Clint Zollinger - Assuming Office 2013y4? e c e Ived
CALIFORNIA • 700 STATEMENT OF ECONOMIC INTERESTS
DOCUMENT FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC COVER PAGE c`FR
Please type or print in ink. �)' `•��'
NAME OF FILER (LAST) (FIRST) (MIDDLE)
-?t L
1. Office, Agency, or Court
Agency Name
Division, Board, Department, District, if applicable Your Position -�
Lf-iEy rt.. 1°LAY4 A
M rn l 7Tr�Y I t�t?.c�y � t57'L - n ✓9 0 J i SID t-1 C.ar�ri1 i T7'V
► If filing for multiple positions, list below or on an attachment.
Agency:
2. Jurisdiction of Office (Check at least one box)
Position:
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County ❑ County of
®' City of 6 l L- 94 ❑ Other _
r►z� 6c)L.
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left I — I
-or-
December 31, 2012. (Check one)
The period covered is through O The period covered is January 1, 2012, through the date of
December 31, 2012. leaving office.
Q'Assuming Office: Date assumecA145 /_ 57:j Zo / 3 O The period covered is I I through
the date of leaving office.
❑ Candidate: Election year
and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page:
[j'Schedule A -1 - Investments - schedule attached [a, Schedule C - Income, Loans, & Business Positions - schedule attached
Q Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or
Ei l ROY C� qsb 2v
E -MAIL ADDRESS (OPTIONAL)
( yay) Frye O/o7
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 acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoing
)
FPPC Form 700 (2012/2013)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 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.
► NAME OF BUSINESS ENTITY
C After s c4 -01i'"
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
`ol k, IRS►
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
$10,001 - $100,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock aOther F>In1VfX
(Describe)
❑ Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
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 Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
� / 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 Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
_J 1 12 1 / 12
ACQUIRED DISPOSED
Comments:
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
► 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 Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
11 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 Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
_/ l 12 11 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 Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
�� 12 1 1 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)
0- 1. BUSINESS ENTITY OR TRUST
Name
Check one ��
[] Trust, go to 2 CR Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
gy:!1 y c 1tt-
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 - $1,999
❑ $2,000 - $10,000 /12 /12
❑ $10,001 - $100,000 ACQUIRED DISPOSED
$100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
10"Partnership ❑ Sole Proprietorship ❑
Other
YOUR BUSINESS POSITION
• •• • • • • •• •
SHARE OF •• SS INCOME TO
❑
so- $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ROVER $100,000
❑ $1,001 - $10,000
po. 3. LIST THE NAME OF ••• TABLE SINGLE SOURCE OF
INCOME OF S10,000 OR MORE (Attach a -parate sheet if -ce-a,y)
❑ None
F2rrTtY�LIS'(t4"L�Z+?oL,Lioj -4-2 P01Srt4z 1*4p
0cLAAPAr"r 4li_ we'%-ARi
11- 4, INVESTMENTS • INTERESTS IN REAL PROPERTY . OR
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
❑ INVESTMENT L ZEAL PROPERTY
i
,Name of Business Entity, if Investment, a
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity pr
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__J 12
$100,001 - $1,000,000 ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership
•Leasehold ❑ Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
Comments:
CALIFORNIA FORM 700
FAIR POLITICAL PRACtICES COMMISSION
ll� 1. BUSINESS ENTITY OR TRUST
Name
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 _/_/ 12 2
❑ $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship ❑
Other
YOUR BUSINESS POSITION
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 (Attach a separat, sh-t if ,-cpssary)
None
PROPERTY . OR
LEASED BY OR TRUST
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, pr
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity Qr
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__J 12
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OFINTEREST
❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold Yrs. E] Other
remaining
❑ Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (2012/2013) Sch. A -2
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM
Income, Loans, & Business FAIR POLIIICAL PRACTICES COMMISSION
Positions Name
(Other than Gifts and Travel Payments) CG/ f�(u,JoLC
INCOME 1. . OME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
tr7c7'L , SC 1 v!2 f 1V L L zv>
ADDRESS (Business Address Acceptable),00ys2cft- * 0cc4 Air
` . awl
BUSINESS ACTIVITY, IF ANY, OF SOURCE
l'l/ri S'i cam- �n�a�y
YOUR 11USINESS POSITION
E 1 - 0344-.I
GROSS INCOME RECEIVED �'tYL L1.P1 S1�
❑ $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 131partnership
❑ Sale of
(Real property, car, twat etc.)
❑ Commission or ❑ Rental Income, list each source of $10.000 or more
❑ Other
(Describe)
FYC( i7oyl-, 5 Z-711� '2- =-t—
ADDRESS ADDREs Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
fit-10 .1JT o f�ev t- C_ /J4v-j i ro rL (,trz._
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $l,00l - $10,000
2110,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FQR WHICH INCOME WAS RECEIVED
❑ Salary 12"SSpouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of
property, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
(Describe)
11 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"
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
Sheet address
❑ Guarantor
❑ Other
City
(Describe)
FPPC Form 700 (2012/2013) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov