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Paul Kloecker - Assuming Office 2013. f CALIFORNIA •' STATEMENT OF ECONOMIC INTERESTS I'Alk POLITICAL PRACHCES COMMISSION ` PUBLIC DOCUMENT COVER PAGE Please type or print in ink. NAME OF FILER % (FIRST) (MIDD'LE) Y ^- 1. Office, Agency, or Court Agency Name G t'r°`l o IF &1L R ©'7 Division, Board, Department, District, if applicable Your Position _y5W Q1 NG_ `CW)/h igSIQN 1& 11— C'0 M W t-, 12- ► If filing for multiple positions, list below or on an attachment Agency: 2. Jurisdiction of Office (Check at least one box) Position: ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County „C City of ITiL a^ `J 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2012, through December 31, 2012. -or- The period covered is I through December 31, 2012. bdAssuming Office: Date a�sdm�d ❑ Candidate: Election year ❑ County of ❑ Other ❑ Leaving Office: Date Left — I (Check one) p The period covered is January 1, 2012, through the date of leaving office. p The period covered is through the date of leaving office. and office sought, if different than Part 1: 4. Schedule Summary Z Check applicable schedules or "None." o. Total number of pages including this cover page: ❑ Schedule A -1 - Investments - schedule attached ❑ Schedule 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 ( 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. 1 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed 1/2"q 6 -Z� Signature( ( onth, day, year) ( 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 AM ADDRESS (Business Address Acceptable) /l n C-) :�' v1 BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR USINESS POSITION V_ I V tf r) ft CL E;ja GROSS INCOME RECEIVED ❑ $500 - $1,000 $1,001 - $10,000 ❑ $10,001 - $100,000 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED IN Salary ❑ 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) BUSINESS 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, boat. etc.) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) 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 • 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