW""nO'\
NAME OF LENDeR
ADDRESS
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TEflM (MOnlhSlY""')
'" ONone
HIGHEST BAlANCE DURING REPORTING PERIOD
o $SOO . $1,000 0 $1,001 - $10,000
o $10,001 - $100,000 0 OVER $100.000
o Guaranlor. if appliC8br.
Comments:
FPPC Form 700 (2003/20lM) Sell. B
FPPC TolI-Frae Helpline: ae6JASK-FPPC
.'
CAurORNIA Fom.1 700
~,l =.: ~j:' 1 rez. ,"';,'L T .' ::. .0. ", ...':> r:.
SCKEDULE B
Interests In Real Property
) 5T1U!E.T mDRESS OR PRE(:lSI; L~
tj'Z II rdVl J ,tJ:j:-
C1'tY /~ ...
(p r l ~"-r
FNR UARl(ETWLuJ
o $2.UOO -SlD,ODO
o S1G,G01 . .,ao.OlID
Ql.,co.IlO1 . $1,000.110O
o 0- u.ooo.ooo
IF Af'PI.ICABlE. lJS'f WoTE:
--1---103 --1--'A
ACaLIIRED UISPOSeD
NATURE Of INTEREST
a. R.nhd PropMy O(Mn&nIllPlPMd f/I Tnm 0 ~
o ....~aIcI
o
00..
Ya ...........
IF RENw' PIm9ERTY. QiOS6 INWNE REGmEO
o 11I- "'It 0 _. JUlIO 0 $1.1lO1 - $10.000
tB "0.001 . ,'01l,lIOOD OVER $100.000
soUflCES OF RENTAL. tfIIGONE; If you 0-" 1R M (1--
lrll&rut. list the name at eadI tenant 1I1Bt IS a sInP &DUma of
InCDIM or $1O,aoo cr men.
CI I err ch,...ve+
O~.".q r:;'u1 (-e VVe.4,-
MAW: OF lENDER
ADDRESS
eUSINE&S ACTMTY Of" l.EImeR
INTEREST RATE TERIlt~1
~ 0 'tlvnI
~laHl:ST BALANCE DtrRJJIG REPORTING PERIOD
o $500 - '''000 0 sum - S1o.mo
o $10.001 - $10ua0 0 0Va't 11ll8,Gl1O
o GHtutor. Ii .ppllC8\blIt
)- SlREEl.,t,OGAESS OR PREClSE1.DCAlION
? I L( () f11trV1Vft s J-
cm
~ l:::;;
F,NRVodXET
o WMlO - $10.0cm
o $1C1.lMl1 - $1QOJJOO
J! $111O.G01 . $1.1IID.lIllD
'0 Onr $1,l1GG.01lO
IF N'AJCAIII,E. UST DATE:
--1--1_ -1 103
ACClIlRiD 0lSPQSS)
NATURE Of INTEREST
ill Rmdtd PIDpMy 0 ~ elf Trust 0 e.e1ftMl\
OLM..noId 0
TIL~ Cdler
IF RENT""~, GJiDSStNOOME RECEIVED
o SO . ,... 0 $SllIl- St. 0 $1..G01 - $10.n00
iii StUD1 - $tllO,OOCI 0 0VfR "00.4100
SOURCES Of RENTAlINCONE: K you own . 1K or .ater
Intar=t, 1st 1M name of-eectJ IIInant I!ud III 8 siIQl8 &OUl'Qt of
Incame d S'IO.1IOO or 1IllInt. .. '
lVovvu~ PeyfdtCf..
'Cyq/r Lc;)p~
NAME OF t.EIfOEft
ADORESS
~ lIr.TM'fV OF 1B4MR
ooEREST RAft 'fUb' (Manl~)
~ 0-
HIGHEST 8At..AHCE OintiNG REPORTIMG PERIOD
o S5llO - 'It. 0 S1.Gm - S11Ul11D
o $10,Qll' - S100.0lIG 0 OVER ",GO,lIlO
o GwmdOf. . appIIQIl*
comments:
FPpC Form 700 (~) Bdl. B
FPPC TPtl.f'rell fillplt".: eeelASK-fPPC
--
CALIFORNIA FORM 700
FA ~1 I-)O.....l-JCA, vRll.C T r,F~ CO"l'\' ~::, 0'"
SCHEDULE B
Interests in Real Property
) STREET ADDRESS OR PRECISE LOCATION
7rz6? hfr'\l1,~e1./'r
CITY
6 LYCll ri4
FAIR MARKET VAL If APf!:1CASl.E. UST DATE:
o $2.000 - $10,000 I ~
o $1D,001 _ $1IlO,OOD ~~.JA.. __L_..JJa.
ACQUIRED DISPOSED
0$100,001 - $1,000,000
. Over $1,000,000
NAlURE OF INTEREST
1iI Fl.entBI Property 0 Owner.lhip/OIlBd of Trust 0 Easement
o l..SIlhold 0
Vta. tIIrftlIinll'CJ Other
IF RelTAl PROPERTY. GFl.OSS INCOME RECEIVED
o $D - $4ll9 0 5500 . $1,000 0 $1,001 - $10,000
1&1 $10.001 - $100,000 0 O~ $11lO,ooD
SOURCES OF RENTAl-INCOME: If you own a 10q!, or grealer
ln18ntst, list II1a name of each tenant that Is a slnglEl SOUIt:8 of
income of $10.000 or more.
Vl~ Ivy(~
-:To U1/IR {
Ilrfft
L( r3
,S: Ie (:Jd
cho "ffIQ,,/
,
NAME OF LENDER
r;' eov-j e C:~-t4'O.v
ADDRESS
rz 4' C{ <.J l-I-rt-wt1/fT ~Jr G r ~
BUSINESS ACTMTY OF LENDER j r
CYff/"~
(j
L d <7'11/
TERN (MOI1U1s1YNl'S)
'3 ()v/j'
(
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1.000 0 $1.001 - $10,011O
0$10,001 - $100,000 ;:g. OVER $100,000
INTEREST RATE
6
o None
%
o Guarantor. If applicaltle
Ham
..
6:. I~'
( "'"
)0 STREET ADDRESS OR PRECiSE LOCATION
9/5/ fi;ve Jd- ..['}
CITY
FAIR MARKET VALUE
0$2.000. $10.000
0$10.001. $100,000
~ $100.001 . $1,000,011O
o 0Y9I' $1,000.000
IF APPUCABI.E. LIST DATE:
-,-'A ---'-1 D3
ACQUIRED OISPOSED
NATURE OF INTEREST
S Renl.I Property 0 OwnershlplDeed crt Trust 0 e.lMlnuont
o Loasehold 0
Yre.. rBmlllnilV Ollie,
IF RElnAL PROPERTY, GROSS I"'(;()ME Rt:Cli!NED
o SO - $499 0 $SOO - $1.000 0 ",001 - $10,000
~10.001 - $100,000 0 OVER $100,000
SOURCES OF RENTAl INCOME: If you own 8 10% or greater
interest, 1st the name or each tenant \hat Is a single source of
income of $10,000 er more,
, G b r"' ; tV" r; Y"et "/~c/~.l)
Idq ,JiM {"IIt-n:,.
NAME OF LENOEfl
ADDRESS
BUSINESS ACTIVllY OF lENDER
INTEREST RAn: TERM (Months/YN"'}
'" ON-
HIGHEST BAlANCE DURING REPORTING PERIOD
o $500 - $1.000 0 $1.001 - 510.000
o $10.001 - $100,000 0 OVER $100.000
o Guarill1tor. if applicable
Comments:
FPPC Fonn 700 (2003J20CM) Sch. B
FPPC TolI-FntO Helpline: 866/ASK-FPPC
SCHEDULE B
Interests in Real Property
CALIFORNIA FORM 700
FA -i Po_r"'ICAl" '-'1-~l'I.cr i:;:-~ (O'.S;:)~ O'~
. .
Na~, /'
\J t VI"\ '-0 G c ....
)0 STREET ADDRESS OR PRECISE lOCATION
'7 'S' ~ 0 H f'H'/ 1V4 is'1-
CITY
6e t- YQ 1 ClJ-- 'tS () L-cJ
FAIR MAAKET VALUE
o $2.000 . $10.000
o $10.001 - $100,000
l!i:$100,001 . $1,000.011O
o 0Wf $1,000.000
IF APf'. U~ LIST DATE:
Ie; R'~~_
--'--'~ ---1..-1 D3
ACQUIRED DISPOSED
)0 STREET ADDRESS Oft PRECISE lOCATION
f']2/' Dowelr Jr
CITY/"
0. l,/c..,. [14 Y S'C ltJ
FAIR MAAI<E1' VALlE
0$2,000 - $10,000
o $10.001 - $100.000
il2!1100,001 - $1,000,000
o ()yer $1,000,000
IF APPLICABt..E. UST OAlE:
3'103 ---1---1.J1...
ACQUIRED DISPOSED
NAlURE OF INTEREST
()1. Rentel Ptopert}' 0 Ownership/Peed of Trus' 0 Easemltllt
o leasehold 0
Ynl. ~ Other
NATURE OF INTEREST
e Renlel Property 0 Ow""lShlp(Deed of Trust 0 e.nmen'
o Leasehold 0
Yre. temalllil1g Other
IF RENTAL pROPERTY, GROSS INCOME RECEIVED
0$0 - $499 0 S500 . $1.000 0 $1.001 . $10.000
~S10.001 . $100,000 0 OVER $100,000
IF RENTAl PROPERTY, GROSS INCOME RECEIVED
o SO - $499 0 $500 . $1,000 0 $1.001 - $10,000
n<) $10.001 - $100,000 0 OVER $100.000
N,\ME Of LENDER
G~I t/r'n/
yel J1/OS"
SOURCes OF RENTAL INCOME: If you own 8 10% or greater
interest, 1st Ihe name or eadllenant that Is 8 single 6OUI'C8 of
Income of $10,000 or more,
In C. WIt> YPClP~' I~ ?,.C/fd l.(r {~ yye.,Iry
LlnJey /'YPJ1cJc( - i ~ ('"tn--e ov/
r~f ,de- ;<q,.
SOURCES 01' RENTAL INCOME: If you own & 10~ or greater
lntel1tSl. list the name of each tenant that Is a singMI source of
Income of $10,000 or more.
I/- /J10"~lgY-€t
. I
f3 L(.,({..j
__ Of' tEMDSt
ADDRESS
ADDRESS
BUSINESS ACTMTY 'OF LENDER
BUSINESS ACTIVITY OF lENDER
INTEREST'AA'lE TERM (MonthsIYNrs)
% 0 None
INT€REST RATE TERM (MontllsIYNr.I)
.. 0 Nolle
o Guaranlor. If appUcaDle
HIGHEST BAlANCE DURING REPORTING PERIOD
0$500 - ",000 0 $1,001 - $10.000
0$10,001 . $100,000 0 OVER 5100.000
o Guar.mtor. If 1IW1icable
HIGHEST BAlANCE DURING REPORTING PERIOD
o $500 - $1,000 0 $1.(101 - "0.000
0$10.0(11 - 5100,000 0 OVER $100,000
Comments:
FPPC Form 700 (2OO3J201M) Sch. B
FPPC TolI..-,.o Helpline: 8661ASK.FPPC
SCHEDULE B
Interests in Real Property
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name ...
) STREET ADDRESS OR PRECISE LOCATION
rlr flV'C.t. oF .}-
IF APPLICABLE, LIST DATE:
) STREET ADDRESS OR PRECISE LOCATION
~'2MJ r.hv-veJrsJ-
CITY
G'LfI'-'l
FAIR MARKET VALU
o $2,000 - $10,000
o $10,001 - $100,000
00 $100,001 - $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
~1ry. ---1---1 03
ACQUIRED DISPOSED
FAIR MARKET VAL
o $2,000 - $10,000
o $10,001 - $100,000
.:81 $100,001 - $1,000,000
o Over $1,000,000
---1--1 03 --1--1 03
ACQUIRED DISPOSED
NATURE OF INTEREST
P'l. Rental Property 0 Ownership/Deed of Trust
o Leasehold
o Easement
NATURE OF INTEREST
~ Rental Property 0 Ownership/Deed of Trust
o Leasehold 0
o Easement
Yrs. remaining
o
Other
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0 - $499 0 $500 - $1,000 0 $1,001 - $10,000
Dij $10,001 - $100,000 0 OVER $100,000
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0 - $499 0 $500 - $1,000 0 $1,001 - $10,000
Q(, $10,001 - $100,000 0 OVER $100,000
~
fl2%'1
/},,; IvveJ
~r:JL(:Ve
f?c, cf~
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.
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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NAME OF LENDER
NAME OF LENDER
ADDRESS
ADDRESS
BUSINESS ACTIVITY OF LENDER
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (Months/Years)
INTEREST RATE TERM (Months/Years)
% 0 None
% 0 None
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 0 OVER $100,000
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 0 OVER $100,000
o Guarantor, if applicable
o Guarantor, if applicable
Comments:
FPPC Form 700 (2003/2004) Sch. B
FPPC Toll-Free Helpline: 866/ASK-FPPC
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