Jim Gailey - Assuming Office 2008
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
(MIDDLE)
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\ iSl GilROY. CA c:i I
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DAYTIME TELEP
/
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A Public Document
Please type or print in ink.
NAME
(LAST)
(FIRST)
~~J
CITY
7=t- '/=1- /In r.ht
1. Office, Agency, or Court
Name of Office, Agency, or Court:
Division, Board, District, if applicable:
f / a IV Ik';;. ! Ld ",,';' 'J.J I ~
Your Position:
?n p vYl h-e r-
- 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
RCityof G,- L rby
o Multi-County
o Other
3. Type of Statement (Check at least one box)
~ Assuming Office/Initial Date: ~L J{Xij'
o Annual: The period covered is January 1, 2007,
through December 31,2007.
-or-
a The period covered is --.1--.1_, through
December 31,2007.
o Leaving Office Date Left: --.1--.1_
(Check one)
a The period covered is January 1, 2007, through the
date of leaving office.
-or-
a The period covered is --.1--.1_, through
the date of leaving office.
o Candidate
;n Iff? J f-fff t,(..
STATE ZIP CODE
(LJ'fh ffV b - 0 L
OPTIONAL: FAX I E-MAIL ADDRESS
~
9' 5 Ow
4. Schedule Summary
- Total number of pages
including this cover page:
?
- 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 (Less than 10% Ownership)
Schedule A-2 ~ Yes - schedule attached
Investments (10% or greater Ownership)
Schedule B ~Yes - 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 - Travel Payments
-or-
D 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.
Sig
C Form 700 (2007/2008)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
> 1. BUSINESS ENTITY OR TRUST
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
> 1. BUSINESS ENTITY OR TRUST
\);M Gf:I,'(e<-t
Name f Name
J'11 .> f'Ir J 1- 0<1' 77 , 9-m ~ -k/ey JJ- J;.,...f.r- 7. .:/()
Address Address
Check one
o Trust, go to 2 ~Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
D $2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
----.1----.1 07
ACQUIRED
---1---1 07
DISPOSED
NATURE OF INVESTMENT
D Sole Proprietorship D Partnership D
YOUR BUSINESS POSITION ~
Other
Check one
o Trust, go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
o Business Entity, complete the box, then go to 2
FAIR MARKET VALUE
D $2,000 - $10,000
D $10,001 - $100,000
D $100,001 - $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
---1----.1 07
ACQUIRED
---1---1 07
DISPOSED
NATURE OF INVESTMENT
D Sole Proprietorship D Partnership D
D $0 - $499
D $500 - $1,000
D $1,001 - $10,000
Other
> 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
Check one box:
D INVESTMENT
D REAL PROPERTY
D $0 - $499
D $500 - $1,000
D $1,001 - $10,000
&J $10,001 - $100,000
Cl'oVER $100,000
> 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (attach a separate sheet If necessilry)
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
D $2,000 - $10,000
D $10,001 - $100,000
D $100,001 - $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
----.1---1 07 ---1---1-.!lL.
ACQUIRED DISPOSED
NATURE OF INTEREST
D Property OwnershiplDeed of Trust
D Stock
D Partnership
D Leasehold
D Other
Yrs. remaining
D Check box if additional schedules reporting investments or real property
are attached
Comments:
YOUR BUSINESS POSITION
D $10,001 - $100,000
DOVER $100,000
> 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (attooh a sep"''' sheet ,f necessary)
Check one box:
D INVESTMENT
> 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
D 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
D $2,000 - $10,000
D $10,001 - $100,000
D $100,001 - $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
---1---1-.!lL. ---1---1 07
ACQUIRED DISPOSED
NATURE OF INTEREST
D Property Ownership/Deed of Trust
D Leasehold
Yrs. remaining
D Stock
D Partnership
D Other
D Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (2007/2008) Sch, A-2
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE B
Interests in Real Property
(Including Rental Income)
> STREET ADDRESS OR PRECISE LOCATION
rz?kJ chtA'-- ~ .r+-
CITY
FAIR MARKET L
D $2,000 - $10,000
D $10,001 - $100,000
~100,001 - $1,000,000
DOver $1,000,000
l!iR-!$.J[L __L_----1.J[L
ACQUIRED DISPOSED
NATURE OF INTEREST
~ownershiP/Deed of Trust
D Easement
D Leasehold
D
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
D $0 - $499 D $500 - $1,000 D $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.
72frJ (J"d ~ pe-r.e 9-
rr2.i<{ PofALfhe 1Uc.t~J T-
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
.
Gt:t
> STREET ADDRESS OR PRECISE LOCATION
~ ?tfrJ G~ f.Arch ar
CITY
Gf L".,y rA.
FAIR MARKET V/LUE
D $2,000 - $10,000
D $10,001 - $100,000
Qi$100,001 - $1,000,000
DOver $1,000,000
?S(JU)
IF APPLICABLE, LIST DATE:
n~7
ACQUIRED
----.J ----.J ~
DISPOSED
NATURE OF INTEREST
~ Ownership/Deed of Trust
D Easement
D Leasehold
D
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
D $0 - $499 D $500 - $1,000 D $1,001 - $10,000
~0,001 - $100,000 DOVER $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.
7fit7o - ~Ylc
f]ft{2.. - ~ Ss-e /U"fH ~
* You are not required to report loans from commercial lending institutions, 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'
NAME OF LENDER'
ADDRESS
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (MonthslYears)
% D None
HIGHEST BALANCE DURING REPORTING PERIOD
D $500 - $1,000 D $1,001 - $10,000
D $10,001 - $100.000 DOVER $100,000
D Guarantor, if applicable
Comments:
ADDRESS
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (MonthslYears)
% D None
HIGHEST BALANCE DURING REPORTING PERIOD
D $500 - $1,000 D $1,001 - $10,000
D $10,001 - $100,000 DOVER $100,000
D Guarantor, if applicable
FPPC Form 700 (2007/2008) Sch. B
FPPC Toll-Free Helpline: 866/ASK-FPPC
-~AUj-U~~~~ f-~~nil 700
FlUR P(H ITlf.,'{ PRfH.;llCI ;, i.OM".~r~S!OrJ
SCHEDULE B
fnterests in Real Property
(Including Rental Income)
G, L~ C4
FAIR MARl<Ef Il~E
CJ $2,000 - $10,000
o $10,001 - $100,000
18..$100,001 - $1.000,000
DOver $1,000.000
If' APPtICABtli!, ll8T DATE~
.fi!f3I. 01 __L_~. 01
ACQUIRED DISPOSED
NAllJ~ OY 1>>l1SR!$T
€9: CW~D~ llflrUSl
o Easement
n Leasehold
o
Yrs. tlllTlalnfng
0081
I
~ OS" REWTAt. Il>fCOMS: If)/oo (fWfl a 10% or greater I
interest, list tha 1lJ;Irll13 <)1 each tenant thai. is a sklGli!! smlfC& of
income of $10,000 or more. .
JJ- P~~f uS,? H
.B Q't{~Yef H
IF RENTA.....PR.QPER;ty. GBO!~S.IW'.A:lME. RECElVEU
0$0 - $499 0 $500. $1,000 0 $1,001 - $10,000
B. $10,001 ' $100,000 0 OVER $100,000
Name
Cf/~ GeN' .p
)> SfR!E'T Al'>OReSS o~ PReCISE LOCATION
'7 'i 60 H-tl- &,N?j .r1-
CITY
~Af~~!; ::~r I~ICAB~~~E:
o ~2.tlOO: . $1IMlOO
o t1lJ.,OOl - $100,000
~100.oo1 . $1.000,000
o Over $1,000,000
--1---1 07 --1--' 01
ACQUIRED DISPOSED
NATURE. OF INTEREST
~ Ownet8lliplOeed of Trust
o !:asemen!
o tea~
0--
VIS. mmalnlnll.
OIhot
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0- $499 0 $500 - $1,000 0 $1,001 - $1G,ooo.
o S1O-,001 - $100.DOO 0 OVEFl S,1!lll,1le!l-
SOURCES OF RENTAL INCOME: If you own a 10% or grealer
intenllit, list the Mttre Of each t.manllhaf is a singlEr source of
inp:~kOf~
,
* foil are not required to report loans from commerci~lI tending institutions, or any indebtedness created as part
of a- retalf installment or credit card transacTIon, made fn the fender's regular course of business on terms
avalmt1le to memberS of the public without regard TO your offldaf status. Personal loans and loans received
nnt In a h;)ooer's regutar course of business must be dlscfosed as folfows:
NAME OF LENDER'
NAME OF lEJIlflEft'
AOORES5
BUSINESS ACTIVITY OF LENDER
lNTI;RJ.s.t SATE. T~ (MonIhsNeem}
% 0 NOlIe
HIGHEST EtAlANCE DURING REi"ORTlOO PI::""'RI00
D $500'. $t,(iOCi 0 $1.001 - $1&,000
0$10,001 - $100,000 0 OVER $100,000
o Q\lll!!Mltar, if appfilJ8b!e
Comments:
II
ADDRI;SS
BUSINESS ACTIVITY OF LENDER
f
f
[
J
INTEREST RATE l'EflM (Mllflll'lSIYilSl'll)
% 0 None
HIGHEST BALANCe OURlrolG REPORTING PERIOD
0$500 - $1,000 0 $1.001 . $10,000
o $10,001 - $100,000 0 OVER $100,000
o GaattlblM, It ~blH
FPPC Farm 100. (2OO112QQB} $1m.. Ii
FPPC TolI.Free Helpline: 866/ASK.FPPC
t>AtIFtJR/\liA- r .aRM 106-
MRTI.ffTi'..M PRikri,;f, CW.'''\I,-SIOIJ
3CHEDULE B
interests in Real Prooertv
. .,
(Including Rental Income)
II ~
H
[ [
[(
( [
([
j::l/1h--9L -1-1J!L [ l
ACQUIRED DISPOSED [ ~
[ [
[ [ NATURE OF INTEREST
[ 1 g.OwnemhipJOeed of Trust
[L I[ 0 l~"1i01i1
VIS. remal"ln!l.
II
DI~ RSENo _T:~~RQP~O'.' '$' ~.:S1,!NGOOO.,-:QME Rroavfu [[ I IF RENTAL PROPI:RlY, GROSS INCOME RECEIVED
. ~,,;> ~uv .. 0 $1,001 - $10,000 [0 $0 - $499 0 S500 - Sl,ooO n. $1,001 . $10,000
dQ $10,001 . $100,000 0 OVER $100,000 [ [ @$,11}.,OO1 - $100.ooQ 0 OVER ~1fl9T~
~~~ 0$'- m;:ffAI'. 1~0i'Ill!~ If you awl! (j '10% of ~f II SOURCES OF RENTAL INCOME: II you own a 10% or greater
Interesl, list tha n.,lm~ I)f ~ ~ 1M! 1& 9 s!ngte ~'rt-:e of ir..ar6&t, llr.t me .oiil7rti 01 eaGil <.matH filM is a sfngia suurre of
income of $10,000 or more. i~~ 9f $-19J}f)9. e!' ffle!'~..
10cJ - J r~.e",-e~ /"2.20- ~. H'if)' - G/Jrt<:1fVCf d;;J5
2fV- ()~NIf/ !1f-,.e2-el( 11-P~f If C,I- ru.rl-c,;+q
)> ~T~T !>.ggpas OR PP-"'~'5E LO"J.TICU
~M>f:~~~':k
0$2,000 - $tO,Ooo
o $10,001 - $100,000
0$100.001 - $1,000,000
~ Over $t.600.000
If' APfi.lCAm.E. U3T DATE
*1"tJ~or tl'~51'
~Wt1tit~1'>>ift"OifeU Of 7fU'Si'
o Easement
Cd- Leasenold
o
'1'",. r",""lnlng
ou,6f
[ Name
lVi~
r -
Gq f / ~7
,J
~r ~ss Of{ PRECISE lOCATION
;;/ Sf / 'r nV'?'t.f1- ~?:
.
CITY
G, L,:~ r /I. lU"rt()
FAIR iiJ:iRK~f VAL e
0, ~2;ee9:;: $W~
o ~19rOO~ - !S19IMlQ{l.
0$100.001 . $1.000.000
[] Over $1,000,000
IF APPLICABLE, LIST DATE:
l:iJCI'IJJL -1--1 07
A~ED DISPOSED
o Easement
o
0001
* YOO i:fi'e nOt reqUlfM fO report loans from commercfaf fendIng institutions. or any indebtedness created as part
of it ft:laii Inst8nfflem Of CfeOit earo transaction, made in the fender's regular course of business on tenns
ava'rl'anie to memws or the pUblic Without regard fo your officfaf status. Persona! loans and loans received
rrot in Ef fer-tOe-rs regU1aF course Df bUsiness musf be dfsclosed as follows:
NAME OF LENDER'
GeClVtt'l'" C,J-P"",-.,!"
ADDKt=S5 /
rt '-?' <-c.J f1-r1rV',v 11'Jr-
BUSINESS ACTlVllY OF LENDER
IMIIiRliS..l- j:!ATE;.
T!iP.M, ~l~-".L~l!fl""}
3()~
~ %
o None
~..nESt aA1..lffiCE tJU'Rli'tti RErvttl ~ PERiOO
D$5W- H,Gi1ii D$l,Wf.. fiO,OOO
U $10,001 - $100,000 lR[ OVER $100,000
O-G~~~fWt:M'i: il. ~~.e
Comments: ._
l L
[[
( [
[ [
[[
[ [
[[
[ (
II
[{
If
Ll
[[
[ [
f r
NAMe 9f !:E~-R~
ADDRESS
BUSINESS ACTIVITY OF LENDER
lU"~" WiT!: ,rAM {MOOl!JSI'foolST
% 0 None
H1Gt-iEST BAlANCE DURING REPORTING PERIOD
0$500 - $1,000 0 $1,001 - $10.000
o $10,1l01 - $100,000 0 OVER $100,000
o ~rlit. t1"~um
FPPC Form. 'Zoo. (201l7/2Qlltl} Sch. R
FPPC Toll-Free Helpline: 866/ASK.FPPC
- - -----.-----
--~ --
t:ALH.U~fijtM c{Ji<;~J1
- - -
r:~T, 1= ",r ?, !,.-. l ~ {~ .}-.. ~ 'I I 1~.1
SCHEDULE B
interests in Real Property
{l.r:mlw.L~ RQ"l!aI L':loo''De}
~ fiiZ!iF;:;;;~
(ffi'
~~~~ I ~~~.~m~
o $2.000 - $10.000
0$10.001 - $100,000 ~..!1!! ~D07
~$tOO.Mt - $1.000.000 ..."""'"
D6ve,- Sf.OOl't.lm
~~ffT~
~~~~.ru&
!
Q I..ta.sehold i
j'l'n; ........inIirO
I
IF RliNTAJ.,.PR~,t;RQ.~~~D
I
0- $G. :;.199- i Q $300 . St,oo&
I
Q..$ro.OO1 . $100'fOOO 0 OVEA $100.000
~~ (W- ~ lI<<:OMI: If you <Niff II 10% I)f ~
rnlsresLIi1tt IIl9 riGm9 oJ !fadl ~ tNlI is e ~ ~ of
Inoornll 01 $1t'l.* Of~.
g-z~1 (3r<( +,~f'I/ .~,
,fl../~ .- G~drc.ye:r
D~
o
Ohr
o Sl.wi - j'iDJ)OO
Name
0;'
t r Ji ~-~ em JlREaSE' LOCATION
II -ar.;f] !:;'-!~ /frI/1V11'IC.
H ~~~ elf. ~~tsfOA1e
(I o~'~ IQP':::J.-
I ~::;~1-'~~ &.CI~~ ~7
( a Owef $'1.000,000
IIE~
[ ~.............
f
f
f
L
[[
I J
.t
o lMeIMlIt
o~.
00...
Ii' ftENTAi:. f'R6i>ER1'f. ~ ~ ~1lI~
0$0- $499 g $SOIl- $1.000 0 s',Dot - $10,000
~Wgn - l1OO,!!!!) 0 C'JI'Jl ~
SOURCES OF RENT./\$.~: If yQI.! l!W!:l ~ 1.0% or 9N!ablr
tmar=t. ll&t Vl& I'lBl'M lSf ~ te1t8I'II Nt is s single- SWIW of
~9f~1~~!1'f~_
ry I '-to R i.4. ,1:-
'7/ "''1- (Vi l {c.erJr;/IA.
i
*' YOU are .MY feQll1ted f(J feijorf loans from commercial lendtng institutlons.. or any Indebtedl1ess created as part
of ii ren:m InSUJllm4nt or credit card fransacti'on. made in the t8nde(s regular course of business on tenns
e-..-au~ tn- membMS of lhe ptJbJiC vnmout regard fo your official status. - Personal bans and loans received
m:;t in a ~s regutar course or bUSIness must be dlsclosed as foffOlNs:
~:
~~Ql"~: t [ ~~ U:.~-
[[
( r AI)OIUS
(f
( I BUSlHESS ACTMTY OF I..ENOER
1[1 --
l % D~
H
H
i f 0 GlmmWJ,f. Il~
f[
U
~s
:SINESS ~~ OF LE~~
1~1'~
"fIiFl!tl~
~
OHiwt
~~UURlJlG ~PERlOn
o ~ - i'i,iit'l1 0 Sf.tJIH - !t<f.md
U$-~O(}1 '- $1~
o O\~ l<<le.{lOO
O~r.I!:~
Cnrrmdli".ts;:. ~
~~l
MG~~ tII..!R/HG.~~
0$500.- $.1..000. D !t,Wt - ".tlJlOO.
o ;tGoOO1 - .1-00.0CI& 0 C'JER $tw.coo-
J-~ FaITil ~~~,~ ~~... 51-
fP!lc. r~J-f(~ J..lM.Ii1!~~- IlWlt~I(,rf)PC
SCHEDULE B
-- -- - --
~{;~tf;~t{I~tA ~~KM ~O -
"-ri"i1ti-PrKfi{(~'n ft.rilCJlt~T'~i.UMf,,~SSION
/
////
Interests in Real ProDertv
. .,
(Including Rental Income)
r Name
, U;~q"!~'f
t
[
j
>>- $1"R€E1' 1i"UDRESS OR PP.EC5SE. lOCAltot.:
Chi
f~~:'luE
o $2,000 - $10,000
[] $10.001 - $100,000
~100.001 - $1,000,000
U Over $1.600.000
'F AWtJCABtE. ttST U;.GE:
--1--107 --1--1. 07
ACQUIRED DISPOSED
t{Aru~~ OF it.f.r-r:Rc$1
a O'miGi~.,t1e6 Of 7(tJ!jt
o Easement
o Leasehold
o =======
Yrs. remaining
0tl181
IF RENTAI...PHQPeRn', GR.Q.$~ !W'~ Pl"t"l::I'!fD
o ~O - $499 0 $500 - $1,000 0 Sl.001 - $10.000
12($10,001 . $100.000 0 OVER $100,000
ect-~~~ ~ ~~I-'i--rAt. U.fCtffM!;' n you i1Wfi 6iVYo of gte6fer
Interest list the ~ Qf ~ ~ tMt is !} ~!e StO'J'tC-e of
income of $10,000 or more.
ry I Sf) [-/...<1 I"eJ ~ 11- r"~ tf/v J
r"]/S'ty {1 ddrrr;~~
i' j.
II
[ [
[ [
I (
I{
H
H
t1
H
H
II
[[
II
Il
[[
(f
[ [
rJ
~Ef Ai5tiRess OR PRECISE LOCATION
f{ 2 '7tl/ crc.r If tJ I" r'rv-r/fJI'Jd--
CITY
FAfR~:Z rA f:~:lE.USTOATE:
o ~,009 . ~o.OOl}
o f~\M91 - ~H'IMlOO
g..s100.oo1 -SI.Ooo.ooo
DOver $1,000.000
7-cOid 3.QL -1---1.ffL
ACQUIRED DISPOSED
NATURE OF INTEREST
$ OwnershiplOood of Trust
o Easement
o t~~~
o
Yr.;.tar1\lllnlnll
OOler
IF RENTAL PROPERTY. GROSS INCOME RECEIVED
o $0 - $499 0 $500 - $1,000 n $1.001 . $10,000
ro~'H!()~ - $1.00.900
o OVSC! $100:..eee-
SOURCES OF RENTAL INCOME: If you own a 10% or greater
il,ter.s, lll;t .it... .liiffl6 Of eMn tcmanf iMf is a sirigfu soorce of
~ ~ ~t9,~ ~ !~e_.
fj Zt.-/iJ - RdWd.) (1f9t,
1/
7V-f'( - /l1 etA. d o~C(
* 'fOU afe nor reqUIred to report loans from commerciaf fending instJ1utlons, or any indebtedness created as part
m fi fSfiin ifistallMent of ersc:iI{ catti transaction, made in the fender IS regular course of business on terms
tivd'rtaure tfi memoers of the PUblic Without regard fo your offldat status. Personal loans and loans received
not in a l&ttUef's regUiar course Of business must be discfosed' as follows:
NAME OF LENDER'
~s eF !:..E~ER.
Am:JRE&5
-., r ~
BUSINESS ACTIVITY OF LENDER
INTI<RJ;-ST ~AT!; 'TeRM (f.~Mm}
% 0 None
~ST 5AUi'<CE DURiNG REFOR1iNEi PtRlOv
o $5()tf. $iJllil1 0 $1.001 - j1a,600
U $10,001 . $100,000 0 OVER $100,000
o G~a~W!~ if: ~?!~~
Comments:
II
[[
[ [
[ [
[[
I [
[[
[ [
[I
If
If
[[
((
[[
II
ADDR!;SS
BUSINESS ACTIVITY OF LENDER
IMT~T RAT;::; >ERr1of {MOllmurears}
% 0 None
HtGHEST BAlANCE DURING REPORTING PERIOD
0$500 - $1,000 0 $1,001 . $10.000
o $10,001 - $100,000 0 OVER $100,000
o GfrGtStI:zrn. tt'~vlfj.
FPPC Farm 100 (ZOQlt2n08t ~Il.. iii.
FPPC Toll-Free Helpline: 866/ASK.FPPC
SCHEDULE B
interests in Real Property
{Including Rental Inoow.e)
--.--- --- - "~,..
J.-' ~.-t,- a... , .l,..)o:h~"'.t. .. , "ul~r:-, ~-
~..t'')Llrv~p''IM .f U" ..,-
- -
~ -- -~
r/ 1.~~2! ~--;~'~f ~ 1_ j ~:: ~_~~:'_-:.~_3~~~
.. Yoo ~ nor feQtflfeO TO te150rf loans from commerdat fending insb1uttons. or any indebtadness created as part
u1 a remit msrallmet'lt or eredft catd transaction, made fn the fende(s regular course of business on terms
iiYiiltBUie tG mefrIDG1$ of the I)UbIlC iMihout regan:l fo your official stalus.- Personal feans and loans re~ived
trot in a: 19f'll1efs regUlar course or bUSJrltMs must be disclosed as fobs:
MMIE Q!'I ~R' t I ~-=-~ ~~.
it
I [ AOOm;sS
II BUSINESS ACrM'r\' Of' LENDER
it
II --=-: o-
Il
[ f
If OG~.I1~
U
It
> ~72,7i? ::~~OU1:bt4
II'
I
2'!o~' ~:7 .l
[I
,I
p
[] $0 - $<;ll$ (j UOO. 11,00& 0 '$1.001 - $iD.llOO t
I1ir Sill,OM . $100.000 0 OYeR $100,000 f
~~ C#:u:tm.t~! It yoo 0WiJ (J fO"llr Of r/f:i1ffK I
Inlaresl.lisllflQ ~ 9f t:adl tMant tllm is & !lincJ'e ~ of
lfioomfl 0; $10.000 (If mOre.
r-nb5 f? ~(t: rr-4 /72'(/ - V~cOt,vj- dl t
r"1?f7- '!yA-vP1I?o /?'l.l:i7 - (~trc,~va ,{
uTi
G,Lr~
c:..ua LU..OUCT <
.~_~ _~~_. 'IN;; .
o $2.000 . $10.000
LJ $10.001 . $10CJ,OOO
0$100,001 - $1.000.000
~ $t.OOD,t'JOO
(?):J 9 S fJ 7. ()
"' ~~1!, ;';31' t1im2'
tlta't./m!: O? ~&T
~~~alfui'l
o~
o Leasehold
o
(lIfl",
Trs. rilflSI1nIIl9
IF RENTAl,.PRQPWY, ~ w:"..wE. Re:a\ffD
-
~&'
. = 'V".'.*,"
1ll,lSINESS ACTlVI'l'Y OF UiNDER
I/IIT~ AATS
TERM.~...,.,,)
-_%
OHono
~~... t>.......,.iOCE Dtu-.---mG ~ FmIOO
o ;iW . iUi'M 0 if lJtff - -If(t(l(lO
o $10,001 . $100,000 0 O'F...R 5100.-ooll
O~r.if~
Cn.-rtffi.m15,
ffi ~ ~r. '(~~.
S'f'K. ~fADON:r~ :;r. l~~. -
jLfl . . __... .
CITY
Mitt0;!f~JtitS CIf.
D~J)ro~~
o .W,lIO' . ~1QQJ,!QQ
H.:UlIO.Oln . sr.coo.ooo
o Ow. $1,000,000
yJVl-O
IF APPt.iCAm.E. LIST DATE,
2-q7/?J,.$L
.a.caIJlRED
I I01
0ISP0GlW
NA1U1U:. fjf WttJ:itST
~~aI fftlSt
Dt~_
v.... --.,
o~
. 0 ~c."'->"~
0IMt<
FRENTAL~l"i.M6SS~A'e~Eo
o $0 . $499 g $5110 - $1.000 0 51,lJO'l . .1O,DOO
o !lO..oo1 - $1OO.lM 0 oval ~
S!;X,lRCI:-S QF REHT-M.~; U yQg ~ .a 10% or groattlf
\'tIte'ttl&t, = lhe lIBMe a fIIiI'Qi ~anI m4f i$ a IliiIgftJ SUUfUf of
.~ 01 $19.~ e!' ~.e e;/}_ .
~PJC7x<rk~ _~ ..~
_iI
1ERM~~l
~ IlAI.N-lC1i ~ ~ PfiRlOO.
o Ul10 - $oHlOO LJ $1tl!l'\ -$!o.411111
o ~1o.OO1 - $100,000 0 0\";1'1 $wo'OOO
;:~ Fa:=m: COO {2GSm~ ~~-:
FPP{:' T<!!t-f~;N HI!.!!!!!Mt !'i6J~~K.fPPt.;