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Kai Lai - Annual 2010CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT Please type or print in ink. NAME OF FILER 1. Office, Agency, or Court Agency Name (- � t (LAST) A STATEMENT OF ECONOMIC INTERESTS1,-tyM1 COVER PAGE ' OX Division, Board, Department, Dist 1, if applicable (C&-NA V\ trot ► If filing for multiple positions, list below or on an (FIRST) t r7 " � 0 Your Position tom' - - Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑Judge (Statewide Jurisdiction) ❑ State ❑ Multi- County City of — Ir ❑ County of N . 9 �$ on, lC+r 3. Type of Statement (check at least one box) Annual: The period covered is January 1, 2010, through December 31, ❑ (Check one) — office: Date Left J __J 2010. -or- (Check The period covered is January 1, 2010, through the date of The period covered is _ —._1 —J ,through December 31, leaving office. 2010. ❑ Assuming Office: Date —J--I O The period covered is through the date of leaving office. [] Candidate: Election Year Office sought, if different than Part 1: 4. Schedule Summary f Check applicable schedules or "None." P. Total mber 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 Vschedule B - Real Property - schedule attached ❑ Schedule E - income - Gifts - Travel Payments - schedule attached -or- El None - No reportable interests on any schedule 5. Verification '— 6-L�_,_L + MAILING ZIP CODE DAYTIME TELEPHONE NUMBER E -MAI ADDRESS( /�J t[/� n� 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 is true and correct. Date Signed . (�,� y�i Signature (F originally svnedItAWnt vxh ywr fling mwal.) FPPC Form 700 (201012011) FPPC Toll -Free Helpline: 8661275 -3772 www.fppe.ca.gov SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Do not attach brokerage or financial Statements_ ► NAME Bi SIA W IA W% GENERAL DESCRIPTION OF BUSINESS ACTIVITY r ► q�� !> kA " FAIR MARKET VALUE ❑ $2,000 - $10,000 10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATYRE OF INVESTMENT LW Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION ► NAME OF BUSINESS ENTITY C& GENERAL DESCRIPTION OF BUSINESS ACTIVITY O Ii D i.rl E FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $1 1 - $100,000 FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ 001 - $100,000 ❑ $100,001 - $1,000,000 E] Over 000,000 El $100,001 - $1,000,000 er $1,000,000 NATURE OF INVESTMENT NATURE OF INVESTME E] Stock er ❑ Stock [j Other -: (Describe) (Describe) ❑ Partnership O Income Received of $0 - $499 ❑ Partner O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule Q O Income Received of $500 or More (Report on edule C) IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: 10 —JA 0 _ -1 —I 10 —L_-1 10 —1 —J —� ACQUIRED DISPOSED ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY ► NAM F BUSINESS ENTITY GENERAL DE IPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $1 , 01 - $100,000 FAIR MARKET VALUE ❑ $2,000 - $10,000 $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ ver $1,000,000 ❑ $100,001 - $1,000,000 ver $1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ Stock ❑ Other (De� (Describe) F1 Partnership O In Received $0 - $499 ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More port on Schedule Q 01 me Received of $500 or More (Report on Schedule C) IF APPLICABLE IST DATE: IF APPLICABLE, LIST DATE: —J A0 /__J_10_ —J —..J 10 ''N "'y, _ -1 ACQUIRED DISPOSED ACQUIRED DISPOSED Comments: FPPC Form 700 (201012011) Sch. A -1 FPPC Toll -Free Helpline: 8661276 -3772 www.fppc.ca.90v SCHEDULE B Interests in Real Property (Including Rental Income) ► STREET CITY , FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 --1 -IR 1Q - ISPOS 10 00,001 - $1,000,000 ACQUIRED D DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST Ownership /Deed of Trust F] Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 $10,001 - $100,000 ❑ 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. j Name K0�S U A- ip STREET ADDRESS OR PRECISE LOCATION CITY FAIR MARKET VALUE IF ❑ $2,000 - $10,000 $10,001 - $100,000 - ❑ $100,001 - $1,000,000 [l Over $1,000,000 NATURE OF INTt ❑ Ownership /D ❑ Leasehold ❑ Easement LIST DATE: __j__j 10 DISPOSED Other IF RENTAL P PERTY, GROSS INCOME RECEIVED ❑ $0 - $4 ❑ $500 - $1,000 El $1,001 - $10,000 ❑ $10, 1 - $100,000 ❑ OVER $100,000 :S OF RENTAL INCOME: If you own a 10% or greater list the name of each tenant that is a single source of of $10,000 or more. I * You are not required to report loans from commercial lending institutions 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,{pf business must be disclosed as follows: NAME OF LENDER` ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF INTEREST RATE X TERM (MonthstYears) o� HIGHEST BA CE DURING REPORTING PERIOD $500 - 000 ❑ $1,001 - $10,000 ❑ $1 01 - $100,000 ❑ OVER $100,000 if applicable Comments: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF INTEREST RATE Z TERM (Months/Years) L41 None HIGHEST NCE DURING REPORTING PERIOD ❑ $50 $1,000 $1,001 - $10,000 ❑ 001 - $100,000 ❑ OVER $100,000 Guarantor, if applicable FPPC Form 700 (2 0 1 012 011) Sch. B FPPC Toll-Free Helpline: 8661276 -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) �ia BUSINESS ACTIVITY, 1,F ANY, OF SOURCE v _ YOUR BUS NESS POSITION GROSS INCOME RECEIVED F] $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED E] Salary ❑ Spouse's or registered domestic partners income Loan repayment ❑ Partnership ❑ Sate of (property, car, boat, etc.) n Commission or F] Rental Income, fist each source of $10,000 or more Ej Other (Describe) NAME OF SOURCE OF INCOME o' 4s %-' 0 . ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURC M. e- YOUR BUSINESS POSITION GROSS INCOME RECEIVED EJ $500 - $1,000 x,001 - $10,000 ❑ $10,001 - $1oo,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED 0 Salary [] Spouse's or registered domestic partner's income [] Loan repayment ❑ Partnership D Sale of (property, car, boat, etc.) F1 Commission or ❑ Rental Income, list each source or $10,000 or more 0 Other (Describe) �. s • • - aei-adl Areva - •r+ * 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 El $500 - $1,000 �] $1,001 - $10,000 $10,001 - $100 [j OVER 0,000 Comments: INTEREST RATE TERM o� Y FOR LOAN None n Personal residence E] Real Property Guarantor F] Other Street address city (Describe) FPPC Form 700 (201012011) Sch. C FPPC Toll -Free Helptine: 8661275-3772 www.fppc.ca.gov