Cat Tucker - Annual 2009
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink.
A Public Document
COVER PAGE
Date ijeceived
Official Use Only
hPR 2010
rnrv CLERKS Of
STATEMENT OF ECONOMIC INTERESTS
NAME
(LAST)
(FIRST)
h.1 Se
CITY
e
MAILING ADDRESS STREET
(Business Address Acceptable)
\flew
1. Office, Agency, or Court
Name of Office, Agency, or Court:
ti ~ COU jUC{ \
Division. Board, District, if applicable:
Your Position:
t[;)UJ.JC-~ \ 1Y1em let: ,
~ If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
C.D(Y'l Mt..tn if.[ beve.l.Of"meni"" ftfbe~1
Agency: p C +-r. of - t '
(J) i1"-~ . I 0 G i fD'f
Position: _Px,cu-J Nt tUn be r
2. Jurisdiction. of Office - (Check at least one box)
D State
D County of
'Tj3.City of G'\ \rDi
D Multi-County
D Other
3. Type of Statement (Check at least one box)
D Assuming Office/Initial Date: --1--1_
~ Annual: The period covered is January 1. 2009,
'through December 31, 2009.
-or-
a The period covered is ----1--1_. through
December 31, 2009.
D Leaving Office Date Left: ----1--1_
(Check one)
a The period covered is January 1, 2009. through the
date of leaving office.
-or-
o The period covered is --1--1_, through
the date of leaving office.
D Candidate Election Year:
(MIDDLE)
DAYTIME TELEPHONE NUMBER
C2ath
('iCf6 ) Lf &-1~15'ib
STATE ZIP CODE
OPTIONAL: E-MAIL ADDRESS
A
,-
q SO~D
4. Schedule Summary
~ Total number of pages 5
including this cover page:
~ Check applicable schedules or "No reportable
interests. "
I have disclosed interests on one or more of the
attached schedules:
Schedule A-1 -xl Yes - schedule attached
Investments (Less 1:;, 10% Ownership)
Schedule A-2 .~ Yes - schedule attached
Investments (10% or Greater Ownership)
Schedule B DYes - schedule attached
Real Property
Schedule C "Fl Yes - schedule attached
1""0.71(;, l.oans, & Bu'siness Positions (Income Other than Gifts
ana Travel Payments)
Schedule D ~Yes - schedule attached
Income - Gifts '--("
Schedule E DYes - schedule attached
Income - Gifts - Travel Payments
-or-
D No reportable interests on any schedule
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.
FPPC Form 700 (2009/2010)
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statements.
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
L/e.NI se. C. "'-(ocJ:.e,--
~ NAME OF BUSINESS ENTITY
Sp a i') .A frlhQf):~( <; IZefi' () I sh. i Ylg
GENERAL DESCRIPTION F BUSINESS ACTIVITY
rU((\'i+ure Re-Ft'nlshIN d~
FAIR MARKET VALUE
0$2,000 - $10,000 ~ $10,001 - $100,000
0$100,001 - $1,000,000 COOver $1,000,000
NATURE OF INV..5TMENT C"I Dr: gr') e1cll'r"L '/\
o Stock ill' Other .......v c- 1 \ 0:.- ::-.:J) / /'
(Oeser; e)
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
----.l----.l.JrL
ACQUIRED
----.l----.l.JrL
DISPOSED
----.l----.l.JrL
DISPOSED
~ NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
EJ $100,001- $1,000,000
D $10,001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
o Stock 0 Other
(Describe)
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More (Report on Scheaule C)
IF APPLICABLE, LIST DATE:
----.l----.l.JrL
ACQUIRED
----.l----.l.JrL
DISPOSED
----.l----.l.JrL
DISPOSED
~ NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
0$100,001 - $1,000,000
o $10,001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
o Stock 0 Other
(Describe)
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
----.l----.l.JrL
ACQUIRED
----.l----.l.JrL
DISPOSED
Comments:
~ NAME OF BUSINESS ENTITY
A~ heA fVL.a.ferrQJ"
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
'Sern I C/')J0 dUC:to r
FAIR MARKET VALUE
o $2,000 - $10,000
0$100,001 - $1,000,000
~$10,OOl - $100.000
DOver $1,000,000
~JURE OF INVESTMENT
Stock 0 Other
(Describe)
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More (Report on Scheaule C)
IF APPLICABLE, LIST DATE:
----.l----.l.JrL
ACQUIRED
~ NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
0$100,001 - $1,000,000
NATURE OF INVESTMENT
o Stock 0 Other
o $10,001 - $100,000
DOver $1.000,000
o Partnership 0 Income of $0 - $500
o I ncome Received of $500 or More (Report on Scheaule C)
(Describe)
IF APPLICABLE, LIST DATE:
----.l----.l.JrL
ACQUIRED
~ NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
D $100,001 - $1,000,000
NATURE OF INVESTMENT
o Stock 0 Other
o $10,001 - $100,000
DOver $1,000,000
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More (Report on Schedule C)
(Describe)
IF APPLICABLE, LIST DATE:
----.l----.l.JrL
ACQUIRED
----.l----.l.JrL
DISPOSED
FPPC Form 700 (2009/2010) Sch, A-1
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
"
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
~ 1. BUSINESS ENTITY OR TRUST
_\.t2o..l\ A"-ltho.N'{'S Rt:>+l nish (NC-L
Name 0
S5C>S- <2.. h..CLf"CfA sf'. 4f-b
Address (Business Address Acceptable)
Check one \r-f
o Trust, go to 2 )'l<! Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
:PIA rn ~.-fU[-e f2.ef; n is tl ; 1\.) "''J
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
o $2.000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
DOver $1,000,000
--1--109
ACQUIRED
--1--1 09
DISPOSED
.' {u.. S~''c:.fr.s
NATURE OF INVESTMENT &'T
o Sole Proprietorship 0 Partnership '~ Bus) f'je<;;.. S
Other
NONe-
YOUR BUSINESS POSITION
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
~.-h'l~ {1.- ~cker
~ 1, BUSINESS ENTITY OR TRUST
Name
Address (Business Address Acceptable)
Check one
o Trust, go to 2 0 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2.000 - $10,000
o $10,001 . $100,000
o $100,001 - $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
--1--109
ACQUIRED
--1------.1 09
DISPOSED
NATURE OF INVESTMENT
o Sole Proprietorship 0 Partnership 0
o $0 - $499
o $500 - $1.000
o $1,001 - $10,000
Other
. ~)CI:Le~
1. HrLbi rl3 <; :[;;Jf\('f'ad
fbrVl:E?
o $0 - $499
o $500 - $1,000
0$1,001 - $10,000
o $10,001 - $100,000
DOVER $100,000
~ 3. LIST THE NAME OF EACH RERORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE ta;";h a separate sheet ,f necessary)
~ 4, INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
Check one box:
o INVESTMENT
o REAL PROPERTY
NDNe
Name of Business Entity ill
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity ill
City or Other Precise Location of Real Property
FAIR MARKET VALUE
o $2.000 - $10,000
D $10.001 - $100,000
0$100,001 - $1,000,000
DOver $1,000,000
NATURE OF INTEREST
o Property OwnershiplDeed of Trust
IF APPLICABLE, LIST DATE:
--1--109 --1--109
ACQUIRED DISPOSED
o Stock
D Partnership
o Leasehold
Yrs. remaining
o Other
o Check box if additional schedules reporting investments or real property
are attached
Comments:
YOUR BUSINESS POSITION
o $10,001 - $100,000
DOVER $100,000
~ 3. LIST THE NAME Q...f"1,;1\~EPO.RTABLE SINGLE SOURCE OF
INCOME OF $10,000-t5R MORE (atta61 a separate sheet If necessary)
Check one box:
o INVESTMENT
~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
o REAL PROPERTY
Name of Business Entity ill
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity ill
City or Other Precise Location of Real Property
FAIR MARKET VALUE
o $2.000 - $10,000
o $10,001 - $100,000
o $100,001 - $1.000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
--1--109 --1------.1 09
ACQUIRED DISPOSED
NATURE OF INTEREST
o Property Ownership/Deed of Trust
o Leasehold
Yrs. remaining
o Check box if additional schedules reporting investments or real property
are attached
o Other
o Stock
D Partnership
FPPC Form 700 (2009/2010) Sch, A-2
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
~
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
~..... {\ ~,
.u:: f)'l5e ...:.., ) UC\Ce.. r
NAME OF SOURCE OF INCOME
--5?t'l'n A():ffLCV)~(s (<eRn (shf^YJ-
ADDRESS (Business Address 'Acceptable)
'3505' C-hu.rch S+- =#=b
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
-Fu r () i+-I..{ r~
YOUR BUSINESS POSITION
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Re-fir,'i sA IN~
V"JON e...
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
D $500 - $1,000 0 $1,001 - $10,000
D $10,001 - $100,000 '~VER $100,000
CONSIDERAT~:OR WHICH INCOME WAS RECEIVED
o Salary . ~pouse's or registered domestic partner's income
o Loan repayment
GROSS INCOME RECEIVED
o $500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary 0 Spouse's or registered domestic partner's income
o Loan repayment
o Sale of
(Property, car. boat, ete.)
o Sale of
(Property, car, boat, ete.)
o Commission or 0 Rental Income, fist each source of $10,000 or more
D Commission or 0 Rental Income, fist each source of $10,000 or more
o Other.
(Describe)
o Other
(Describe)
~ 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"
INTEREST RATE
TERM (MonthslYears)
ADDRESS (Business Address Acceptable)
% 0 None
BUSINESS ACTIVITY, IF ANY, OF LENDER
SECURITY FOR LOAN
o None 0 Personal residence
o Real Property
Street address
HIGHEST BALANCE DURING REPORTING PERIOD
o $500 - $1,000
0$1,001 - $10,000
o $10,001 - $100,000
DOVER $100,000
City
o Guarantor
o Other
(Describe)
Comments:
FPPC Form 700 (2009/2010) Sch, C
FPPC Toll-Free Helpline: 866/ASK.FPPC www.fppc.ca.gov
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE D
Income - Gifts
~ NAME OF SOURCE
'11. rIa, Lc:t.i.O E:.Lr-+.NeJS
ADDRESS (Business Address Acceptable)
t 7"7 Pa..\'~ Ave.. ':W 3
BUSINESS ACTIVITY. IF ANY, OF SOURCE
SCif\ ~O::e J tA-
DATE (mm/dd/yy) VALUE
1~Z;) / '3
DESCRIPTION OF GIFT(S)
D~2LJ~
:J. I S ;( Sk/..-r-l::-S \L ckets
----1----1_ $
----1----1_ $
~ NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S)
DATE (mm/dd/yy) VALUE
----1----1_ $
----1----1_ $
----1----1_ $
~ NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DESCRIPTION OF GIFT(S)
DATE (mm/dd/yy) VALUE
----1----1_ $
----1----1_ $
----1----1_ $
Comments:
Name
De.nlSe C ,,~(J~.e
~ NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE
DESCRIPTION OF GIFT(S)
----1----1_ $
----1----1_ $
----1----1_ $
~ NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY. OF SOURCE
DATE (mm/dd/yy) VALUE
DESCRIPTION OF GIFT(S)
----1----1_ $
----1----1_ $
----1----1_
~ NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE
DESCRIPTION OF GIFT(S)
----1----1_ $
----1----1_ $
----1----1_
FPPC Form 700 (2009/2010) Sch. D
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
APR-01-2010 THU 01:44 PM AKT SCLA Marketing
CALIFORNIA FORM 700
F~m POUlrCAI PRil.CllCI S r()r.F~1ISSI0N
FAX NO. 14089862944
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~I;lJ..,/tDg " .:';v':C
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in Ink.
NAME
(LAST)
(FIRST)
, se..
CITY
1. Office, Agency, or Court
Name of Office, Agency, or Court:
CJ~ 6)l1 ~C-( \
Division. Board, District, if applicable:
Your Position:
eou/J6 lJY)em ber-
~ If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet If nocessary,)
C-t:> M rI\ 41) ift be..ve.lorm erlT" It 'J,~'f
Agency: "p ii"-e C-11c o-f G I L rlo:.:>'f'
Position: ~d IV) (UY\ be r
2. Jurisdiction, of Offlce" (Check at least one box)
o State
o County of
~CitY of G -\ \ r D'1
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Office/Initial Date: --1_--.1_
-.d.. Annual: The period covered is January 1, ;!Q09,
Tthrough December 31, 2009.
-or-
a The period covered is --1---1_, through
December 31,2009,
o Leaving Office Date Left: --1---1__
(Check one)
o The period covered is January 1, 2009, through the
date of leaving office_
-or-
a The period covered is --1--1_. through
the date of leaving office.
o Candidate Election Year:
A Public Document
DAYnME TELEPHONE NUMBER
ZIP CODE
(1t!f6 ) Lf d-/-J 5'tb
OPTIONAL: E-MAIL ADDRESS
q SOdD
4. Schedule Summary
~ Total number of pages 5
incl~ding this cover page:
II>- Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attactled schedules:
SChe~ule A-1 ~ Yes - schedule attached
Investments (Less t'f:;. 10!l& Ownership)
Schedule A-2 '~Yes - schedule attached
InveslfT'ents (10% or Greater Ownership)
Schedule BOYes - schedule attached
Real Property
Schedule C RYes - schedule attached
h:"omEi, /.oans. & 1iu'siness Positions (InaJme Other Ulan Gifts
ana TralkJl Paymenls)
SchediJle D 'F:J/yes - schedule attached
Income: - Gifts 'f"
Schedrule E 0 Yes - schedule attached
Income- Gifts - Travel Payments
-or-
o No reportable interests on any schedule
5. Verifitation
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 peljury under the laws of the State
of Califorrlia that the foregoing is true and correct.
Date Sign~
~lL ..i. ?n Ii:)
<(month, Oa)l year)
~
Signature:
FPPC Form 700 (2009/2010)
FPPf Toll-Free Helpline: 8661ASK.FPPC WWW.fppc.ca.gov
;
APR-01-2010 THU 01:44 PM AKT SOLA Markeling
FAX NO. 14089862944
SCHEDULE A-'
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statements.
~ NAME OF BUSINESS ENTITY
5P 0 f\ An~~~ <. R.e-A () i sh i tlg
GENERAL DESCRIPTION BUSINESS ACTIVITY
rUff\i+ure Re-AnlshiNJ.-
FAIR MARKET VALUE
o $2,000 . $10,000 ~ $10,001 - $l00,nOO
0$100,001 - $1,000,000 If' [1 Over $1,000,000
[r~t:;kOF INV~~;:T Sole- f(d)r \ e-rorshl'p
(Descri""'1e)""
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More (Repon on Scl1ectu/e cJ
IF APPLICABLE. LIST DATE:
-..J-.-.LJ1L -..J-..J~
ACQUIRED DISPOSED
~ NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VAlUE
o $2,000 - $10.000
, tJ $1oo,00l - $1,000,000
NATURE OF INVESTMENT
o Slock 0 Other
o $10,001 . $100,000
DOver $1,000,000
(DescrIbe)
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More (I~eport on Schedule C)
IF APPLICABLE, LIST DATE:
-.J-..J~ -..J-..J~
ACQUIRED DISPOSED
P. 03
CALIFORNIA FORM 700
FAil? POliTIC/II PI/AC IW[S COW.lISSIOrJ
Name
De.Nlse C. .,- [vcI::er-
.. NAME OF BUSINESS ENTITY
~jlerf f"IL1+ertoJ,
GENE l DESCRIPTION OF BUSINESS ACTIVITY
~ ILlQAJd-ucfor
FAIR MARKET VALUE
o $2.000 - $10,000
0$100,001 - $1,000.000
15('$10,001 - $100,000
15' Over $1,000,000
~URE OF INVESTMENT
Slock 0 Olher
(Describe)
o Partnership 0 Income of $0 - $500
o Income Received 01 $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
---1---1~
ACQUIRED
.. NAME OF BUSINESS ENTITY
---1---1.-JJJL
DISPOSED
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
0$2,000 - $10,000
0$100,001 - $1,000,000
NATURE OF INVESTMENT
o Stock 0 Other
o $10,001 - $100,000
o Over $1,000,000
o Partnership 0 Income of $0 " $500
o Jncome Received of $500 or More (Repon on Schedule CJ
(Describe)
IF APPLICABLE, LIST DATE:
-..J-..J~
ACQUIRED
-..J-.J. 09
DISPOSED
~ NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10.000
o $100,001 - $1.000,000
o $10,001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
o Stock 0 Other
(Describe)
o Partnership 0 Income ot $0 - $500
o Income Received of $500 or More (Roperl on Schedule C)
IF APPLICABLE. LIST DATE:
-..J---1~
ACQUIRED
-..J-.J~
DISPOSED
Comments:
~ NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
o $100,001 " $1,000.000
NATURE OF INVESTMENT
o Slock 0 Other
0$10,001 - $100,000
DOver $1,000.000
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More {Repon on SCfledu/e cJ
(Describe)
IF APPLICABLE. LIST DATE:
---1--1~
ACQUIRED
---1---1~
DISPOSED
FPPC Form 700 (200912010) Sch. A-1
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
APR-01-2010 THU 01:45 PM AKT SCLA Marketing
FAX NO. 14089862944
SCHEDULE A-2
Investments, Income, and Assets
of Business Entitiesrrrusts
(Ownership Interest is 10% or Greater)
~ 1 I:HISINfSS fNfIlY [W T/WSl
C:Odi\ ~"(\.s ~+l() 15hiNCL
Name -n-
5505 c.. h..u.rch $'+. 4J::/;,
Address (Business Address ACceplable)
Check one W
o Trust. go 10 2 ..)C;! Business Entity, CompletE' the boll, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
fu rn7-1w--.e ~..p, n IS t";,, \ ~
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
o $2,000 - $10,000
$10,001 - $100,000
$100.001 - $1,000,000
Over $1,000,000
----1--109
ACQUIRED
----1--1. 09
DISPOSED
NATURE OF INVESTMENT ltu ~~r5
o Sole Proptletorship 0 Partnership .~ ~;'Nec;;.$
~ Other
YOUR BUSINESS POSITION N C*! ~
P. 04
CALIFORNIA FORM 700
jAm POlll Jl./\L PHA( lief S COf..H.1JSSIO/'J
Name
Den\ sz.. C:-rlACt.(
~ 1 tllJSINfSS fN IfTY or; II~US r
Name
Address (Business Address Acceptable)
Check one
o Trust. go to 2 0 Business El1lity, complete the bDJ(, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 " $10.000
o $10,001 - $100,000
0$100,001 - $1,000,000
DOver $1,000,000
NATURE OF INVESTMENT
o Sole Proprietorship 0 Pannership 0
YOUR BUSINESS POSITION
IF APPLICABLE, LIST DATE:
-1--1. 09
ACQUIRED
----1--1 09
DISPOSED
Other
~ 2 lor rHI~Y [HE (,"OS', INt;m,1E l.n.Cf IVffJ (11IICt U
SllARl Of THt: GIWSS IN( or,lf illlHr fNrIlYf
o $0 . $499
o $500 - $1,000
o $1.001 - $10,000
o $10.001 . $100,000
DOVER $100,000
~ l LIST IlIf ~JAMt: O~ fllClllifROR IflRLJ SINf,LE OUf<cr:: Of
INCOMEOF$100000Rrlil0RE 1IIIJ"'IHllt I ,llf 'll,'>,I,1
. -r J~. "--e. ~
J, H(l-bi rIg <: :r;)/\Pf'aJ { tbtYIF
~.1 IfWfSIMfNrs IIND INlu<"srs IN I<[AL rr<Ol'fR
[jUSINt:SS OJ II I V (m 1f<IJ20 r
Check one boll:
o INVESTMENT
Y IJrLD HY HiE
o REAL PROPERTY
NON€-
Name of Business Entity IlL
SITael Address Of Assessor's Parcel Number of Real Properly
Description of Business Actlv~y g[
City or Othe( Precise Location of Real Property
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 iNTEREST
o Property OwnershipIDeed of Trust
iF APPLICABLE, LIST DATE:
---1--1. 09 --1--1 09
ACQUIRED DISPOSED
o Stock
lJ Partnership
o leasehold 0 Other
Yr., remaining
o Check box il additional schedules reporting investments 01 real property
are attached
Comments:
o $0 - $499
B $500 - $1,000
$1,001 - $10,000
o $10,001 - $100,(]()()
DOVER $100.000
~ 3 liS I THI: N/IME QP"r,;f\CH ~Ef'OR IflRLt: SIN(,I" SOURCE Of
INCOME OF S10,OOO OR MORE ,n.,,,,,,,,.,,,,,,,, ""
~ ,1 INIII SIfv1t:Nrs flNI) INTI f<rSIS IN r~t:fll PI<OPEIHY IfI:LD BY lHl-
BIISINrSs rNllTY OR IRIISr
Check one box:
DfNVESTMENT
o REAL PROPERTY
Name of Business Entity g[
Street Address or Assessor's Parcel Number of Real PropE!lly
Descriplion of Business Activity g[
City or Other Precise location of Real Property
FAIR MARKET VALUE
o $2,000 . $10,000
B $10,001 - $100,000
$100,001 - $1,000,000
DOver $1.000,000
NATURE OF INTEREST
o Property Ownerlihlp/Deed of Trust
IF APPLICABLE. LIST DATE:
----1--1. 09 --1--109
ACQUIRED DISPOSED
o Stock
o Partnership
o Leasehold
y",. remaining
o Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (200912010) Sch. A.2
FPPC Toll-Free Helpline: 8661ASK-FPPC www.fppc.ca.gov
o Other
APR-01-2010 THU 01:45 PM AKT SCLA Marketing
FAX NO, 14089862944
P. 05
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
CALIFORNIA FORM 700
FAil( P()lI1I( !,l PfV-H 11~ 1St ur.lrvlIS""lIOfJ
Name
i)ey\\~C~{
~_IL'I..llfJ'_r"::r..lfj.,
NAME OF SOURCE OF INCOME
~Af"I Afl~~t'-. Re-Fit1I~:h{AJj-
ADDRESS (Business Address cceptable)
&5os- C-h.krch sf: 4F-b
BUSINESS ACTIVITY, IF ANY, OF SOURCE
RefinisJ)i~~
NON€-
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
h.J. rnm re
YOUR BUSINESS POSITION
BUSINESS ACTlVllY. IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
o $500 - $1,000 0 $1,001 . $10.000
o $10,001 . $100,000 ~VER $100,000
CONSIDERAT~:OR WHICH INCOME WAS RECEIVED
o Salary ~pouse's or registered domestic panner's Income
o Loan repayment
GROSS INCOME RECEIVED
0$500 - $1,000 0 $1,001 - $10,000
0$10,001 . $100,000 0 OVER $100,000
o Sale of
(Property, car, boat ele,)
o Rental Income, NsI each source 0,' SIO,ooo or more
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary 0 Spouse's or registered domestic panner's income
o Loan repayment
o Sale of
(ProfJ8f/y, car. boat ele,)
o Commission or
o Commission or
o Rentallneome, Nst each 5O(J(ce of $10,000 or f1IO(e
o Other,
(Describe)
o Other
(Describe)
~ 2 I OI\NS r,I:.CfIVrD OR OUISII\NDING f)1)1~IN(J T
* 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 bU8/ness must be disclosed as follows:
[ HEPorHIN(', PERIOD
NAME OF lENDER'
INTEREST RATE
TERM (MonlhS/Years)
ADDRESS (BU5lness Address Acceptable)
% 0 None
BUSINESS ACTIVITY, IF ANY, OF lENDER
SECURITY FOR LOAN
o None 0 Personal residence
o Real Property
Streer address
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1,000
o $1.001 - $10,000
o $10.001 - $100,000
DOVER $100.000
CRy
o Guarantor
o Other
(Describe)
Comments:
FPPC Form 700 (200912010) Sch. C
FPPC TolI.Free Helpline: 8661ASK.FPPC www.fppc.ca.gov
APR-01-2010 THU 01:46 PM AKT SOLA Marketing
FAX NO. 14089862944
P. 06
SCHEDULE 0
Income - Gifts
CALIFORNIA FORM 700
FAIR f.-llH I j if Al PI(P..( TIll S ( OrIH.lISSIOt'J
Name
JYll\~ C /--rL&tW
~ NAME OF SOURCE
'~rr::~ La..r.o &r:t-~
ADDRESS (Busfnass Addless Acceptable)
J 7, Pa.."~ Ave- 1:1= 3
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Sctl\ _\o::e ~A- 1~J 1 "3
DATE (mmlddlyy) VALuE DESCRIPTION OF GIFT(S)
~....llJ..ct.l $ :2 13 ;t ~rj::5 l1ckets
~ NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY. IF ANY, OF SOURCE
DATE (mm/ddlyy) VALUE
DESCRIPTION OF GIFT(S)
---1---1_ $
-.1---1_ $
---1---1_ $
----1-.1_ $
---1---1_ $
~ NAME OF SOURCE
~ NAME OF SOURCE
ADDRESS (Business Address Acceptable)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mmlddlyy) VALUE
DESCRIPTIOfll OF GIFT(S)
DATE (mmldd/yy) VALUE
DESCRIPTION OF GIFT(S)
--1-.1_ $
---1---1_ $
---1---1_ $
---1---1_ $
--1-.1_ $
---1---1_ $
~ NAME OF SOURCE
~ NAME OF SOURCE
ADDRESS (Business Address Acceptable)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY. OF SOURCE
BUSINESS ACTIVITY, IF ANy' OF SOURCE
DATE (mm/deJIyy) VALUE
DESCRIPTION OF GIFT(S)
DESCRIPTION OF GIFT(S)
DATE (mmlddJy~ VALUE
-.1--1_ $
--1---1_ $
--1--1_ $
---1--1_ $
--1--1_ $
--1--1_ $
Comments:
FPPC Form 700 (200912010) Sch, D
FPPC Toll-Free Helpline: 8661ASK.FPPC www.fPPc.ca.gov