Richard Gullen - Assuming Office 2013CALIFORNIA • • 700 STATEMENT OF ECONOMIC INTERESTS!
COMMISSION FAIR POLITICAL PRACTICES q
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink.
NAME OF FILER (LAST)
(FIRST) (MIDDLE)
1
GG
1. Office, Agency, or Court
Agency Name _
Division, Board, Department, District,, if applicable
Your Position
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P. If filing for multiple positions, list below or on an attachment.
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County
❑ County of
❑City of j` t ' t
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2012, through
❑ Leaving Office: Date Left I I
December 31, 2012.
(Check one)
.or-
The period covered is I I through
O The period covered is January 1, 2012, through the date of
December 31, 2012.
leaving office.
F1 Assuming Office: Date assumed 2— 1 �
O The period covered is I I through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page:
❑ Schedule A -1 - Investments - schedule attached M111schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E • Income - Gifts - Travel Payments - schedule attached
'or-
E] None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business
DAYTIME TELEPHONE NUMBER ++ E -MAIL ADDRESS (OPTIONAL)
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,
I certify under penalty of perjury under the laws of the State of California that the foregoing
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM I 1
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION
Positions Name
(Other than Gifts and Travel Payments) Ra &I�Y\
NAME OF SOURCE OF INCOME _
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ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 0-tVER $100,000
CONSI RATION FOR WHICH INCOME WAS RECEIVED
[atalary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of
(Real property. car, boat. etc.)
❑ Commission or ❑ Rental Income, list each source of $10.000 or more
❑ Other
(Describe)
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
M',z - s Z-3
BUSINESS ACTIVITY, IF ANY, OF SOURCE
f Ff, 6L : I
YOUR BUSINESS POSITION /
/tee,
GROSS INCOME RECEIVED
$1,000 ❑ $1,001 - $10,000
$10,001 - $100,000 ❑ OVER $100,000
CONkPATION F WHICH INCOME WAS RECEIVED
a ary Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of
(Real property car, boat, eta)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
( Descibe)
1111� ?_ LOANS RECEPJED OR OUTSTANDING DURING THE REPORMG PERIOD
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 (Months /Years)
❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other
Street address
City
(Describe)
FPPC Form 700 (2012/2013) Sch. C
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov