Jane Howard - Assuming Office 2013CALIFORNIA FORm 700 STATEMENT OF ECONOMIC INTERESTS � R Ce a
FAIR POLITICAL PRACTICES COMMISSION — I g?
A PUBLIC DOCUMENT COVER PAGE
�t� CLERKS �.. a k�,L•
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
//0 Gt/ A2D t `AMF
1. Office, Agency, or Court
Agency Name
n.,
Department, District if applicable
n H A
► If filing fogy multiple positions, list below or on an attachment.
Your Position
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi-County
City of
3. Type of Statement (Check at least one box)
,nnual: The period covered is January 1, 2012, through
December 31, 2012.
-or-
The period covered is I I through
December 31, 2012. �
Assuming Office: Date assumed 9 // 61
❑ Candidate: Election year
4. Schedule Summary
Check applicable schedules or "None."
PS�edule A -1 - Investments — schedule attached
❑/Schedule A -2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
5. Verification
MAILING ADDRESS STREET
(
/
CITY
S
(y0i) � I G,f h C, W42 4 dl00Gct 2 C O/,RJ
I have used all reasonable diligence in preparing this statement I have reviewed tKis statement and to Me 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
)
FPPC Form 700 (201212013)
FPPC Advice Email: advicePfppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE A -1 I ,
Investments FAIR POLITICAL
Stocks, Bonds, and Other Interests Name ��//
(Ownership Interest is Less Than 10 %) CLAI E A WA 2n
Do not attach brokerage or financial statements.
► NAME O l� BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
[/
FAIR MARKET VALUE
P ❑ $ ,000 - $10,000 ❑ $10,001 - $100,000
$100,001 - $1,000,000 ❑ Over $1,000,000
NAT E OF INVESTMENT
Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
I /. 12 1_J 12
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,00l - $1,0oo,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule Q
IF APPLICABLE, LIST DATE:
/ 12 _� 1 12
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
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 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
1 12 _J / 12
ACQUIRED DISPOSED
Comments:
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
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 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
1 1_12 / 12
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
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 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule Q
IF APPLICABLE, LIST DATE:
I / 12 �_ 1 12
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
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 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
� 1 12 _ /_J 12
ACQUIRED DISPOSED
FPPC Form 700 (2012/2013) Sch. A -1
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE A -2
Investments, Income, and Assets
of Business Entities /Trusts
(Ownership Interest is 10% or Greater)
OR TRUST
10- 1. BUSINESS ENTITY Z 0leA L OA2 ILA2
Name
Check one
❑ Trust, go to 2 B-IBusiness Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY S E4. F Sc ,-V 1 _ 04 /Z- W,2s
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 - $1,999
❑ $2,000 - $10,000 /, 12
❑0 $]0,001 - $100,000 ACQUIRED DISPOSED
$100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT ( /�
❑ Partnership ❑ Sole Proprietorship
YOUR BUSINESS POSITION 61AIA20'2
1� 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF •• SS INCOME TO THE ENTITY/TRUST)
❑ $0 - $499 91,10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
P 3. LIST THE NAME OF ••• TABLE SINGLE SOURCE OF
❑ None n
E z C&A.0 &rj- 1/VOL1h�
• INTERESTS IN REAL PROPERTY • OR
LEASED BY THE BUSINESS ENTITY •-
Check one box:
INVESTMENT CA ❑ V
REAL PRtO�PERTY /
Z- CIfAA.) a, V2s /v
Name of Business Entity, if Investment, 4[
Assessor's Parcel Number or Street Address of Real Property
Se_ %f -Cr- n- y e- ( yAt- R&A h/
Description of Business Activity Z
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 ..
$100,001 - $1,000,000 ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust E] Stock ❑ Partnership
R/Leasehold ❑ Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
ll� 1. BUSINESS ENTITY OR
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 - $1,999
❑ $2,000 - $10,000 --- J-/ 12 2
❑ $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship ❑
[her
YOUR BUSINESS POSITION
IDENTIFY •• • • (INCLUDE YOUR •• RATA
SHARE OF •• SS INCOME TO THE ENTITY/TRUST)
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
3. LIST THE NAME OF ••• TABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Alt-h
None
1� 4. INVESTMENTS • INTERESTS IN REAL PROPERTY • OR
LEASED OR TRUST
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, Dr
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity gL
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 12 _/__j 12
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold E] Yrs. Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (2012/2013) Sch. A -2
Comments: FPPC Advice Email: advice Ofppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE C CALIFORNIA FOR 1111[1
Income, Loans, & Business '
Positions Name
(Other than Gifts and Travel Payments) '�
e %A,v E J w A az.n
/NAME OF SOURCE OF INCOME J
a1'1,12-.a u Wf—I C_ t) M E Ot= 6✓R 2.j
j�j t
Y ies-Ll y2.6,Q Ala Q /L 1, � i & /A/6 09_G,4( //Zct
YOUR BUSINESS POSITION
22�E 0 et- f, "cam 02x_,P o2�
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
110,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
2-ISI-lary, ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of
(Real property, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
(Describe)
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of
(Real property car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source of 510,000 or more
❑ Other
(Describe)
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 PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ OVER $100,000
Comments:
INTEREST RATE TERM (Months/Years)
❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other
Street address
City
(Describe)
FPPC Form 700 (2012/2013) Sch. C
FPPC Advice Email: advicegfppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov