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Goodwin Consulting Group - Annual 2012COMMISSION 700 STATEMENT OF ECONOMIC INTERESTS 6-etc Received CALIFORNIA FORM � awmc, Use ary FAIR POITATICAL A PUBLIC X313 COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) Goodwin Susan Marie 1. Office, Agency, or Court 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 document. certify under penalty of perjury under the laws of the State of California that the FPPC Form 700 (2012/2013) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME Goodwin Consulting Group, Inc. ADDRESS (Business Address Acceptable) Sacramento CA 95825 BUSINESS ACTIVITY, IF ANY, OF SOURCE Consulting YOUR BUSINESS POSITION Managing Principal GROSS INCOME RECEIVED © $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000. ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property, car, boar, etc,) ❑ Commission or F1 Rental Income, list each source of $10,000 or more Z Other Consulting Services Name Susan Marie Goodwin NAME OF SOURCE OF INCOME ADDRESS (Business Address ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property, car, boar, etc.) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other 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' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 Comments: INTEREST RATE TERM (MonthsfYears) ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Street atltlress ❑ Guarantor ❑ Other City (Describe) FPPC Form 700 (2012/2013) Sch. C FPPC Advice Email: adviceOfppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov