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Dion Bracco - Annual 2004 STATEMENT OF ECONOMIC I ~frS"2$~-~,~~.\. D. ~d::e~~ fEdyf~- , "c\ COVER PAGE ;/ ~~ tt .~ \ ~ ~~\ ~('J~ ' A Public Docum '0 t .ori t\.~~~i,~ H ~ "';'. t'\. ~~ (FIRST) (Mi*l DAYTI~LEPHONE NUMBER '\ ~,..,,, ~c. ,J/ Dld~? "I.iif} ~9~ 5~ STATE ZIP CALIFORNIA FORM 700 , FAIR POLITICAL PRACTICES COMMISSION Please type or print in ink NAME (LAST) '" .. 1. Office, Agency, or Court Name of Office, Agency, or Court: c_ \""D4 6{> G II (6 ]l Divisiory Board, District, if applicable: . Pclt'l1l\~ l V\,,\- Co .'" vY'1 <; 10'" Your Position: ......J L:::., oN> IV\. 1 ~ 'D or\ ..., ,,- - If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) ~ ~ Agency: L Pn4 ,u.,v h Position: #~ ~er '7-/ ~ V ...~L:71"t ~ # r Sl3 , 2. Jurisdiction of Office (Check at least one box) o State o County of .~ City of G;i I o Multi-Gounty o Other ,-<.:,.) --/ ( 3. Type of Statement (Check at least one box) o Assuming Office/Initial Date: ----1----1_ ~ Annual: The period covered is January 1, 2004, through December 31, 2004, -or- o The period covered is ----1----1_, through December 31, 2004. o Leaving Office Date Left: --1--1_ (Check one) o The period covered is January 1, 2004, through the date of leaving office. -or- o The period covered is --1----1_, through the date of leaving office. o Candidate LA- 9.5-ZJ.2.0 4. Schedule Summary (Check applicable schedules or "No reportable Interests. ") - During the reporting period, did you have any reportable interests to disclose on: Schedule A-1 0 Yes - schedule attached Investments (Less lIIan 10% Ownership) Schedule A-2 ~es - schedule attached Investments (1()'J(, or grea/er Ownership) ~ Yes - schedule attached Schedule B Real Property Schedule C ~ Yes - schedule attached Income. Loans. & Business Positions (Income Oilier lhan Gifls end T I8vel Payments) Schedule D (Eliminated - report loans on Schedule C) Schedule E 0 Yes - schedule attached Income - Gifts Schedule F 0 Yes - schedule attached Income - Travel Payments -or- - 0 No reportable interests on any schedule Total number of pages completed including this cover page: tf 5. Verification 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 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. DateSigned ..3 - / ~ ~ 0 S- (month. day. year) '-... Signature \~~~ (FH. the origlnaly signed statement with your fililg clal) FPPC Form 700 ( SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) )> 1 BUSINESS ENTITY OR TRUST t'ra.LLO iSTDUJt Vl-:S! Tro..Vl.s~ Name { PbiSO'f- iL{lfS 81 roy [It '1562..1 Add~ ( Check one o Trust, go to 2 Business Entity, comple/e the box, /hen go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE D $2,000 - $10,000 D $10,001 - $100,000 D $100,001 - $1,000,000 ~ Over $1,000,000 NATURE OF INVESTMENT , P D Sole Proprietorship D Pa~ershiP IE Co r YOUR BUSINESS POSITION rc-es. i~.Q V\.~ 0Iher IF APPLICABLE, LIST DATE: --1--1. 04 ACQUIRED --1--1 04 DISPOSED CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name -oLOv\ ~fA<t:.-O )> 1. BUSINESS ENTITY OR TRUST Name Address Check one o Trust, go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY o Business Entity, comple/e the box, /hen go to 2 FAIR MARKET VALUE D $2,000 - $10,000 D $10,001 - $100,000 D $100,001 - $1,000,000 DOver $1,000,000 NATURE OF INVESTMENT D Sole Proprietorship D Partnership D YOUR BUSINESS POSITION IF APPLICABLE, LIST DATE: --1--104 ACQUIRED --1--1 04 DISPOSED 0Iher D $0 - $499 D $500 - $1,000 D $1,001 - $10,000 0$10,001 - $100,000 13 OVER $100,000 D $10,001 - $100,000 DOVER $100,000 )> 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10000 OR MORE pl"ach <"I 'if'! ;Uil c ...hFF' If n,-r€""ilr'l\ )> 4 INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE BUSINESS ENTITY OR TRUST Check CVI8 box: D INVESTMENT o REAL PROPERTY Name of Business Entity Q!: Street Address or Assessor's Parcel Number of Real Property Description of Business Activity Q!: . City or Other Precise Location of Real Properly FAIR MARKET VALUE o $2,000 - $10,000 D $10,001 - $100,000 D $100,001 - $1,000,000 DOver $1,000,000 NATURE OF INTEREST D Property Ownership/Deed of Trust IF APPLICABLE, LIST DATE: --1--104 --1--1 04 ACQUIRED DISPOSED D Stock D Partnership D Leasehold D Other VIS. remaining D Check box if additional schedules reporting investments or real property are attached Comments: D $0 - $499 D $500 - $1,000 D $1,001 - $10,000 )> 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10000 OR MORE ril/"t~ch a <;I"r-<lr;'ltf' sl1E''''' (f npCI?SS;:H1'\ Check one box: D INVESTMENT )> 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE BUSINESS ENTITY OR TRUST D REAL PROPERTY Name of Business Entity m Street Address or Assessor's Parcel Number of Real Property Description of Business Activity Q!: City or Other Precise Location of Real Properly FAIR MARKET VALUE o $2,000 - $10,000 D $10,001 - $100,000 D $100,001 - $1,000,000 DOver $1,000,000 NATURE OF INTEREST D Property Ownership/Deed of Trust D Leasehokl IF APPLICABLE, LIST DATE: --1--1. 04 --1--1. 04 ACQUIRED DISPOSED '0 Stock D Partnership D Other VIS. remaining D Check box if additional schedules reporting investments or real property are allached FPPC Form 700 (200412005) Sch. A.2 FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULE B Interests in Real Property (Including Rental Income) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name ~tOY\. ~"'''-Ge.Z) ~ STREET ADDRESS OR PRECISE LOCATION IS-S-O .5c,(\..~ ST CITY MoH\ST~V Lit ) STREET ADDRESS OR PRECISE LOCATION I Lj(7 2.. 1Yl4-Y1 T <.1/ I d, At F~R MA::T'LUE 0$2,000 - $10,000 o $10,001 - $100.000 ~100,001 - $1,000,000 DOver $1,000,000 IF APPLICABLE, LIST DATE: FAIR MARKET VALUE o $2,000 - $10,000 o $10,001 . $100,000 ~100,001 - $1,000,000 DOver $1,000,000 IF APPLICABLE, LIST DATE: --1--1 D4 --1--1 D4 ACQUIRED DISPOSED --1--1 D4 --1--1 D4 ACQUIRED DISPOSED NATURE OF INTEREST .KJ Ownership/Deed of Trust o Easement NATURE OF INTEREST ~ Ownership/Deed of Trust o Easement o Leasehold Yrs. remaining o Other o Leasehold 0 Y ra. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0$0 - $499 0 $500 - $1,000 0 $1,001 - $10,000 gI$1O,001 - $100,000 0 OVER $100,000 IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0$0 - $499 0 $500 - $1,000 0 $1,001 - $10,000 ~ $10,001 - $100,000 0 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. 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. ~ Y&.. (.t.!O 5R'H-Ll I "" ~ ([I/a... iI\ <;. pc .....1; I V1L NAME OF LENDER" LU~ l ~ s ..Q "!:::/~ ADDRESS NAME OF LENDER" ~v~ \ j p.-\ \ -.?r ~A--V\k ADDRESS t<,t' 'St(eeT 6~( l V'D Y BUSINESS ACTIVITY OF LENDER BUSINESS ACTIVITY OF LENDER ;J,/.WJ k -e~~ ''1. )? % o None TERM (Months/Years) _~O qv- INTEREST RATE INTEREST RATE t..,5" % o None TERM (Months/Years) ~C;I /tV HIGHEST BALANCE DURING REPORTING PERIOD 0$500 - $1,000 0 $1,001 - $10,000 0$10,001 - $100,000 ~ OVER $100,000 HIGHEST BALANCE DURING REPORTING PERIOD 0$500 - $1,000 0 $1,001 - $10,000 o $10,001 - $100,000 ~VER $100,000 o Guarantor, if applicable o Guarantor, if applicable Comments: * 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 are not reportable. FPPC Form 700 (200412005) Sch. B FPPC ToIl.Free Helpline: 866/ASK-FPPC SCHEDULE C Income, Loans* & Business Positions (Other than Gifts and Travel Payments) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name ""D l(!l vV 15V"~LLO ell- YOUA BUSINESr. POSITION r r-c.s '~c.. Vi I GROSS INCOME RECEIVED/HIGHEST BALANCE DURING REPORTING PERIOD, IF LOAN 0$500 - $1,000 0 $1,001 - $10,000 0$10,001 - $100,000 M-oVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ~Salary 0 Spouse's income 0 Loan repayment o Sale of (Propetty. car. boat em.) o Commission or 0 Rental Income, list each source 0/ $10,000 or IIlOI8 o Other (Describe) o LOAN RECEIVED (complete box 2) ,1A- T.e I ( BUSINESS ACTIVITY, IF ANY, OF SOURCE f(~vrr . YOUR BUSINfSS posmor [..4-vtd L",,~c( GROSS INCOME RECEIVED/HIGHEST BALANCE DURING REPORTING PERIOD, IF LOAN 0$500 - $1,000 0 $1,001 - $10,000 ~$10,001 - $100,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED o Salary 0 Spouse's income 0 Loan repayment o Sale of (Propetty. car. boat, eIc.) o Commission o~Renlal Income. list each soun:e 0/ $10,000 or mom o Other (Desctibe) o LOAN RECEIVED (complete box 2) ADDRESS , 1s-5D 50 :/'/r<.. ~I /10/1, 'S reV BUS~SS ACTIVITY, IF ANY, OF SOURCE fun! YOUR BUSINESS POsrpON t/hld C:~,'L GROSS INCOME RECEIVED/HIGHEST BALANCE DURING REPORTING PERIOD, IF LOAN 0$500 - $1,000 0 $1,001 - $10,000 ~$10,001 - $100,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED o Salary 0 Spouse's income 0 Loan repayment o Sale of (Propetty. car. boat em.) o Commission or ~Renlal Income, list each source 0/ $10,000 or more i3/'i4-l.D;;;;>~; 7OUJu~ l'b/li s r--e v: ~Flnprll !\'7t) n<:>1Jtr~,I(! )/1" h,/I';/ o Other (Describe) o LOAN RECEIVED (complete box 2) % 0 None SECURITY FOR LOAN o None 0 Personal residence o Real Property SlJee' addtess City o Guarantor o Other (Desctibe) * 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. Comments: FPPC Form 700 (200412005) Sch. C FPPC Toll-Free Helpline: 866/ASK-FPPC