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Dion Bracco - Candidate 2005 ." .' 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 .' 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