Dion Bracco - Candidate 2005
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CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink
NAME
(Wll)
1. Office, Agency, or Court
Name of Office, Agency, or Court
G l \rc.
,/..-;;:-~'~~-:;~
_<'. C,;cy ! l: , l 1:;;: ,,'>.,
STATEMENT OF ECONOMIC INTEREST/S~>~i' ,:::~~~,
/ ,
COVER PAGE (oc:: AUB 2005 '
:! em CLERKS OffiCE , ' i
A Public Document GllROY,CA I);
(FIRST)
Your Position: ~
C ~f/\d l . qTe:'
- If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
o State
o County of
fSZl City of G I l If'" 0 l"l
o Multi-County
o Other
D Assuming Officellnitial
3. Type of Statement (Check at least one box)
Date: __L_--1_
D Annual: The period covered is January 1, 2004,
through December 31,2004.
-or-
o The period covered is --1--1-0 through
December 31, 2004.
D 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.
~ Candidate
(MIDDLE)
.-p CO V1
STATE ZIP CODE
OPTIONAL: FAX I E-MAIL ADDRESS
L A- Ys())6
4. Schedule Summary
(Checlc applicable schedules 01" "No reportable Interests. .,
- During the reporting period, did you have any reportable
interests to disclose on:
Schedule A-1 DYes - schedule attached
Investments (Less IhBn 10" Ownership)
Schedule A-2 r;t Yes - schedule attached
Investments (1O'K. or grea/er Ownerahlp)
Schedule B
Real Property
~ Yes - schedule attached
Schedule C dyes - schedule attached
Income, Loans, & &ness Positions (Income Other Ihtm Glib and
Trawl Payments)
Schedule D (Eliminated - report loans on Schedule C)
Schedule E DYes - schedule attached
Income - Gifts
Schedule F 0 Yes - schedule attached
Income - Travel Payments
-or-
_ D No reportable interests on any schedule
Total number of pages
completed including this cover page: 4
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 infonnation contained herein and in any attached schedules
is true and complete.
I certify under penalty of peljury under the laws of the State
of California that the foregoing is true and correct.
'0 -l-05''
(month, day, year)
Signat~re -d __...0.---= ~ --:=----....
(FAe the originaH~ ~
Free Helpline: 866/ASK-FPPC
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
I
C-O~
. . -
~~~o jtUd11r~V'eil
Addl'9Ss /
Check one
o Trust, go to 2 0 Business Entity, GOITlplete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTMTY
~ l ~ 8 Tv-,4-Vl S pCDV'r
FAIR MARKETVALUE-J IF APPLICABLE, LIST DATE:
o $2,000 . $10,000
o $10,001 . $100,000
0$100,001 . $1,000,000
~er $1,000,000
NATURE OF INVESTMENT L P
o Sole ProprielOfship 0 Partnership ~ &> V'
YOUR BUSINESS POSITION -f reS j J € 111 T Oller
---1---1 04
ACQUIRED
---1---1 04
DISPOSED
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
v( 0 rtJ
A II'A. c. (:"tt
~ 1 BUSINESS ENTITY OR TRUST
Name
Address
Checlc one
o Trust, go to 2 0 Business Entity, GOITlplete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 . $10,000
0$10,001 . $100,000
o $100,001 - $1,000,000
DOver $1,000,000
NATURE OF INVESTMENT
o Sole ProprielOfship 0 Partnership 0
IF APPLICABLE, LIST DATE:
---1---1 04
ACQUIRED
---1---1 04
DISPOSED
Oller
YOUR BUSINESS POSITION
o $0 . $499
0$500 - $1,000
o $1,001 . $10,000
!d $10,001 . $100,000
t:jDo OVER $100,000
~ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF 510.000 OR MORE (;1tt3Ch a s.ep"ra~e shpel If necessary)
> 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
ChecIc one box:
o INVESTMENT
o REAL PROPERTY
Name of Business Entity li!!:
Street Address or Assessor's Parcel Number of Real Properly
Description of Business Activity li!!:
City or Other Precise Location of Real Property
FAIR MARKET VALUE
0$2,000 . $10,000
o $10,001 . $100,000
0$100,001 - $1,000,000
DOver $1,000,000
NATURE OF INTEREST
o Property OWnership/Deed of Trust
IF APPLICABLE, LIST DATE:
---1---1 04 ---1---1 04
ACQUIRED DISPOSED
o Stock
o Partnership
o Other
o Leasehold
Yrs. remaininll
o Check box if additional schedules reporting investments or real property
are allached
Comments:
o $10,001 . $100,000
DOVER $100,000
o $0 . $499
o $500 . $1,000
o $1,001 - $10,000
> 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10.000 OR MORE (a"ach ,] sepr;) " <;,hl''''t If nFces"-aryl
> 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST -
Check. one box:
o INVESTMENT
o REAL PROPERTY
Name of Business Entity li!!:
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity li!!:
City or Other Precise Location of Real Properly
FAIR MARKET VALUE
o $2,000 . $10,000
o $10,001 - $100,000
o $100,001 . $1,000,000
DOver $1,000,000
NATURE OF INTEREST
o Property Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
---1---1 04 ---1---1 04
ACQUIRED DISPOSED
o Stock
o Partnership
o Leasehold
o Other
YIS. remaining
o 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
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CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE B
Interests in Real Property
(Including Rental Income)
> STREET ADDRESS OR PRECISE LOCATION
117';" If/hlT-ej I (
CITY
G< l~y
FAIR MARKE/VALUE
o $2,000 - $10,000
o $10,001 - $100,000
~100,001 - $1,000,000
DOver $1,000,000
dtr
LA-
IF APPLICABLE, LIST DATE:
---1---1 04 ---1---1 04
ACQUIRED DISPOSED
NATURE OF INTEREST
o OwnershiplDeed of Trust
o Easement
o Leall8hold 0
YIS. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0. $499 0 $500 - $1,000 0 $1,001 - $10,000
o $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.
C 0 U VI. T7
e..p 5a IA fA- {', t1tV"A-
NAME OF LENDER"
ADDRESS
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (Months/Years)
% 0 None
HIGHEST BALANCE DURING REPORTING PERIOD
o $500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 0 OVER $100,000
o Guarantor, if applicable
Comments:
Name
lJ (Co.0 "{!::Jvc. c cO
> STREET ADDRESS OR PRECISE LOCATION
15'-'50 50 uYL S.-r
CITY
;/D/J J S Ie 1/ L t9-
FAIR MARKET VALUE
o $2,000 - $10,000
o $10,001 . $100,000
0$100,001 . $1,000,000
~ver $1,000,000
IF APPLICABLE, LIST DATE:
---1--1 04 ---1--1 04
ACQUIRED DISPOSED
NATURE OF INTEREST
o Ownership/Deed of Trust
o Easement
o Leasehold 0
YIS. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0. $499 0 $500 - $1,000 0 $1,001 - $10,000
~O,OOl - $100,000 DOVER $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
i7e of $10,000 or mor..:.-
.,QL/1<.(155 /DtUU:j I' 7r/ft15,tfJolr
I j/l L-
NAME OF LENDER"
ADDRESS
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (Months/Years)
% 0 None
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1,000 D $1,001 . $10,000
o $10,001 - $100,000 DOVER $100,000
D Guarantor, If applicable
* 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) Sc:h. B
FPPC Toll-Free Helpline: 866/ASK-FPPC
'0
SCHEDULE C
Income, Loans* & Business
Positions
(Other than Gifts and Travel Payments)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
ADDRESS
BU~N~S;~TIVIrt;;~~ ~~~>'
'11zu t Vf .f'A-/1 SOY''-
YOU"BUSI .. POSITION
r're. .., t eVl-r
GROSS INCOME RECEIVED/HIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
o $500 . $1,000 0 $1,001 - $10,000
o $10,001 - $100,000 ~VER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
~alary 0 Spouse's income 0 Loan repayment
o Sale of
(Property, car, boat ell:.)
o Commission or 0 Rental Income, list each soun:e 0/ $10.000 or more
~ Other 510..: (( 1-1(31 J eoV'"
(Describe)
o LOAN RECEIVED (complete box 2)
Name
'7J tD rt ~ ,/:;.-cc.L-~
~ 1. NAME OF SOURCE OF INCOME
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED/HIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
0$500 - $1,000 0 $1,001 - $10,000
o $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
(Property, car. boat, etc.)
o Commission or 0 Rental Income, list each soun:e 0/ $10,000 or mom
o Other
(Describe)
o LOAN RECEIVED (complete box 2)
~v~ 5/
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVEDIHIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
0$500 - $1,000 0 $1,001 - $10,000
o $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
(Property, car. boat elt.)
o Commission or'f/; Rental Income, list flBch soun:e 0/ $10,000 or more
o Othar
(Describe)
o LOAN RECEIVED (complete box 2)
% 0 None
SECURITY FOR LOAN
o None 0 Personal residence
o Real Property
Slreel address
City
o Guarantor
o Other
(Describe)
* You are not required to report loans from
commercial lending institutions, or any indebtedness
created as part of a retail installment or aedit card
transaction, made in the lender's regular oourse 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