Paul Kloecker - Leaving Office 2013STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
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NAME OF FILER % (LAST) �T(-� (FIRST) (MIDDLE)
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1. Office, Agency, or Court
Agency Name
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Division, Board, Department, District, if applicable Your Position
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► 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
❑ County of
XCity of 11-9.0ti ❑ Other
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.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
Leaving Office: Date Left P3
(Check one)
4 The period covered is January 1, 2012, through the date of
leaving office.
Q The period covered is through
the date of leaving office.
and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page: Z
❑ Schedule A -1 - Investments - schedule attached ` `(� Schedule C - Income, Loans, & Business Positions - schedule attached
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Schedule A -2 - Investments - schedule attached CJ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
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DAYTIME TELEPHONE NUMBER I E -MAIL ADDRESS (OPTIONAL)
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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 le 17- Signature (
(month, day, year) (Rde the originally signed statement with your filing official.)
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
ADDRESS (Business Address Acceptable) 9
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BUSINESS ACTIVITY, IF ANY, OF SOURCE
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YOUR BUSINESS POSITION
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GROSS INCOME RECEIVED
❑ $500 - $1,000 $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
ASalary ❑ Spouses or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of
(Real property, car, boat, etc.)
❑ Commission or ❑ Rental Income, fist 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)
io. 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING 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 Ofppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov